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PayIntegrity

Overview

Operations

Core Modules

Claims & Cases14
Audit Queues7
Providers

Reporting

Analytics
Audit Trail
MR

Marcus Reid

Admin

Operations Dashboard

Payment integrity overview — Jun 12, 2026

Jun 12, 2026
Live · Updated just now

Recovered This Period

$4,182,340

+12.4%·vs $3,720,890 last period

Updated just now

Pending Recovery

$1,847k

+$203k·38 cases with open demands

Audit Queue Depth

127

+18 today·14 past SLA threshold

Claims Flagged Today

64

+0%·vs 70 yesterday

Avg Days to Resolution

18.4

+18.4 days·SLA target: 21 days

Claim Error Rate

7.2%

-0.6pp·Across 8,941 reviewed claims this period

Recovery Trend

12-month recovered vs identified vs target

Jul 2025 – Jun 2026

Claims Aging

Open claims by days in queue

17 past SLA (31d+)

Activity Feed

Live · just now

Recovery of $14,820 confirmed

Claim CLM-29847 · Riverside Medical Group

4 min ago

T. Okafor

3 new claims flagged for duplicate billing

Provider: Northside Orthopedics (NPI 1234567890)

18 min ago

Auto-detect

Audit AUD-4412 advanced to Pending Review

12 claims · Assigned to J. Vasquez

41 min ago

J. Vasquez

Appeal submitted by provider

Case OVP-8821 · Summit Health Systems · $8,340

1h 12m ago

Portal

Demand letter issued — $22,450

Case OVP-8814 · Lakewood Surgical Center

2h 05m ago

M. Reid

SLA breach — claim approaching 21-day limit

Claim CLM-29701 · Valley Neurology Associates

3h 22m ago

System Alert

Partial recovery of $5,600 applied

Case OVP-8798 · Central Radiology Partners

5h 14m ago

T. Okafor

At-Risk Providers

Northside Orthopedics

NPI 1234567890

18.4%

7 cases

Valley Neurology Assoc.

NPI 1987654321

12.1%

4 cases

Summit Health Systems

NPI 1654321098

9.8%

3 cases

Lakewood Surgical Ctr.

NPI 1543210987

8.2%

5 cases

Central Radiology Partners

NPI 1432109876

7.6%

2 cases