Monarch SOL Portal

Monarch SOL Billing Intelligence Portal

RPM · APCM · RECONCILIATION · MONARCH BIO HOLDINGS

Total Claims Filed

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Jan – May 22, 2026

Total Billed

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Gross submitted charges

Total Collected

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Insurance payments received

Collection Rate

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Eff. rate excl. write-offs: —

Denied / Pending

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Claims requiring action

Patients & New Enrollments new-pt visits (99204) = ~80% MVP — AWG sales drive MVP growth

Current Customers

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Enrolled RPM patients

New This Week

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New enrollments

New Pt Visits (billed) · This Month

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Last Month

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MoM

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By Month

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Monthly Collections Trend —

Payer	Claims	Billed	Collected	Rate

CPT	Claims	Collected	Rate	Denied

EOB:

Encounters (Athena CSV):

Show: Missed Billing No Encounter Found Matched (informational)

Issue	Provider	Dept	Appt Type	Encounter Date	EOB Date	CPTs Billed	Paid
Upload Athena encounter CSV and click Analyze to run reconciliation

Revenue Leakage Analysis —

Denied / Pending

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submitted, unpaid

Write-Offs

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contractual adjustments

Patient Balance

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co-ins · copay · deductible

Secondary Opps

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patients w/ Medigap

Eff. collection rate (excl. write-offs)

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Industry benchmark

85 – 90%

Revenue Flow — Medicare to AWG per CPT routing agreement

Gross Medicare Collected —

MedsIT Nexus Fee (5.29%) —

AWG Earned (CPT routing) —

AWG Paid to Date —

AWG Balance Owed —

Net to My Virtual Physician —

Monarch MVP — Owed Now (invoiceable) (30% of cash RECEIVED to date − payments; loan bal = total still to recover over time)

My Virtual Physician — owed to Monarch now
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AWG — owed to Monarch now
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Total owed to Monarch now —

Denied / Pending Claims

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Refile or follow up with payer

Sort by payer below ↓

Missing APCM Billings

$6,739

CPT 99490 / G0556 not yet billed
Pending Emily's encounter access

Verify with My Virtual Physician ↓

Payment Gap — Unposted

$58,858

EOB checks with no MedsIT match
Run payment_gap_reconciler.py

Check detail below ↓

Denied & Pending —

Insurance	CPT	DOS	EOB Date	Submitted

Log Payment Balance: —

Date

Amount ($)

Memo

Recent Payments

⚠ Missing APCM Opportunity — $6,739

CPT 99490 / G0556 not yet billed. Waiting on Emily to grant encounter report access — then run encounter_vs_billed.py.

AWG Settlement Reconciliation

From To

Running Balance

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Earned − paid

Current Period Owed

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Loading…

Last Settlement

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No runs yet

Carryforward

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From last period

Settlement History

Period	AWG Earned	Paid	Balance	Status
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Reports & Uploads Download reports · Upload RPM billing

⚠

Denial Report

— claims

⬇ Download

▶

Payment Gap

$58,858 unposted

⬇ Download

↻ RPM Billing Queues

Upload Prevounce roster — generates rolling 30-day (99454) + calendar month (99457/458) queues separately

Monthly Billing Report — Prevounce Export Upload Crystal's monthly Prevounce Excel here before sending to MedsIT

Report Month

Prevounce Billing Excel

Previous Reports

No reports uploaded yet

Gross Medicare Collected

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Total paid under your NPI

AWG Split Owed

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Per CPT routing agreement

Vendor Fees

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MedsIT 5.29% + Athena 8.7%

Net to My Virtual Physician

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After all splits and fees

Business KPIs

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Collection Rate

Target: 85%+

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AR Outstanding

1,068 stalled claims

450+

Enrolled Patients

AWG RPM program

Credentialed Providers

50 states + DC + PR

AWG Revenue Splits

CPT	Total Paid	AWG %	Howard %

⚠ Billing Gaps — Encounter vs EOB

Athena Encounter CSV:

Issue	Provider	Dept	Appt Type	Encounter Date	EOB Date	CPTs Billed	Paid
Upload encounter CSV above to run analysis

⚠ CPT Inference Notice — Not a Billing Determination

The Suggested CPTs column is generated by automated pattern analysis using appointment type keywords and historical EOB data. It does not constitute medical coding, clinical documentation review, or authorization to submit any claim. All suggestions must be reviewed and approved by a qualified medical coder or billing professional before any claim is filed. Submitting unsupported claims may violate the False Claims Act (31 U.S.C. § 3729). Confidence levels: High = service type unambiguous | Medium = E/M level requires chart review | Low = keyword-only / EOB frequency fallback.

Missed Billings

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No encounter data loaded

No Encounter Found

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EOB claims w/ no matching encounter

Verified Billed

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Encounters with EOB records

Potential Revenue at Risk

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Missed encounters × avg collection rate

Encounter vs EOB — Full Audit Table

Athena CSV:

Show: Missed Billing No Encounter Found Matched — informational High Confidence CPT only

Type	Provider	Department	Appt Type	Enc. Date	EOB Date	CPTs Billed	Paid	Suggested CPTs	Confidence
Upload Athena encounter CSV above and click ⌕ Analyze to run the full audit

RPM / APCM Revenue Breakdown — who's earning what, by category

Category	Collected	AWG Share	My Virtual Physician Share
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Payment Date

Amount ($)

Apply To

Memo / Description

Get This For Your Practice

📅 Set EOB Date Range

Upload New EOB Export

Log MVP → AWG Payment