| A/R Balance | Claims | % Claims | Total $ | % A/R |
|---|---|---|---|---|
| Over $5,000 | 8 | 16% | $32,000 | 61% |
| $1,000–$5,000 | 15 | 30% | $16,500 | 31% |
| Under $1,000 | 27 | 54% | $4,300 | 8% |
| Total | 50 | 100% | $52,800 | 100% |
16% of claims hold 61% of the money — work these first.
| Payer | Contracted | Actual Allowed | Variance | % Under |
|---|---|---|---|---|
| Aetna | $124,000 | $111,500 | −$12,500 | −10.1% |
| Cigna | $152,000 | $136,800 | −$15,200 | −10.0% |
| BCBS | $98,000 | $98,000 | $0 | 0% |
| United | $86,000 | $80,500 | −$5,500 | −6.4% |
| Total | $460,000 | $426,800 | −$33,200 | −7.2% |
From real-time alerts to strategic benchmarking — everything you need to see your revenue cycle clearly, in one solution.
We make sure every payer pays exactly what they agreed to — and recover it when they don't.
Extra hands for the work that piles up — on your terms, with people you approve.
No rip-and-replace. Reporting or database access is all we need — and we're live with your data within a week.
Every insight is built to move your revenue and net collection rate — not just decorate a dashboard.
Most vendors have one or the other. We built the team with both — two decades of operator-level RCM experience, paired with real data science.
Tailored to your specialty, your preferences, and the nuances of how you actually run your practice — not a generic template.
We understand RCM deeply enough to catch issues and act on them — without waiting on your instructions.
Available when you need us, not on a scheduled check-in weeks away.
No long procurement cycle. We start with a free assessment of your own data — not a generic demo.
Our assessment gives you a clear picture of where you stand today — what's already working well, and where the real opportunities are hiding. From there, we agree on the right path forward together.
RCMology comes out of nearly 25 years of hands-on revenue cycle and business intelligence leadership — inside real billing operations, not built from the outside looking in.
Two decades of seeing the same reconciliation gaps, denial patterns, and underpayments across different organizations — so we built the solution we always wished existed.
Deep US healthcare revenue cycle expertise combined with an India-based operating team — the same rigor and responsiveness as an in-house team.
Built on HIPAA-ready infrastructure — including AWS and Snowflake. We sign a BAA with you before we ever access your data — and with every vendor whose infrastructure touches it.