Monarch SOL  Billing Intelligence Portal
RPM · APCM · Reconciliation  ·  Monarch Bio Holdings
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Total Claims Filed
Jan – May 22, 2026
Total Billed
Gross submitted charges
Total Collected
Insurance payments received
Collection Rate
Eff. rate excl. write-offs: —
Denied / Pending
Claims requiring action
Monthly Collections Trend
Top Payers by Volume
PayerClaimsBilledCollectedRate
By CPT Code
CPTClaimsCollectedRateDenied
Revenue Leakage Analysis
Denied / Pending
submitted, unpaid
Write-Offs
contractual adjustments
Patient Balance
co-ins · copay · deductible
Secondary Opps
patients w/ Medigap
Eff. collection rate (excl. write-offs)
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 Dr. Howard
Denied / Pending Claims
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 Dr. Howard ↓
Payment Gap — Unposted
$58,858
EOB checks with no MedsIT match
Run payment_gap_reconciler.py
Check detail below ↓
Denied & Pending — Top 25 by Value
Insurance CPT Date Submitted
Log Payment Balance: —
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.
Reports & Uploads Download reports · Upload RPM billing
⚠ Denial Report
Denied & pending claims sorted by dollar value and payer. Use this to prioritize which claims to refile first — highest recovery at the top. Send to your billing team to work the queue.
⬇ Download Denial Report
▶ Payment Gap
$58,858
EOB checks that exist in Athena but have no matching entry in the MedsIT tracker. The Unposted Checks tab in the Excel shows exactly which payments to post. $112,402 Athena vs $53,544 MedsIT.
⬇ Download Payment Gap Report
↻ RPM Monthly Billing
Export the monthly patient CSV from Prevounce. Upload below to validate: 16+ day readings (99454), 20+ min coordination (99457), 40+ min block (99458). Download the ready-to-submit billing batch Excel.
Gross Medicare Collected
Total paid under your NPI
AWG Split Owed
Per CPT routing agreement
Vendor Fees
MedsIT 5.29% + Athena 8.7%
Net to Dr. Howard
After all splits and fees
Business KPIs
Collection Rate
Target: 85%+
AR Outstanding
1,068 stalled claims
450+
Enrolled Patients
AWG RPM program
56
Credentialed Providers
50 states + DC + PR
AWG Revenue Splits
CPT Total Paid AWG % Howard %
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