Ready to bill
22
+5 today
Biller Workspace/Commercial / Provider Invoice ledger
Export
Synthetic packet
BL
Today · 38 candidates
Billing dashboard
Documentation and billing readiness across the panel. Biller does not autonomously approve clinical decisioning, generate CPT, or write to clinical workflow.
Needs documentation
9
−2
Needs provider review
5
flat
Denial risk
2
−1
Closure rate (30d)
87.4%
+3.2pt
Median time-to-bill
11d
−4d
Top patient candidates
| Patient | Documentation | Billing readiness | Payer |
|---|---|---|---|
| JP-DEMO-0042 Evelyn Johnson | Pending provider | Needs doc | Medicare Advantage |
| JP-DEMO-0068 Maria Castaneda | Complete | Ready | Medicare Advantage |
| JP-DEMO-0088 Antonia Singh | Complete | Ready | Original Medicare |
| JP-DEMO-0073 Desmond Henriquez | Missing consent | Denial risk | Dual SNP |
| JP-DEMO-0105 Florence Nguyen | Complete | Ready | Medicaid Managed |
Closure rate (12w)
CHW
Ready
Needs doc
Provider review
Denial risk
38 candidates
Billing queue
| # | Patient | Service | Documentation | State | Time-to-close |
|---|---|---|---|---|---|
| 1 | JP-DEMO-0068 | Care navigation | Complete | Ready | 3d |
| 2 | JP-DEMO-0088 | Smart visit | Complete | Ready | 4d |
| 3 | JP-DEMO-0105 | Care plan refresh | Complete | Ready | 5d |
| 4 | JP-DEMO-0042 | Smart visit · home | Pending provider | Needs doc | — |
| 5 | JP-DEMO-0051 | Home assessment | Pending provider | Needs doc | — |
| 6 | JP-DEMO-0073 | Barrier follow-up | Missing consent | Denial risk | — |
9 patients need documentation
Documentation review
- JP-DEMO-0042 · awaiting provider sign-off on hybrid note
- JP-DEMO-0051 · CHW field photo missing
- JP-DEMO-0073 · telehealth consent missing
- JP-DEMO-0088 · time log incomplete
- JP-DEMO-0097 · plan version not refreshed
- JP-DEMO-0105 · referral closure summary needed
- JP-DEMO-0117 · provider attestation needed
CPT candidate state
Claims readiness
Biller does not generate CPT autonomously. Provider sign-off is required for any candidate to advance.
| Patient | CPT candidate | Provider sign-off | Evidence | State |
|---|---|---|---|---|
| JP-DEMO-0068 | 99490 (CCM 20m) | Signed | REF-EV-0046 | Ready |
| JP-DEMO-0088 | 99491 (CCM 30m) | Signed | REF-EV-0050 | Ready |
| JP-DEMO-0042 | 99490 (CCM 20m) | Pending | REF-EV-0042 | Hold |
| JP-DEMO-0073 | — | — | — | Blocked (consent) |
Commercial ledger only
Provider invoices
| Invoice | Provider group | Period | Amount | State |
|---|---|---|---|---|
| INV-2026-05-001 | Provider Group Demo | May 1–15 | $ — (synthetic) | Sent |
| INV-2026-05-002 | Provider Group Demo | May 16–31 | $ — (synthetic) | Drafting |
| INV-2026-04-002 | Provider Group Demo | Apr 16–30 | $ — (synthetic) | Paid |
No real currency amounts. No real payer mapping.
2 denials this period (synthetic)
Exceptions
- EX-001 · JP-DEMO-0073 · consent missing · routed back to provider review
- EX-002 · JP-DEMO-0117 · provider attestation timestamp mismatch
Synthetic exception examples · no real claims.
Documentation analytics
Reports
| Report | Period | Cadence |
|---|---|---|
| Documentation completeness rollup | 30d rolling | Weekly |
| Provider attestation latency | 90d rolling | Monthly |
| Denial-risk pre-flight | 60d rolling | Bi-weekly |
| Payer-mix overview (synthetic) | Quarterly | Quarterly |
Workspace
Settings
Auto-flag denial risk
Block CPT generation without provider sign-off
Allow biller-driven clinical decision (PROHIBITED)
Audit emission required
Biller-driven clinical decision toggle is intentionally locked off. Production policy prohibits it.