Claims by stage List
Which reports still need assessment or a benefit decision?
From Claims assessment
- Health Insurance Claims
- Reports and operational decisions
Reports for the questions your team asks
Read claim stages, benefit decisions, verified payments and operation exceptions.
Overview×
Health Insurance Claims · Overview
Health Insurance Claims dashboard
This quarter
Preauthorizations in view
6Total requested benefit usd
3,980Submitted
6Requested at in 14 days
2Claims by status
How far records got this quarter
| Stage | Reached | Step | |
|---|---|---|---|
| Reported | 48 | ||
| Assessment | 9 | 19% | |
| Review | 2 | 22% | |
| Approved | 1 | 50% |
Claimed USD by status
Sample totals per stage
Questions to answer
Benefit decisions List
How do authorized benefits compare with the amounts claimed?
From Claims assessment
Verified benefit payments List
Which approved benefits have paid evidence attached?
From Claims assessment
Preauthorization outcomes List
Which submitted requests reached a recorded decision?
Operation exceptions List
Which actions have an unresolved effect or failure reason?
From Policy and coverage
More reports
Policy coverage limits Grouped
Show coverage lines, limits, deductibles and effective ranges beneath each policy.
Premium receipt verification List
Compare received amounts and verification states by policy and provider event.
Review decision trail List
List reviewer, decision, source revision and reason against each parent policy.
Set up Health Insurance Claims your way.
Start free, then use Proto to change fields, steps and approvals before your team goes live.