Analytics
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TOTAL CLAIMS
4,823
This billing period
APPROVAL RATE
67%
↑ 3pp vs last period
DENIAL RATE
9%
↓ 1pp improvement
TOTAL REVENUE
SAR 4.6M
Approved + partial
Weekly Claim Volume
Submissions over 8 weeks
Claim Outcomes
4,823 total claims
Approved
3,21067%
Partial Approval
3006%
Denied
4219%
Pending
89218%
Top Denial Reasons
Count this period
Member not eligible128
Service not covered97
Missing prior authorization84
Duplicate claim52
Incorrect billing code38
Timely filing exceeded22
Top 3 reasons account for 73% of all denials
Payer Mix
% of total claims by insurer
Bupa Arabia31%
Tawuniya24%
Medgulf18%
AXA Cooperative14%
CCHI (Gov)8%
Other5%
Top CPT Codes
Most billed procedures
99213 — Office visit, established patient892 claims
99214 — Office visit, moderate complexity743 claims
71046 — Chest X-ray, 2 views512 claims
93000 — ECG, routine488 claims
80053 — Comprehensive metabolic panel421 claims
99232 — Subsequent hospital care318 claims
Revenue by Service (SAR k)
Approved claims only
InpatientSAR 1,842k
OutpatientSAR 1,234k
EmergencySAR 643k
RadiologySAR 412k
LaboratorySAR 287k
PharmacySAR 198k
Claim Processing Time
Avg hours per day
1.8h
Mon
2.1h
Tue
1.6h
Wed
2.4h
Thu
1.9h
Fri
1.5h
Sat
1.7h
Sun
Prior Auth Approval Rate
% approved per day
81%
Mon
78%
Tue
83%
Wed
76%
Thu
84%
Fri
87%
Sat
85%
Sun
Overall Approval Rate Trend
7-day rolling approval %
88%
Mon
86%
Tue
89%
Wed
83%
Thu
87%
Fri
91%
Sat
88%
Sun
Improving · target 92%