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Prior-Auth, Level-of-Care & Denials Prevention

Concurrent prior-auth orchestration, observation-vs-inpatient status optimization, and predictive pre-bill denials prevention — wired to a throughput-to-margin control tower.

Auths Pending
43
awaiting payer
Auths At Risk
30
SLA / missing docs
Denial-Risk Cases
62
score ≥ 50
Revenue At Risk
$605k
pre-bill exposure
Avoidable Days
178
LOC + LOS
Obs/Inpt Mismatch
36
status optimization

Prior-Auth Worklist

PatientPayerAuthSLARev at risk
Lucia Santos
MRN-531403 · Med-Surg A
UnitedHealth
Navigate
Pending+77h 22m over$5.2k
Diego Nguyen
MRN-236115 · Step-Down
Aetna
Select
Pending+76h 5m over$2.8k
Diego Patel
MRN-251052 · Step-Down
UnitedHealth
Navigate
Pending+74h 23m over$8.2k
Kofi Ortiz
MRN-468273 · Flex / Overflow
Cigna
LocalPlus
At risk+72h 7m over$7.1k
Ruth Haddad
MRN-106003 · Med-Surg A
Medicaid
Managed Care
At risk+71h 57m over$4.2k
Chloe Flores
MRN-348345 · Telemetry
Cigna
LocalPlus
At risk+71h 50m over$12k
Henry Ito
MRN-869942 · Med-Surg B
Medicaid
Fee-for-Service
Pending+70h 35m over$4.5k
Diego Abara
MRN-643137 · Med-Surg B
Aetna
Select
Pending+68h 25m over$1.8k
Nadia Adeyemi
MRN-579090 · Med-Surg B
BlueCross
PPO
At risk+66h 13m over$4.9k
Patricia Bauer
MRN-485446 · Med-Surg A
Aetna
Open Access
At risk+63h 52m over$4.0k
Aisha Dubois
MRN-276073 · Med-Surg B
Cigna
Open Access Plus
At risk+63h 24m over$3.3k
Priya Bauer
MRN-157815 · Med-Surg B
BlueCross
PPO
Pending+60h 40m over$4.6k
Priya Abara
MRN-659742 · ICU
Medicare
Advantage HMO
At risk+59h 57m over$19k
Aisha Flores
MRN-272451 · Telemetry
Medicare
Advantage HMO
Pending+59h 36m over$3.7k
Priya Castillo
MRN-790062 · Med-Surg B
Aetna
Select
At risk+56h 36m over$4.7k
Ethan Adeyemi
MRN-667243 · Med-Surg A
UnitedHealth
Navigate
Pending+56h 8m over$3.4k
Linda Nguyen
MRN-764666 · Med-Surg A
UnitedHealth
Choice Plus
Pending+55h 23m over$6.8k
Mia Sato
MRN-910420 · Telemetry
BlueCross
HMO
At risk+52h 28m over$5.0k
Elena Abara
MRN-367855 · Med-Surg A
UnitedHealth
Navigate
At risk+51h 34m over$4.5k
Yuki Abara
MRN-656248 · ICU
UnitedHealth
Choice Plus
Pending+49h 3m over$6.3k
Omar Mbeki
MRN-163451 · Med-Surg B
Medicaid
Managed Care
Pending+47h 9m over$2.6k
Sofia Petrov
MRN-342878 · Telemetry
BlueCross
HMO
At risk+46h 55m over$5.4k
David Cohen
MRN-139427 · Telemetry
Cigna
Open Access Plus
Pending+46h 21m over$2.5k
Grace Salas
MRN-287157 · Med-Surg B
UnitedHealth
Choice Plus
Pending+45h 30m over$4.5k
John Yamamoto
MRN-487474 · Step-Down
Medicare
Traditional A/B
Pending+44h 39m over$4.6k
Ava Ito
MRN-520194 · Med-Surg A
Medicaid
Managed Care
Pending+44h 19m over$2.8k
Ethan Larsson
MRN-686545 · ICU
Cigna
LocalPlus
Pending+42h 20m over$5.9k
Yuki Okafor
MRN-694266 · Step-Down
Medicaid
Managed Care
At risk+42h 15m over$7.6k
Isaac Romano
MRN-352184 · Med-Surg B
Cigna
Open Access Plus
At risk+41h 48m over$6.4k
Mia Patel
MRN-350233 · Telemetry
Medicare
Advantage PPO
At risk+39h 40m over$6.5k
John Khan
MRN-231459 · Step-Down
Medicaid
Managed Care
At risk+39h 31m over$12k
Maria Romano
MRN-406846 · Flex / Overflow
UnitedHealth
Navigate
At risk+38h 1m over$2.7k
Robert Fischer
MRN-463357 · Med-Surg A
Medicaid
Managed Care
Pending+37h 24m over$4.2k
Mateo Salas
MRN-202641 · Telemetry
UnitedHealth
Navigate
Pending+36h 37m over$8.9k
Pavel Salas
MRN-610120 · Med-Surg A
Medicaid
Managed Care
At risk+36h 29m over$5.9k
Robert Adeyemi
MRN-768672 · ICU
Medicaid
Managed Care
Pending+36h 3m over$6.2k
Kofi Reyes
MRN-182650 · Telemetry
Medicare
Advantage HMO
Pending+35h 43m over$3.7k
James Kim
MRN-788478 · Telemetry
Medicare
Traditional A/B
At risk+34h 3m over$7.0k
Carlos Petrov
MRN-397672 · Med-Surg B
Medicare
Advantage HMO
Pending+33h 9m over$5.2k
Maria Novak
MRN-649501 · Med-Surg A
BlueCross
Federal
Pending+32h 5m over$4.4k
Carlos Mercer
MRN-175749 · Step-Down
Aetna
Open Access
At risk+28h 53m over$7.0k
Ethan Fischer
MRN-106446 · Med-Surg B
Aetna
Select
Pending+25h 20m over$5.4k
Ruth Adeyemi
MRN-987490 · Telemetry
BlueCross
Federal
At risk+23h 23m over$8.8k
Theo Cohen
MRN-578577 · Med-Surg B
Medicaid
Fee-for-Service
At risk+22h 23m over$4.1k
Kofi Yamamoto
MRN-542610 · Telemetry
Cigna
Open Access Plus
At risk+20h 23m over$7.6k
Priya Reyes
MRN-667992 · Telemetry
BlueCross
Federal
Pending+18h 19m over$4.0k
Zara Cohen
MRN-452855 · Telemetry
Medicaid
Managed Care
Pending+17h 43m over$2.1k
James Cohen
MRN-426492 · PACU
Cigna
LocalPlus
Pending+17h 1m over$1.1k
Sofia Khan
MRN-110990 · Telemetry
Aetna
Open Access
Pending+15h 38m over$6.5k
Omar Walsh
MRN-803038 · ICU
UnitedHealth
Choice Plus
Pending+15h 23m over$14k
Nadia Haddad
MRN-332803 · PACU
Aetna
Select
At risk+14h 55m over$2.1k
Pavel Mercer
MRN-531840 · Flex / Overflow
BlueCross
PPO
Pending+13h 58m over$7.4k
Linda Patel
MRN-721166 · Med-Surg A
Medicare
Traditional A/B
Pending+13h 22m over$4.1k
Chloe Abara
MRN-985714 · Med-Surg A
Medicare
Advantage HMO
At risk+12h 52m over$4.1k
John Abara
MRN-888561 · Med-Surg B
Aetna
Select
Pending+12h 50m over$2.0k
David Petrov
MRN-964469 · Med-Surg B
Cigna
Open Access Plus
At risk+12h 12m over$4.1k
Lucia Flores
MRN-218083 · ICU
Medicare
Traditional A/B
Pending+10h 35m over$15k
Diego Cohen
MRN-528139 · Flex / Overflow
Medicare
Traditional A/B
Pending+9h 15m over$2.1k
Jamal Bauer
MRN-420589 · Telemetry
Medicaid
Managed Care
Pending+8h 57m over$11k
Aisha Boyd
MRN-842277 · ICU
Cigna
Open Access Plus
At risk+6h 52m over$18k
Wei Santos
MRN-697415 · Step-Down
Medicaid
Fee-for-Service
Pending+6h 7m over$6.1k
Pavel Sato
MRN-160357 · Step-Down
Cigna
Open Access Plus
Pending+5h 23m over$12k
Ruth Adeyemi
MRN-593138 · ICU
BlueCross
Federal
Pending+4h 33m over$5.2k
Imani Novak
MRN-172326 · Med-Surg B
Cigna
Open Access Plus
Pending+4h 18m over$2.3k
Sofia Nguyen
MRN-915638 · PACU
BlueCross
PPO
Pending+3h 31m over$2.2k
Imani Yamamoto
MRN-786198 · Step-Down
Medicare
Advantage HMO
Pending+2h 11m over$4.9k
Priya Walsh
MRN-657757 · ICU
BlueCross
HMO
At risk+1h 3m over$14k
Isaac Ito
MRN-149272 · Med-Surg A
UnitedHealth
Choice Plus
At risk+47m over$7.5k
Sofia Ito
MRN-909561 · ICU
Cigna
Open Access Plus
Pending1h 12m$7.3k
Mia Nguyen
MRN-915773 · Med-Surg A
Medicare
Advantage HMO
At risk5h 57m$8.0k
Pavel Okafor
MRN-509758 · Emergency Dept
UnitedHealth
Choice Plus
Pending11h$1.7k
Carlos Castillo
MRN-889877 · Telemetry
UnitedHealth
Choice Plus
Pending16h 53m$3.2k
Imani Patel
MRN-492231 · Emergency Dept
BlueCross
Federal
At risk19h 54m$6.8k

Throughput-to-Margin Tower

83% occ
$1.1M
total exposure
Revenue at risk$605k
Avoidable-day cost · 178d$498k
Boarder margin drag · 6 boarders$5.3k

At 83% occupancy, every ED boarder-hour costs ~$220 in deferred margin. Clearing throughput pressure converts directly into avoided denial exposure.

Level-of-Care Optimization

36 mismatches
Priya Abara

MRN-659742 · ICU · Medicare

Downgrade
InpatientObservation1d avoidable

Stable vitals, no inpatient-only procedure on chart

$19k exposure
Lucia Flores

MRN-218083 · ICU · Medicare

Downgrade
InpatientObservation1d avoidable

Improving deterioration score; inpatient criteria not met

$15k exposure
Pavel Sato

MRN-160357 · Step-Down · Cigna

Downgrade
InpatientObservation1d avoidable

Diagnostic-only stay; payer favors observation status

$12k exposure
John Khan

MRN-231459 · Step-Down · Medicaid

Downgrade
InpatientObservation2d avoidable

Stable vitals, no inpatient-only procedure on chart

$12k exposure
Jamal Bauer

MRN-420589 · Telemetry · Medicaid

Downgrade
InpatientObservation1d avoidable

Diagnostic-only stay; payer favors observation status

$11k exposure
Diego Patel

MRN-251052 · Step-Down · UnitedHealth

Downgrade
InpatientObservation3d avoidable

Improving deterioration score; inpatient criteria not met

$8.2k exposure
Kofi Yamamoto

MRN-542610 · Telemetry · Cigna

Downgrade
InpatientObservation2d avoidable

Stable vitals, no inpatient-only procedure on chart

$7.6k exposure
Jamal Boyd

MRN-573136 · Telemetry · Medicare

Downgrade
InpatientObservation1d avoidable

Improving deterioration score; inpatient criteria not met

$7.5k exposure
Carlos Mercer

MRN-175749 · Step-Down · Aetna

Downgrade
InpatientObservation3d avoidable

Stable vitals, no inpatient-only procedure on chart

$7.0k exposure
Linda Nguyen

MRN-764666 · Med-Surg A · UnitedHealth

Downgrade
InpatientObservation1d avoidable

Diagnostic-only stay; payer favors observation status

$6.8k exposure
Mia Patel

MRN-350233 · Telemetry · Medicare

Downgrade
InpatientObservation2d avoidable

Stable vitals, no inpatient-only procedure on chart

$6.5k exposure
Sofia Khan

MRN-110990 · Telemetry · Aetna

Downgrade
InpatientObservation1d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$6.5k exposure
Yuki Abara

MRN-656248 · ICU · UnitedHealth

Downgrade
InpatientObservation1d avoidable

Diagnostic-only stay; payer favors observation status

$6.3k exposure
Aisha Larsson

MRN-898468 · ICU · UnitedHealth

Downgrade
InpatientObservation2d avoidable

Diagnostic-only stay; payer favors observation status

$5.9k exposure
Carlos Petrov

MRN-397672 · Med-Surg B · Medicare

Downgrade
InpatientObservation2d avoidable

Improving deterioration score; inpatient criteria not met

$5.2k exposure
Lucia Santos

MRN-531403 · Med-Surg A · UnitedHealth

Downgrade
InpatientObservation1d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$5.2k exposure
Imani Haddad

MRN-238108 · Telemetry · Aetna

Downgrade
InpatientObservation1d avoidable

Improving deterioration score; inpatient criteria not met

$4.8k exposure
Grace Salas

MRN-287157 · Med-Surg B · UnitedHealth

Downgrade
InpatientObservation1d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$4.5k exposure
Elena Abara

MRN-367855 · Med-Surg A · UnitedHealth

Downgrade
InpatientObservation2d avoidable

Improving deterioration score; inpatient criteria not met

$4.5k exposure
Ruth Haddad

MRN-106003 · Med-Surg A · Medicaid

Downgrade
InpatientObservation1d avoidable

Diagnostic-only stay; payer favors observation status

$4.2k exposure
Linda Patel

MRN-721166 · Med-Surg A · Medicare

Downgrade
InpatientObservation1d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$4.1k exposure
Priya Reyes

MRN-667992 · Telemetry · BlueCross

Downgrade
InpatientObservation3d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$4.0k exposure
Carlos Fischer

MRN-311864 · Step-Down · BlueCross

Downgrade
InpatientObservation3d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$3.0k exposure
Maria Cohen

MRN-192879 · PACU · Medicare

Downgrade
InpatientObservation1d avoidable

Improving deterioration score; inpatient criteria not met

$2.8k exposure
Priya Boyd

MRN-182993 · Step-Down · Medicare

Downgrade
InpatientObservation3d avoidable

Diagnostic-only stay; payer favors observation status

$2.8k exposure
Omar Mbeki

MRN-163451 · Med-Surg B · Medicaid

Downgrade
InpatientObservation3d avoidable

Stable vitals, no inpatient-only procedure on chart

$2.6k exposure
Sofia Nguyen

MRN-915638 · PACU · BlueCross

Downgrade
InpatientObservation1d avoidable

Stable vitals, no inpatient-only procedure on chart

$2.2k exposure
Robert Fischer

MRN-414305 · PACU · Medicaid

Downgrade
InpatientObservation3d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$2.2k exposure
Nadia Haddad

MRN-332803 · PACU · Aetna

Downgrade
InpatientObservation1d avoidable

Improving deterioration score; inpatient criteria not met

$2.1k exposure
Zara Cohen

MRN-452855 · Telemetry · Medicaid

Downgrade
InpatientObservation3d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$2.1k exposure
Ava Abara

MRN-109079 · Med-Surg B · UnitedHealth

Downgrade
InpatientObservation3d avoidable

Improving deterioration score; inpatient criteria not met

$1.7k exposure
Sofia Dubois

MRN-840836 · Med-Surg B · Aetna

Downgrade
InpatientObservation2d avoidable

Improving deterioration score; inpatient criteria not met

$1.6k exposure
Aisha Larsson

MRN-223664 · Med-Surg A · Medicaid

Downgrade
InpatientObservation3d avoidable

Improving deterioration score; inpatient criteria not met

$1.6k exposure
Ava Romano

MRN-361471 · Med-Surg B · UnitedHealth

Downgrade
InpatientObservation1d avoidable

LOS trending < 2 midnights; observation supports medical necessity

$1.4k exposure
Noor Okafor

MRN-152096 · Telemetry · UnitedHealth

Downgrade
InpatientObservation2d avoidable

Diagnostic-only stay; payer favors observation status

$1.4k exposure
Sofia Kim

MRN-878281 · Med-Surg A · Medicaid

Downgrade
InpatientObservation2d avoidable

Stable vitals, no inpatient-only procedure on chart

$1.1k exposure

Denials Risk

8 to work
Maria CohenDenied

MRN-192879 · Medicare

99
$2.8k

Top driver: Auth obtained after admit (47%)

Jamal BoydDenied

MRN-573136 · Medicare

99
$7.5k

Top driver: Diagnosis not on payer list (46%)

Robert ItoDenied

MRN-472634 · UnitedHealth

95
$10k

Top driver: Missing clinical documentation (46%)

Carlos MbekiDenied

MRN-785478 · Medicare

92
$9.3k

Top driver: Two-midnight rule mismatch (51%)

Kofi YamamotoAt risk

MRN-542610 · Cigna

92
$7.6k

Top driver: Out-of-network specialist (51%)

Omar MercerDenied

MRN-744175 · Cigna

91
$5.4k

Top driver: Late concurrent review (49%)

Mia NguyenAt risk

MRN-915773 · Medicare

89
$8.0k

Top driver: Coding / DRG ambiguity (47%)

Nadia HaddadAt risk

MRN-332803 · Aetna

87
$2.1k

Top driver: Missing clinical documentation (53%)