Demo environment — 100% synthetic data. No real patient information (no names, DOB, SSN, or insurance IDs).
B
BGS RCM
by EvolveML
Meridian PediatricsPediatrics · 4 providers
Revenue healthAre you getting paid for everything you do?
Net collection rate · this year
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of what you billed has actually been collected. A healthy practice runs 95%+.
Recoverable — money you earned but haven't collected
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across open, denied, and aged claims
Where your claims go — focus on what matters
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Accounts receivableWhere your money is stuck — the aged-A/R "black hole"
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DenialsWhy claims are getting denied — click any reason to see the claims
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AccountabilityYour biller's worklist — chase these first
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Coding auditVaccine coding — money left on the table
Recoverable this year · vaccine admin undercoding
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Vaccine visits billed with the single admin code 90471/90472 qualify — for a pediatric practice that counsels families — for 90460 (first component, with counseling) plus 90461 per additional vaccine. Same work, higher-and-correct reimbursement.
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Unbilled servicesChronic Care + Annual Wellness — revenue you're eligible for but not billing
Recoverable this year · CCM + AWV not billed
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Chronic Care Management (99490, recurring monthly) and Annual Wellness Visits (G0438/G0439) are Medicare revenue most family practices under-capture — for patients you already see. Enrolling the eligible panel is recurring, compounding revenue.
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Revenue integritySpravato, psychotherapy add-ons, unworked denials — money left on the table
Recoverable this year · three leakage streams
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Preview only — the live system emails this to the biller, office manager, and doctor every Monday.