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AUTOMATEDRCM · PAYER INTELLIGENCE

The Payer Scorecard

Every insurance company graded on the four things that quietly cost a practice money: how often they deny, how slow they pay, how often they underpay, and how often fighting back actually works.
Synthetic demo data · fictional payers · zero PHI
Payers graded
8
Claims analyzed
13,160
Worst payer
F Summit PPO
Best payer
A Sunbelt Medicare Advantage

Ranked worst → best

How the grade is computed: a weighted score of denial rate (30%), days to pay (25%), underpayment rate (25%), and appeal-overturn rate (20% — a high overturn rate means the payer denies claims it shouldn't). Grades are calculated from the metrics, not hand-assigned.
About this data: the payers above are fictional and the numbers are a synthetic demonstration — this is how the tool works, not a claim about any real insurer. For a real practice, the same engine reads their actual remittance files and grades their real payer mix. · Built for AutomatedRCM by Laureen Nicholson · learningaiwithlaureen.com