Zero-PHI Mode Active

Financial Performance Hub

Strategic revenue scaling and health tracking for Sammoh PLLC

Data Source: NextGen/Payment Portals

Total Charges Submitted

$32,394.43

111 Encounters Billed

Est. Payer Reimbursements

$2,214.12.00

Cleared Payouts

Clearinghouse Rejections

$303.20

1 Claim (Zero Denials)

First Pass Claim Rate

99.1%

Benchmark: >95%

Claim Adjudication Status

Real-time processing distribution of submitted volume.

Accepted & being Processed by Payers
102
Acknowledged by Clearing House
8
Rejected
1

Hold Queue Breakdown

49 encounters pending clearance.

$11,765.29
Provider Linkage (Jeremy K.)
$8,520.00
34 Claims pending payer enrollment 72%
Self-Pay / Patient Balance
$3,245.29
15 Claims awaiting statement dispatch 28%

Front-Desk Action Center

Pre-appointment patient verification checklist (Cross-referenced via NextGen Tasks).

Coverage Inactive

Action Required on NextGen Task #8892

Patient scheduled for tomorrow. Medicare Part D card submitted instead of Part B. Collect correct ID card upon arrival.

Copay Due

Action Required on NextGen Task #8895

Patient has outstanding balance of $150.00. Collect before provider consult.

CDI & Addendum Queue

Clinical documentation integrity alerts. Open referenced task in NextGen to append notes or link codes.

NextGen Task ID Provider Clinical Coding Requirement Priority Action
Task #8892 Dr. Knefati ICD-10 Update: Replace invalid M54.5 with M5450 & Link Mod 25 to E&M (99213). Urgent - Claim Held
Task #8905 Dr. Knefati Addendum Required: Missing point-of-care documentation for CPT 80305 presumptive drug test. Standard Review

Credentialing Tracker

Live status of provider enrollments, linkages, and facility updates.

Entity / Provider Name Payer Request Type Status Action
Individual: Jeremy Kendall
Jeremy KendallAetnaCredentialing Approved
Jeremy KendallAmbetterCredentialing In Progress
Jeremy KendallBCBSCredentialing In Progress
Jeremy KendallCignaCredentialing In Progress
Jeremy KendallHumanaCredentialing In Progress
Jeremy KendallMedicaid ARCredentialing Approved
Jeremy KendallMedicareCredentialing In Progress
Jeremy KendallUHC/UMRCredentialing Approved
Jeremy KendallQualchoiceCredentialing In Progress
Jeremy KendallTricare west/triwestCredentialing In Progress
Jeremy KendallAccess Health Services plansCredentialing In Progress
Jeremy KendallAllied Benefit SystemCredentialing In Progress
Jeremy KendallImagine 360Credentialing Approved
Jeremy KendallProfessional Benefits AdministratorsCredentialing In Progress
Individual: Kindra Witkowski
Kindra WitkowskiAetnaLinkage In Progress
Kindra WitkowskiAmbetterLinkage Approved
Kindra WitkowskiBCBSLinkage In Progress
Kindra WitkowskiCignaLinkage Approved
Kindra WitkowskiHumanaLinkage Approved
Kindra WitkowskiMedicaid ARLinkage Approved
Kindra WitkowskiMedicareLinkage In Progress
Kindra WitkowskiUHC/UMRLinkage In Progress
Kindra WitkowskiQualchoiceLinkage In Progress
Kindra WitkowskiTricare west/triwestLinkage In Progress
Kindra WitkowskiAccess Health Services plansCredentialing In Progress
Kindra WitkowskiAllied Benefit SystemCredentialing In Progress
Kindra WitkowskiImagine 360Credentialing Approved
Kindra WitkowskiProfessional Benefits AdministratorsCredentialing In Progress
Facility: Practice Address Updates
Sammoh PLLCAetnaAddress Update Approved
Sammoh PLLCAmbetterAddress Update Approved
Sammoh PLLCBCBSAddress Update Approved
Sammoh PLLCCignaAddress Update Approved
Sammoh PLLCHumanaAddress Update Approved
Sammoh PLLCMedicaid ARAddress Update Approved
Sammoh PLLCMedicareAddress Update Approved
Sammoh PLLCUHC/UMRAddress Update Approved
Sammoh PLLCQualchoiceAddress Update Approved
Sammoh PLLCTricare west/triwestAddress Update In Progress
Sammoh PLLCAccess Health Services plansAddress Update Approved
Sammoh PLLCAllied Benefit SystemAddress Update In Progress
Sammoh PLLCImagine 360Address Update In Progress
Sammoh PLLCProfessional Benefits AdministratorsAddress Update Approved

Command Center

Open a direct ticket with the Mediclaero RCM team (Auto-routed via n8n).

Integrations & Webhooks

Manage NextGen EDI connections, n8n webhook routes, and API keys.

NextGen EHR API

API Key Missing / Invalid

Not Connected
Last Telemetry Sync Connection Timeout
Active Pipeline Terminated
Bandwidth Status

n8n Workflow Engine

Slack Operations Routing

Active

Command Center Endpoint

Notification Dispatched

Triggered webhook payload delivered to internal Slack routing queue.