Follow a single claim from the moment a patient picks up the phone to the moment payment hits your account. See exactly where time is lost, revenue leaks, and how automation changes everything.
Staff spends 15-20 minutes per call manually verifying insurance eligibility, checking patient demographics, and confirming benefits. Information is re-keyed across multiple systems, leading to data entry errors that cause downstream denials.
Each prior authorization requires 45 minutes of staff time -- gathering clinical documentation, navigating payer portals, faxing forms, and following up by phone. Approvals take days or weeks, delaying patient care and creating scheduling bottlenecks.
Physicians spend 15 minutes per patient on post-visit documentation -- typing notes into the EHR, ensuring compliance with payer requirements, and adding the detail needed for accurate coding. Most of this happens after hours, contributing to burnout.
Charge capture takes 2-3 days after the encounter. Coders manually review notes, assign CPT and ICD-10 codes, and reconcile charges. Missed charges and under-coding are common -- most practices leave significant revenue on the table without realizing it.
Claims sit in a queue for 3-5 days before submission. Staff manually scrubs each claim for errors, but many issues slip through -- wrong modifier, missing NPI, outdated payer ID. The average practice has a first-pass acceptance rate below 80%.
Once submitted, claims enter a black box. Adjudication takes 14-45 days with no visibility into where the claim is or what's happening to it. Staff spends hours on hold with payer representatives trying to get status updates.
Denials pile up and are often never worked because staff is overwhelmed. When appeals are filed, they're generic and miss payer-specific requirements. The average practice loses $125K+ per year in unworked denials alone.
Manual posting of ERA/EOB data is tedious and error-prone. Underpayments and contractual variances are routinely missed. Patient balance follow-up is inconsistent, and aged AR balloons without anyone noticing until it's too late.
See how Synaipse automates every stage of the claim journey for your practice. Request access to the private beta and discover how much revenue you're leaving on the table.
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