Suite 04

Revenue Cycle & Performance

Find repeat RCM queries, friction, performance gaps and verified outcomes

ProductsRevenue Cycle Intelligence; Service Level KPI Intelligence; Outcomes & Value Measurement

Current stateRCM capability / KPI visuals; AI root cause narratives illustrative

Service Level KPIs · this month vs previous

AI narrative illustrative

Approval to Admission · BMC

50.93%

prev 23.05% · Higher is better

Approval to Admission · BHAD

36.68%

prev 26.53% · Higher is better

Approval to Admission · BDSC

53.88%

prev 28.57% · Higher is better

Admission to DAMA · BMC

22.49%

prev 47.35% · Lower is better

Admission to DAMA · BHAD

19.64%

prev 67.14% · Lower is better

Admission to DAMA · BDSC

35.83%

prev 69.91% · Lower is better

Pregnancy to Antenatal · BMC

44.3%

prev 29.37% · Higher is better

Pregnancy to Antenatal · BHAD

44.03%

prev 66.94% · Higher is better

Pregnancy to Antenatal · BDSC

44.39%

prev 68.27% · Higher is better

Antenatal to Delivery · BMC

28.36%

prev 62.41% · Higher is better

Changed only

RCM CASE ID	PATIENT ID	UNIT CODE	ISSUE TYPE	REPEAT QUERY COUNT	CASE STATUS	REQUIRED OWNER	ILLUSTRATIVE AMOUNT AT RISK AED	PAYMENT CONFIRMED
DEMO-RCM0007	DEMO-P0007	BMC	Repeated documentation query	3	Open - doctor correction	Treating physician / RCM team	12,200	No
DEMO-RCM0012	DEMO-P0012	BDSC	Repeated query	3	Physician correction needed	Physician	7,400	No
DEMO-RCM0016	DEMO-P0016	BMC	Coding clarification	1	Closed	Physician	12,000	Yes - simulated
DEMO-RCM0020	DEMO-P0020	BHAD	Missing supporting documents	0	Open - payer query	RCM team	6,200	No
DEMO-RCM0024	DEMO-P0024	BDSC	Coding clarification	1	Open - payer query	Coding team	6,200	No
DEMO-RCM0028	DEMO-P0028	BMC	Coding clarification	1	Open - payer query	Physician	12,600	No
DEMO-RCM0032	DEMO-P0032	BHAD	Missing supporting documents	1	Resolved; re-submitted	Physician	5,200	No
DEMO-RCM0036	DEMO-P0036	BDSC	Documentation query	0	Resolved; re-submitted	RCM team	9,000	No
DEMO-RCM0040	DEMO-P0040	BMC	Documentation query	1	Closed	RCM team	3,200	Yes - simulated
DEMO-RCM0044	DEMO-P0044	BHAD	Missing supporting documents	1	Resolved; re-submitted	Coding team	4,200	No
DEMO-RCM0048	DEMO-P0048	BDSC	Documentation query	2	Open - payer query	Physician	2,200	No
DEMO-RCM0052	DEMO-P0052	BMC	Repeated query	3	Open - payer query	Coding team	3,400	No
DEMO-RCM0056	DEMO-P0056	BHAD	Coding clarification	3	Resolved; re-submitted	Physician	14,600	No
DEMO-RCM0060	DEMO-P0060	BDSC	Missing supporting documents	1	Resolved; re-submitted	RCM team	7,200	No
DEMO-RCM0064	DEMO-P0064	BMC	Missing supporting documents	0	Closed	RCM team	11,400	Yes - simulated
DEMO-RCM0068	DEMO-P0068	BHAD	Missing supporting documents	2	Resolved; re-submitted	Physician	7,600	No
DEMO-RCM0072	DEMO-P0072	BDSC	Repeated query	3	Closed	Physician	4,800	Yes - simulated
DEMO-RCM0076	DEMO-P0076	BMC	Coding clarification	1	Open - payer query	RCM team	5,000	No
DEMO-RCM0080	DEMO-P0080	BHAD	Coding clarification	3	Closed	RCM team	5,000	Yes - simulated
DEMO-RCM0084	DEMO-P0084	BDSC	Missing supporting documents	0	Closed	RCM team	17,800	Yes - simulated
DEMO-RCM0088	DEMO-P0088	BMC	Coding clarification	3	Resolved; re-submitted	RCM team	13,000	No
DEMO-RCM0092	DEMO-P0092	BHAD	Documentation query	2	Open - payer query	Physician	5,200	No
DEMO-RCM0096	DEMO-P0096	BDSC	Repeated query	2	Physician correction needed	Coding team	12,000	No
DEMO-RCM0100	DEMO-P0100	BMC	Documentation query	2	Open - payer query	Physician	4,600	No
DEMO-RCM0104	DEMO-P0104	BHAD	Missing supporting documents	3	Closed	RCM team	5,200	Yes - simulated
DEMO-RCM0108	DEMO-P0108	BDSC	Coding clarification	2	Closed	Physician	17,400	Yes - simulated
DEMO-RCM0112	DEMO-P0112	BMC	Documentation query	2	Open - payer query	RCM team	7,400	No
DEMO-RCM0116	DEMO-P0116	BHAD	Documentation query	2	Physician correction needed	Physician	14,200	No