Spark360
Payer Dashboard
Data-Driven Payer Comparison
The Spark360 Payer Dashboard equips your healthcare organization with comprehensive, up-to-date insights into payer performance, enabling informed decision-making and operational efficiency.
Our Dashboard
The Spark360 Payer Dashboard comprehensively evaluates payer performance through meticulous data analysis via a process of matching claims and remits one-to-one, providing an in depth view of the full life cycle of each 837/835 combination. Free from client-specific biases, it offers crucial insights into payer behavior, enabling organizations to identify trends and effectively prioritize operational strategies.
Gaining Insight into Payer Performance
Navigating the complexities of payer performance requires precise insights and actionable intelligence. Those insights are nearly impossible to obtain and rarely timely enough to be actionable. Without insight into this information, it can be challenging for stakeholders to make well-informed decisions and enhance operational efficiency.
A Closer Look at the Data
The Spark360 Payer Dashboard provides comprehensive insights into payer performance through detailed analyses of 837 and 835 data, facilitating intuitive navigation, comparative analysis, and operational decision making across various tabs, including Claim Overview, Remit Overview, GCR, Timeliness, Denials, Anomalies, and CARCs.
Claim Overview
The Claim Overview tab focuses on 837-specific data, including unmatched claims, total charges, and distribution of claims by payer and common DRG/Procedure Codes. Its layout aligns seamlessly with the Remit Overview tab to facilitate intuitive navigation and comparative analysis.
Remit Overview
In parallel, the Remit Overview tab dives into 835 specific details, encompassing unmatched remit data, total remit charges, and the distribution of remits by the payer and common DRG/Procedure Codes. It maintains a consistent layout with the Claim Overview tab for enhanced coherence and usability.
Gross Collection Rate (GCR)
The GCR tab provides a detailed view of reimbursement rates categorized by Inpatient (IP) and Outpatient (OP) settings. It features dynamic visualizations and an exportable table, allowing users to easily explore data points such as billing entities, DRG Codes, and Procedure Codes.
Timeliness
The Timeliness tab tracks the adjudication timeline from 837 transmissions to 835 receipts. It offers insights by billing entity, DRG Code, and Procedure Code. Its interactive capabilities mirror the GCR tab, fostering a comprehensive understanding of payer efficiency.
Denials
The Denials tab illuminates the frequency of claim denials across Inpatient (IP) and Outpatient (OP) categories, complemented by visualizations for billing entities, DRG Codes, and Procedure Codes. Its layout and functionality maintain consistency with the GCR and Timeliness tabs for a seamless user experience.
Anomalies/Anomalies Cont.
By highlighting suspicious claims, this tab provides detailed breakdowns by payer, variances, and mismatches in procedure/DRG codes. Its structured format aligns with previous KPI tabs, ensuring continuity and ease of interpretation.
CARCs
The CARCs tab explores frequent procedure code and CARC combinations, offering insights into line-level and claim-level distributions across Inpatient vs. Outpatient (IP/OP) settings. It also provides breakdowns by charge and payment amounts by payer for comprehensive analysis.
All Detail
The All Detail tab empowers users with customizable views and seamless data exports, serving as a versatile tool for integrating dashboard insights into operational workflows. It facilitates tailored analysis across all metrics and datasets available within the Spark360 Payer Dashboard.
Why Choose the Spark360 Payer Dashboard?
The Spark360 Payer Dashboard meets and exceeds the challenges of understanding and optimizing payer performance through robust analytics and user-centric design. Meet information challenges head-on by gaining actionable insights into a powerful set of data that sheds light on crucial aspects of your payer operations. Through advanced 837 and 835 data analytics, this dashboard empowers stakeholders with the data to drive efficiency and accountability with their payers.