Analytics & ROI

Proof metrics, automation insights, and EDI submission analytics

64%

Rejection Rate Improvement

12.4% → 4.5%

15%

Auto-Corrected Claims

23 of 156 claims

78%

Single-Touch Claims

Median touches: 1

Rejection Rate Comparison

Before vs. after ClaimlyRCM implementation

Automation Breakdown

Claimly-powered claim corrections and resubmissions

Auto-Corrected (23)

Auto-Resubmitted (8)

Manual Review (125)

Processing Efficiency

Median time to accepted2.3 days

Average time to accepted3.1 days

Single-touch percentage78.2%

Median touches per claim1

Average touches per claim1.4

Auto-resubmitted rate5.1%

EDI Submission Analytics

Real-time pipeline metrics from analytics_monitor

156

Total Submissions

92.4%

Success Rate

4.5%

Denial Rate

3.1s

Avg Processing

0.9/hr

Throughput

$2.59

Cost/Submission

Real-Time Policy Intelligence

AI Automated

Traditional: Payer and CMS policies change silently. Practices only find out when claims are denied retroactively — then must rework and resubmit.

ClaimlyRCM: ClaimlyRCM monitors CMS coverage policies and payer guidelines weekly. Alerts staff to policy changes before submission so no claim is filed against a stale rule.