Every claim. Every dollar.
One clear view.
Drag a denied claim to Appealed and watch Ledger auto-generate the appeal, update aging, and flag the CO-4 pattern across your portfolio.
7
Open Claims
33%
Denial Rate
$2040
Pipeline Value
↕ Drag a claim card between columns — try moving a Denied claim to Appealed
CLM-8841
Margaret T.
CLM-8802
David K.
CLM-8776
Sandra L.
CLM-8759
Robert H.
CLM-8731
Patricia M.
CLM-8704
James W.
CLM-8690
Linda C.
CLM-8612
Charles B.
CLM-8588
Dorothy F.
Every stage of the billing cycle, organized.
Click into any workflow category to see a live data flow — not a screenshot, an actual simulation of claims moving through that pipeline stage.
Stop the CO-4 bleeding.
Pattern-match denials across payers and auto-queue appeals before your 30-day window closes.
Catch coverage gaps before day-of-service.
Real-time eligibility checks against 900+ payers so you never post a claim against lapsed coverage.
Zero unposted remits by end-of-day.
Auto-reconcile 835 ERA files against your charge ledger and flag underpayments the moment they land.
See the trend before it becomes a problem.
Portfolio-level denial patterns, payer performance scorecards, and AR aging buckets — all in one dashboard.
From one claim resolved to $38k recovered.
Ledger detects denial patterns across your entire portfolio, not just the claim in front of you. When CO-4 hits 47 times in one quarter, that's a payer policy issue — and a recoverable revenue opportunity.
Denial Pattern Matrix
Q1 2026 · 0 claims analyzed
| Code | Payer | CPT | Count | Value | Trend |
|---|---|---|---|---|---|
| CO-4 | Aetna | 99214 | 47 | $13,395 | ↑ Rising |
| CO-4 | Cigna | 99214 | 31 | $8,835 | ↑ Rising |
| CO-97 | BCBS | 90837 | 28 | $5,460 | → Stable |
| PR-96 | UnitedHealth | 99215 | 19 | $6,460 | ↓ Falling |
| CO-50 | Humana | 93000 | 14 | $1,995 | → Stable |
| CO-16 | Medicare | 71046 | 9 | $2,880 | ↓ Falling |
Denial volume by payer
Projected Recovery
$0
from identified denial patterns · Q1 2026
78% appeal success rate on CO-4 denials
Recovery Pipeline
Patterns detected
6 denial clusters
Claims identified
148 claims
Appeal-eligible
127 claims
Recovery projection
$38,025
94%
of users see denial rate improvement in 30 days
$2.1M
in denied claims recovered by Ledger users in 2025
22 days
average days-in-AR across Ledger practices (industry avg: 41)
900+
payer connections including all major commercial plans
Billing managers who've been exactly where you are.
Real practices. Real numbers. No stock photography quotes.
"I used to spend every Tuesday morning reconciling Aetna denials from a 40-tab spreadsheet. With Ledger, I see every CO-4 cluster the moment it forms — before it becomes a Tuesday problem."
denial rate reduction in 60 days
Danielle Kowalczyk
Billing Manager · Lakeview Family Medicine (4 providers)
"We were leaving $80,000 in underpayments on the table every quarter because our ERA reconciliation was manual. Ledger flagged $47k in underpayments in the first month alone."
underpayments recovered in month one
Marcus Okonkwo
Revenue Cycle Director · Tri-County Regional Health System
"As a solo practitioner, I can't afford a billing team. Ledger is the billing manager I never had. It told me exactly why Aetna kept rejecting my 99214 codes — a credentialing issue I didn't know existed."
avg days-in-AR (was 44)
Dr. Priya Sharma
Internal Medicine, Solo Practice · Sharma Medical Group, Austin TX
Denial Rate Benchmark Report
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Stop guessing why Aetna keeps saying no.
In 15 minutes, we'll show you your denial rate benchmarked against 1,400+ practices in your specialty, your top three denial patterns, and the exact dollar amount you can recover in the next 90 days.
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