CM
Claims Management — SamITHealth
Claims Management & TPA Support — end-to-end claim lifecycle, rule-based adjudication, and third‑party administrator integrations.
1. Claims Volume (30 days)
Daily submitted vs adjudicated
2. Claim Lifecycle Funnel
Submission → Validation → Adjudication → Payment / Denial
3. Rule-based Adjudication Results
Rules fired, auto-adjudicated, manual review required
4. Top 6 Denial Reasons (Long list)
Bar chart showing frequent denial categories
5. Average Handling Time by TPA
Avg business hours from submission to closure
6. Recent Claims (Long list)
Most recent claims with quick actions
| Claim ID | Patient | TPA | Status | Amount |
|---|