Healthcare – Claims by Payor

What is a Claims by Payor Report? Claims by payor reports are considered operational reports and are used by CFOs, accountants and claims managers to analyze claims statistics and related charges and reimbursements. Some of the main functionality in this type of report is that it shows claims-related information by employee and insurance provider (payor). The metrics include charges, reimbursements, # of claims, # of claims paid, and % of claims paid. All figures roll up to totals by payor. You find an example of this type of report below.

Purpose of Claims by Payor Reports Healthcare providers use Claims by Payor Reports to provide managers with a clear understanding of how many claims are paid and how much of their charges are reimbursed. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, a healthcare organization can improve its revenues and claims processes as well as reduce the chances that financial results suffer as a result of poor insight to claims metrics.

Who Uses This Type of Report? The typical users of this type of report are: CFOs, revenue officers, collections managers, analysts, accountants, claims managers. Other Reports Often Used in Conjunction with Claims by Payor Reports Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Claims by Payor Reports, along with claims dashboards, detailed claims reports and other management and control tools.

Where Does the Data for Analysis Originate From? The Actual (historical transactions) data typically comes from specialized claims systems or enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others. In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional xFP&A solutions.

Built for healthcare finance teams and aligned with Solver's xFP&A platform, this Solver report template connects directly to your ERP data via the Solver Data Warehouse, enabling near real-time analysis with minimal setup. Designed for QuickStart deployment, it can be activated rapidly so your team can focus on analysis and decisions — not data preparation.

What is the Healthcare – Claims by Payor in Solver? The Healthcare – Claims by Payor is a pre-built xFP&A report template in Solver designed for healthcare organizations. It delivers key financial and operational metrics in a single, easy-to-use interface — purpose-built for healthcare finance workflows.

Who uses this Solver report template? Finance leaders at healthcare organizations — including CFOs, healthcare finance managers, and controllers — use this template to get fast, reliable answers without waiting on IT or building custom reports. It supports both day-to-day monitoring and strategic decision-making.

Where does the data come from? Data is sourced automatically from your ERP system through the Solver Data Warehouse, which integrates with platforms such as Microsoft Dynamics 365 Business Central, Dynamics 365 Finance, Acumatica, Sage Intacct, and other leading ERP solutions. Clinical and revenue cycle management systems can also be integrated for a complete financial and operational picture. Once connected, the template updates in near real-time with no manual data entry required.

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