How we measure your billing
Every number in your live dashboard, how it is calculated, where you find it, and what published industry data says, with dates and sources.
Read this first
Industry figures come from different organizations, years and definitions. In MGMA's 2020 data, multispecialty groups had a median of 35.5 days in accounts receivable (A/R) on gross charges;1 physician-owned multispecialty groups had 60.31 days on adjusted charges.2 Different populations and bases give very different numbers, so we show who was measured, when and on what basis.
Each number in your dashboard
How each number is calculated, where it shows in your live dashboard, and what published data says about it.
| Metric | How it is calculated | In your dashboard | What published data says |
|---|---|---|---|
| Coverage checked before the visit | Share of scheduled visits whose insurance coverage was checked electronically before the visit. A coverage check is not a guarantee of payment. | Overview; a visit whose check finds a problem goes on your Needs you list before the patient arrives. | In a January 2026 poll of medical practice leaders, 23% named front-end problems their biggest revenue leak.3 |
| Authorization and recertification warnings | Share of tracked authorizations and plans of care that got a warning to your front desk before they ran out. Your front desk still requests authorizations. | Patients view: visits used against visits authorized and each plan of care's certified-through date; warnings land on your Needs you list. | Medicare Advantage plans must decide standard prior authorization requests within 7 calendar days (rule, from 2026).4 |
| Days from visit to claim | The median number of days from the visit to the day its claim is first sent, across the month's visits. Every claim's record shows its own dates. | Overview, as the median for the month, and on every claim's record. | MGMA advises clinicians to close notes within 72 hours and staff to post charges within 2 days (guidance, 2026).5 |
| Rejected claim fixed and resent | Business days from a clearinghouse or payer rejection to the corrected claim being sent. | Every claim's record, with the rejection, the fix and the date it was resent. | Medicare claims must be filed within one calendar year of the date of service (rule).6 |
| Clean claim rateReported monthly | Claims accepted on first submission, with no clearinghouse or insurance company rejection, divided by claims first sent in the month. Corrected claims are not counted as first submissions. | Overview, for the month to date, updated as claims are accepted. | |
| Payment posting | Business days from an electronic remittance arriving, or a paper check reaching us, to the payment being posted and matched to its visits. | Payments view: every payment, from whom and what was adjusted, as it is posted. | Manual remittance handling costs provider staff $5.67 against $2.95 electronic (2023 data).7 |
| Net collection rateReported monthly | Money collected on a month's visits, minus refunds, divided by what was expected on those visits (what payers allowed), once the visits are old enough to have settled. The dashboard shows it for visits three months back. | Overview, for visits three months back: collected, still open and written off. | Median adjusted fee-for-service collection 97.3% (multispecialty groups, 2020 data).1 |
| Unpaid claim follow-up | Business days past a claim's expected payment date before it gets a status check, and the interval between rechecks. | Board, With payer column; each claim's record shows the last status check and the next one. | Medicare must pay or deny a clean claim within 30 days (rule).8 |
| Time to act on a denial | Business days from a denial arriving to a corrected claim, an appeal, a records request to your practice, or a written write-off recommendation. | Board, Being recovered column; each claim's record shows what we did and what is next. | Medicare Advantage reconsiderations are due within 60 calendar days of receiving the plan's written decision; Medicare redeterminations within 120 days (rules).9,10 |
| Denial rateReported monthly | Claims denied on the insurance company's first decision, divided by claims decided in the month. Denials that only move the balance to the patient are not counted. | Overview, for the month to date; the Board's Being recovered column lists each denial by reason. | Medical practices saw 7% to 8% of claims denied on first submission across the past four years.5 |
| A/R over 90 daysReported monthly | Open balances on visits more than 90 days past the date of service, divided by net open A/R, at month end. Age does not reset when a claim moves to a secondary payer or the patient. | Overview and the A/R view, by payer and by age, updated as claims move. | Over 120 days: median 13.54% of A/R (multispecialty practices, 2020 data).11 |
| First patient statement | Business days from a patient's balance becoming final (insurance has paid its share and nothing is open with a payer) to the first statement going out. | Board, Patient balance column, and each patient's record. | 70% of providers need two or more statements to collect a patient balance in full (2026). In 2024 practices collected 72% of copays at the visit but about 27% of other patient balances.12,5 |
| Days in A/RReported monthly | Open A/R at month end divided by the average daily expected value of visits in the last 90 days. We use expected amounts (what payers allowed) for both open A/R and daily revenue. | Overview, updated as claims are paid. | Median 35.5 days on gross charges; better performers 26.8 (multispecialty groups, 2020 data). Physician-owned multispecialty groups: 60.31 days on adjusted charges (2020 data).1,2,13 |
| Monthly summary delivered | Business day of the month by which your monthly summary arrives. | Your monthly summary, which comes alongside the live dashboard. | |
| Data returned when you leave | Business days from the end of the agreement to your data being returned. | Not a dashboard number: the timeline is written into your agreement. | HIPAA requires return or destruction at the end but sets no deadline (rule).14 |
How the numbers reach you
The numbers in your dashboard update as claims move, for the whole practice and down to each claim. Each one uses the definition on this page, so you can trace any figure back to the claims behind it. Past figures are not edited.
You also get a monthly summary with the same numbers.
Rules that set the clock
These are rules, not benchmarks. They set the deadlines our follow-up works to.
How follow-up works| Rule | What it says |
|---|---|
| Medicare payment window | Medicare cannot pay a clean electronic claim until 13 days after it receives it, and must pay or deny it within 30 days.8 |
| Medicare filing limit | Medicare claims must be filed within one calendar year of the date of service.6 |
| Medicare redetermination | Medicare redetermination requests are due within 120 days of receiving the initial decision.10 |
| Medicare Advantage reconsideration | Medicare Advantage reconsideration requests are due within 60 calendar days of receiving the plan's written decision.9 |
| Medicare Advantage prior authorization | Since 2026, Medicare Advantage plans must decide standard prior authorization requests within 7 calendar days.4 |
| Your data at the end of the agreement | When the agreement ends, a business associate must return or destroy the practice's patient information and keep no copies; if that is not feasible, it must keep protecting it. No deadline is set in the rule.14 |
See these numbers for your practice
Tell us your specialty, your EMR and roughly what you collect a month, and we will send you a billing plan.