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Northside Medical Group

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Northside Medical Group

At Risk

Multi-specialty · 214 providers

$184K
Revenue at risk
Collection performance
$1.42M
Net collections, period to date
Denials
8.7%
Denial rate
AR aging
44.6
Days in AR
Productivity
91.2%
Clean claim rate

Key Intelligence for this Client

Top AI-detected issues and opportunities affecting this account.

CriticalDenials·94% AI confidenceNorthside Medical Group

Denial rate spike is putting $184K of expected collections at risk

Authorization denials for Northside Medical Group have risen sharply over a 14-day window, well outside normal variation.

$184K
Revenue at Risk
Expected collections exposed over 90 days
+32%
Denial Increase
6.6% → 8.7% denial rate
14 Days
Trend Duration
First anomaly detected Aug 13
InvestigateAsk AI
AI reasoning

Based on historical denial patterns for this client, payer-level authorization trends and recent procedure-level mix changes.

Detected 4 hours ago · Open · Unassigned

High PriorityPayer Intelligence·91% AI confidence

Two payer groups are responsible for 61% of the recent denial increase

Meridian Health Plan and Cascade Benefit Alliance account for the majority of newly denied claims across three clients.

$92K
Meridian Impact
Payer A — authorization denials
$54K
Cascade Impact
Payer B — processing delays
1,284
Claims Affected
Last 14 days
View payer analysisAsk AI
AI reasoning

Payer-level denial concentration is 3.1x the 12-month baseline, with a matched increase in remit code 197.

Detected Yesterday · Open · Reviewed by A. Rao

OpportunityOperations·88% AI confidence

Team productivity variation suggests a $96K monthly improvement opportunity

Three comparable coding teams show an 18% throughput gap on identical specialty mix and claim complexity.

$96K
Monthly Opportunity
If gap closes to top-quartile pace
18%
Performance Gap
Charts per coder per day
3
Teams Affected
Coding Pods B, C and E
Explore opportunityAsk AI
AI reasoning

Normalized for case mix, tenure and specialty, throughput variance exceeds expected range for comparable teams.

Detected 2 days ago · Open · Under review