MODULE 5.1 · A/R COMMAND ENGINE

A/R Command Engine

Revenue cycle command for RCM teams and the executives they report to. Operators see exactly what to work next. CFOs and CEOs see exactly how the revenue cycle is performing. One source of truth, zero ambiguity.

Built for RCM directors, billing managers, controllers, CFOs, and CEOs. Every number is sourced, time-stamped, and exportable to a board-ready report in one click. The dashboard below runs on a sample practice. Connect your data to see your real numbers.

SAMPLE DATA SHOWN

Built pending access to client data

The dashboard below runs on a sample 4-provider pediatric practice so you can see exactly what A/R Command Engine produces. To see your own practice data, an implementation project is required.

Data sources we connect
  • 837 claim files (clearinghouse or PM/EHR)
  • 835 remittance files (clearinghouse or payer portals)
  • Payer roster and contract terms (one-time intake)
  • Optional: provider roster, fee schedule, write-off policy
Typical implementation

10 to 15 business days from kickoff to first live dashboard. Varies by clearinghouse and data hygiene.

Once live, you have
  • Aging buckets refreshed on every 835 ingestion
  • Days in A/R (90-day method) updated daily
  • At-risk flagging tied to your payer timely filing deadlines
  • Board-ready exports in one click
  • Email scheduling direct to your inbox
Start an implementation Talk to us first

A/R Command Engine · Module 5.1

Practice Overview

Sample dataset · 4-provider pediatric practice

SAMPLE DATANumbers below illustrate the engine. Connect your data to see your own.

At-Risk Mode:
Total A/R
$187,432
1,040 open claims
Days in A/R
57.0
Target 35 · 90-day method
Over 90 Days
20.0%
$37,486 at risk
At-Risk A/R
--
Computing…
First-Pass Resolution
87.2%
Target 95%
Aging Buckets · Total A/R Distribution
0 to 30 days · $89,967 31 to 60 days · $41,235 61 to 90 days · $18,743 91 to 120 days · $14,995 Over 120 days · $22,492

Detail

Aging Buckets

0 to 30 days
$89,967
48% of total A/R · 499 claims
New claims. Operators watch for denials. Executives watch this stay above 50% of total A/R.
31 to 60 days
$41,235
22% of total A/R · 229 claims
Follow-up window. Most clean payers should resolve here.
61 to 90 days
$18,743
10% of total A/R · 104 claims
First red flag. Pull these into active work this week. Executives: this bucket should stay under 12%.
91 to 120 days
$14,995
8% of total A/R · 83 claims
Recovery probability drops below 70%. Appeal or escalate. Executives: this is the cash you almost lose.
Over 120 days
$22,492
12% of total A/R · 125 claims
These almost always need appeal or write-off. Pull these first. Executives: every dollar here is a writedown waiting to happen.

Detail

A/R by Payer


Detail

Days in A/R by Payer


At-Risk · A/R Command Engine

At-Risk Claims

Past TFL
--
Outside payer filing window
Near TFL
--
Within 30 days of deadline
At-risk math runs against the actual timely filing limit for each payer in this rollup. Conservative mode uses the tightest TFL across rolled-up plans. Average mode uses the average. Switch modes with the toggle at the top of the Practice Overview section.

Reference · 103 Payers

Payer Timely Filing Reference

103 payers, with appeal deadlines and source policy links. Stays current with our weekly auto-enrichment job.

Payer Timely Filing Limit Appeal Deadline
Medicare 365 days 120 days
Medicaid 90 days Varies by state
Tricare 360 days 90 days
Aetna 120 days 180 days
BCBS Commercial/Federal 180 days 90 days
UHC Commercial 90 days 60 days
Humana 180 days 540 days
Cigna 90 / 180 days 180 days
Wellcare 180 days 90 days
Workers Comp (typical) 90 days Varies by state

Full reference: 103 payers

Module licensees get the full searchable table. Public visitors can request a free download.

Module licensee sign in
Payer TFL Appeal Deadline Policy Link Notes

Export · Schedule

Board-ready report. One click.

Complete report package

Includes the overview dashboard, aging buckets, payer performance, days in A/R, and at-risk claims. Time-stamped, sourced, ready for a CFO inbox or board packet.

Send it on a schedule

Get this report delivered to your inbox or your CFO's on the cadence you choose. Email comes directly from us. No third-party platform involved.

Cadence

Implementation

Run this on your own data

Tell us about your practice. We respond within one business day with a scoping call and an implementation timeline.

What an implementation includes
  • Day 1 to 3: Kickoff call, BAA execution, clearinghouse access
  • Day 3 to 7: 837 and 835 ingestion, payer roster mapping
  • Day 7 to 12: Dashboard validation against your prior reports
  • Day 12 to 15: Go-live, team training, scheduled exports
What we need from you
  • Clearinghouse name and SFTP credentials (or 837/835 file exports)
  • Active payer list and contract terms (one-time intake)
  • Signed Business Associate Agreement (BAA)
  • One operations contact and one technical contact
HIPAA-safe

All PHI is processed under signed BAA, encrypted in transit and at rest, and isolated to your tenant. We never train models on your data.

Request implementation

Submit this form and we will follow up within one business day to schedule a scoping call.

We respond within one business day. No marketing list, no spam.


Methodology

How we calculate this

Days in A/R formula

Total A/R divided by average daily charges over the trailing 90 days.

90-day method, not 365. It reacts faster to seasonal swings.

Aging buckets

Date of service to today, in 30-day increments. Capped at 120+ for the visual; full data preserved in the export.

First-pass resolution

Claims paid on first submission divided by total claims submitted, in the period.

At-risk flagging

Each rollup group is matched to its constituent payers in our 103-payer reference. Conservative mode uses the tightest timely filing limit across the rollup. Past TFL means the claim is older than the deadline. Near TFL means within 30 days.

Every metric on this page is computed from the same source data that feeds your daily worklist. There is no separate executive dashboard with different numbers. CFOs and operators see the same truth.

Resources

Downloads and references


The Dispatch · Monthly

Revenue intelligence for independent practices.

One email a month. Specific denial patterns, primary-source policy notes, and what to do about them. No fluff.

No PHI. This form is not a clinical channel.