Clovai Intelligence™

Analytics & BI RCM KPIs · Quality · Payer mix ···

One dashboard per role. One version of the number.

Days in A/R, clean claim rate, net collection rate and denial rate by payer, provider and site — today, not at month end. Quality measures and care gaps computed continuously. Contract yield and underpayment detection. Proactive alerts before the number becomes a problem.

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By role

A different dashboard per function

Real time

Every indicator, continuously updated

Per payer

Yield, denial and velocity analysis

wRVU

Provider productivity from encounters

Proactive

Alerts by role and threshold

Built in

BI engine — no external tool required

Revenue cycle scorecard

The six numbers that tell you whether the practice is healthy.

Days in A/R, percentage of A/R over ninety days, clean claim rate, first-pass resolution rate, net collection rate and denial rate — segmented by payer, provider, site, service line and date of service, and updated as transactions post rather than assembled in a month-end deck. Denial analysis groups by CARC/RARC and traces back to the root cause: registration, eligibility, authorization, coding or documentation, so the fix lands where the problem actually starts. Contract yield compares what each payer paid against what the contract says they owed, which is how systematic underpayment stops hiding inside "contractual adjustment." Cost to collect, days to bill and lag from service to submission complete the picture.

→ A/R days, aging, clean claim rate, first-pass yield and net collection
→ Denial analysis by CARC/RARC traced to root cause
→ Contract yield and systematic underpayment detection
→ Cost to collect, days to bill and service-to-submission lag

yourpractice.clovai.app / intelligence

Analytics & BI

Revenue cycle scorecard

By role

A different dashboard per function

Real time

Every indicator, continuously updated

1 A/R days, aging, clean claim rate, first-pass yield and net collection

2 Denial analysis by CARC/RARC traced to root cause

3 Contract yield and systematic underpayment detection

4 Cost to collect, days to bill and service-to-submission lag

Every pillar feeds Intelligence™ automatically

Revenue cycle scorecard — Clovai Intelligence™ · illustrative interface

Quality, risk & population

The measure you report in March should be the one you saw in June.

MIPS Quality, Promoting Interoperability and Improvement Activities measures are computed continuously, with the numerator, denominator and exclusions visible per measure and per provider — so you can still close the gap while the year is open. For FQHCs, UDS tables build from the same data throughout the year instead of being assembled in a February scramble. Payer quality programs and HEDIS-aligned measures track alongside them. Care-gap registries show who is overdue by condition and by panel, and for risk-adjusted contracts, RAF trajectory, suspected HCCs and conditions not yet recaptured this year are visible while the patient is still coming in the door.

→ MIPS measures computed continuously with numerator/denominator detail
→ UDS reporting built year-round for health centers
→ Care-gap registries by condition, panel and provider
→ RAF trajectory, HCC suspecting and recapture tracking

yourpractice.clovai.app / intelligence

Analytics & BI

Quality, risk & population

By role

A different dashboard per function

Real time

Every indicator, continuously updated

1 MIPS measures computed continuously with numerator/denominator detail

2 UDS reporting built year-round for health centers

3 Care-gap registries by condition, panel and provider

4 RAF trajectory, HCC suspecting and recapture tracking

Every pillar feeds Intelligence™ automatically

Quality, risk & population — Clovai Intelligence™ · illustrative interface

Operations & alerts

The system tells you before it becomes the thing you deal with.

Provider productivity in encounters and wRVUs against benchmark, schedule utilization, third-next-available appointment, no-show rate and cycle time by site. Payer mix and volume trend. Labor cost as a percentage of net revenue. And underneath all of it, a monitoring layer that raises alerts before the threshold is crossed rather than after: A/R aging past a payer's filing limit, denial rate climbing for a specific code, an authorization expiring before the scheduled visit, a credential lapsing in sixty days, inventory below par, a quality measure trending below target. Alerts route by role and channel — the biller, the office manager and the medical director each get what is theirs, and nobody gets a firehose.

→ Provider productivity, wRVU and utilization against benchmark
→ Payer mix, volume trend and labor cost as a share of revenue
→ Threshold alerts routed by role via email and SMS
→ Scheduled report delivery and export to Excel, PDF and CSV

yourpractice.clovai.app / intelligence

Analytics & BI

Operations & alerts

By role

A different dashboard per function

Real time

Every indicator, continuously updated

1 Provider productivity, wRVU and utilization against benchmark

2 Payer mix, volume trend and labor cost as a share of revenue

3 Threshold alerts routed by role via email and SMS

4 Scheduled report delivery and export to Excel, PDF and CSV

Every pillar feeds Intelligence™ automatically

Operations & alerts — Clovai Intelligence™ · illustrative interface

Capabilities

What Clovai Intelligence™ includes

Built for U.S. ambulatory operations. Configured and ready from day one.

📊

Role-based dashboards

Practice administrator, medical director, biller, front desk lead, pharmacy manager, CFO and compliance officer each land on their own view.

💵

RCM scorecard

A/R days, aging buckets, clean claim rate, first-pass yield, net collection rate and denial rate — by payer, provider and site.

🔍

Denial root-cause analysis

CARC/RARC grouped and traced back to registration, eligibility, authorization, coding or documentation.

📉

Contract yield analysis

Actual payment versus contracted rate per code and payer, surfacing systematic underpayment hidden in contractual adjustments.

🎯

Quality and MIPS tracking

Measures computed continuously with numerator, denominator and exclusions visible per provider while the year is still open.

🏛️

UDS and program reporting

For health centers: UDS tables built from live data year-round instead of reconstructed at the deadline.

🔔

Proactive threshold alerts

Filing limits, denial spikes, expiring authorizations and credentials, par levels and measure drift — routed by role via email and SMS.

🧮

Built-in BI engine

Interactive charts and a report builder across every module. Export to Excel, PDF and CSV, or schedule delivery. No external BI license required.

Native integration