What is a Claims Dashboard?

Claims Dashboards are considered operational analysis tools and are used by CFOs and claims managers to monitor claims metrics. Some of the main functionality in this type of dashboard is that it provides claims analysis from these six perspectives: 1) Number of claims versus claims paid per payor, 2) Claims rejections by payor, 3) Top payors ranked by reimbursement, 4) Number of claims versus claims paid – monthly trend, 5) Accounts receivable – monthly trend, and 6) Top physicians ranked by percent of claims paid. You find an example of this type of dashboard below.

Purpose of Healthcare Claims Dashboards

Healthcare organizations use Claims Dashboards to analyze how-, by whom- when- and if their billings get paid. When used as part of good business practices in Financial Planning & Analysis (FP&A) departments, an organization can improve its strategies to claims payments and reimbursements, and it can reduce the chances that managers miss important factors affecting claims with resulting lost revenues.

Example of a Healthcare Claims Dashboard

Here is an example of a Claims Dashboard for healthcare providers with trends and comparisons.

Example of a Claims Dashboard for Healthcare Providers

Example of a Claims Dashboard for Healthcare Providers

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Executives, CFOs, analysts, claims managers, receivables and collections managers.

Other Reports Often Used in Conjunction with Healthcare Claims Dashboards

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Healthcare Claims Dashboards, along with AR reports, claims reports, billing reports, cash flow reports, profit & loss reports, balance sheets and other management and control tools.

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from 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 corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

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