Precision-first variance detection
with an operational queue.
The question an RCM director actually wants answered: are these flags real, and can my team work the list without drowning in false positives? Bitewing is precision-first — 90%+ target precision on flagged variances — and every row shows due date, estimated recovery, missing exhibits, and the payer's historical win rate, so the team starts on the row where yield is highest.
Six controls that keep precision honest.
Versioned contracts (never compare 2026 payments to a 2025 schedule). Entity resolution (canonical TPA alias map). Routing confirmation (actual paid-by against known leased networks). Identity checks (provider / TIN / NPI reconciliation at the location level). Filtered confidence (high-confidence → act, borderline → queue). Yield prioritization (recoverable dollars per hour of team attention).
How the list sorts itself.
Each row carries a recovery score, an SLA countdown to the reconsideration window, an exhibits-complete flag, and the payer's historical win rate. High-score, short-SLA items float to the top. Items with missing exhibits sit in a parked bucket with a specific ask to the office manager — no silent drops, no lost appeals.
Which lanes reliably recover.
Appeals don't all land the same. Acceptance depends on payer, routing path, and claim type. We publish historical win rate per payer and per routing path on a trailing 180-day basis — so your team knows where effort pays back, and where renegotiation is the better lever than litigation.
First variance report, target: 14 days.
Read-only access to one location. Two weeks. Priced, cited, appealable variance — or a clean bill of health.
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