Practice Reporting. Prepared for Rowan Bexley on Oct 7, 2026. Whole organization.

September 2026 · prove it

Denial rate, practice total

7.93%Within tolerance

What share of claims did each payer deny the first time?

How the number is made

Definition version 1, in force since Aug 3, 2025.

Formula: Claims a payer denied the first time it decided on them, divided by all claims a payer first decided on in the month. Resubmissions are not counted again.
Claims denied the first time a payer decided on them: 86
Claims a payer first decided on in the month: 1,084
Result: 7.93%
Filters: Primary payer only
The payer’s first decision only
Self pay left out (no payer decides on it)
Scope: Practice total

Every version of this definition

Checked against athena

The athena report to run, what it showed, and how far apart the two are.

athena report: athenaOne Denial Management report, first-pass view, grouped by primary payer
athena’s figure: 8.19%
Difference (ours minus athena): -0.26 points
Tolerance: Up to 0.50 points either way
Evidence: Open the athena report athena-2026-09-denial-management (sample), sample report, opens in a new tab
Checked: Oct 4, 2026, 10:00 AM EDT by Rowan Bexley
Why they differ: The same 3 resubmission denials from Statewide Care Program: athena’s practice-wide rate counts each one as another denied claim, and ours does not. Every other payer matches.Current explanation, written by Rowan Bexley, Oct 4, 2026, 11:00 AM EDT

Record athena’s figure

Type the figure exactly as the athena report shows it. The status updates as soon as you save.

athena’s figureLeave empty to clear it. Clearing it also withdraws the explanation, which stays in its history.Link to the report (optional)Where the report lives, for example a shared drive. https links only. Leave empty to take it off the record; it stays under Earlier evidence.

Attach the athena report

On file: athena-2026-09-denial-management (sample). A new file becomes the current one, and this one moves to Earlier evidence, where it can still be opened.

PDF, PNG or JPEG, up to 5 MB. Export or screenshot the report’s summary view.This file shows totals only: no patient names, dates of birth, account numbers or other patient details. Required when attaching a file.Take the file off the record (it moves to Earlier evidence; a link must then be given before publishing)

Last saved Oct 4, 2026, 10:00 AM EDT by Rowan Bexley.

Write a new explanation

The current explanation is shown above. Saving a new one replaces it, and the current one moves to Earlier versions. Nothing is ever deleted.

Before you save, check athena’s figure with your own eyes: open the athena report.

The run behind it

Source: Demo data
Pulled from athena: Oct 3, 2026, 6:00 AM EDT
Records counted: 43,050 claims, 1,436 appointments
Internal checks: All 11 passed

For your IT team

Software version rpt-pipeline 1.1.0.

Where the data came from, and every check