CTrue Finance

Operating pulse

Claims, paid lines, and reimbursement timing.

Line-level counts stay separate from distinct claims so averages do not overstate payment performance.

Claim lines

56,720

CPT-level billing rows

Distinct claims

16,340

Unique claim numbers

Paid claim % allocated

87.5%

Allocated paid lines / all lines

Avg paid per claim line

$42

Allocated paid / CPT line

Avg paid per distinct claim

$144

Allocated paid / unique claim

Payment days volatility

101 days

Std dev of days to payment

Paid MoM growth

-53.8%

Latest posted-cash month vs prior

Billed as zero claims

905

Claim lines with zero billed charge

Focus now

PCHN UHC Community Plan

92340 Vision & Materials with Chung, Ha Eun at ParCare - CTrue 16th Ave

A/R$403,022

Risk rate84.5%

Oldest512d

Lines2,233

Total billed$24.5M16,340 distinct claims

Posted cash$2.4M$88 vs allocated payments

A/R balance$22.1M90.4% not yet realized

Overall denial rate84.3%47,816 potential denials

Avg days to payment96 days53,348 paid claim lines

Claims56,720

Payments97,724

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Safe to use

Safe to use: loaded row counts match the latest ETL manifest.

As of2026-01-20

Last ETL refreshJun 19, 2026, 03:19 AM UTC

Loaded rows checked155,864 / 155,864

Latest uploadcompleted

Claim rows56,720 / 56,720

Payment rows97,724 / 97,724

Payers58 / 58

CPT codes92 / 92

Facilities6 / 6

Providers4 / 4

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56,720 claim rows · 97,724 payment rows · as of 2026-01-20 · refreshed Jun 19, 2026, 03:19 AM UTC

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Model

PCHN UHC Community Plan / 92340 Vision & MaterialsAsk about payer behavior, CPT profitability, reimbursement lag, cash outlook, denial risk, or a weekly update.

Action queue

Largest payer, CPT, provider, and facility risk groups.

Priority	Payer	CPT	Provider	A/R	Risk	Age	Lines
urgent	PCHN UHC Community Plan	92340 Vision & Materials	Chung, Ha Eun	$403K	84.5%	512d	2,233
urgent	PCHN FidelisCare (Medicaid)	92340 Vision & Materials	Chung, Ha Eun	$407.3K	100%	512d	1,913
urgent	PCHN UHC Community Plan	V2020 Vision & Materials	Chung, Ha Eun	$363K	84.6%	512d	2,248
urgent	PCHN FidelisCare (Medicaid)	V2020 Vision & Materials	Chung, Ha Eun	$368.7K	100%	512d	1,930
urgent	PCHN FidelisCare (Medicaid)	92004 Medical Procedure	Chung, Ha Eun	$1M	99.7%	512d	638
urgent	PCHN UHC Community Plan	V2784 Vision & Materials	Chung, Ha Eun	$374.6K	84.2%	512d

Payer	A/R balance	Share
PCHN FidelisCare (Medicaid)	$8,606,570	38.9%
PCHN UHC Community Plan	$5,403,247	24.4%
PCHN Healthplus (Medicaid)	$2,790,609	12.6%
PCHN HealthFirst (Medicaid)	$2,288,563	10.3%
PCHN Metroplus (Medicaid)	$782,543	3.5%
PCHN Medicaid	$368,149	1.7%
PCHN Medicare Of NY	$232,170	1%
PCHN UHC Essential Plan	$218,242	1%

Name	Billed	Paid	Real.	Claims	Denial
1. PCHN UHC Community Plan	$6.3M	$880.7K	14%	17,376	76.2%
2. PCHN FidelisCare (Medicaid)	$9.2M	$556.3K	6.1%	23,255	97.8%
3. PCHN Healthplus (Medicaid)	$3.2M	$375K	11.8%	6,216	68.8%
4. PCHN HealthFirst (Medicaid)	$2.5M	$258.9K	10.2%	3,105	72.5%
5. PCHN Metroplus (Medicaid)	$861.8K	$79.3K	9.2%	1,434	77.9%
6. PCHN Medicaid	$420.9K	$52.8K	12.5%	1,103	79.1%
7. PCHN Medicare Of NY	$266.7K	$34.8K	13%	1,040	80.8%
8. PCHN UHC Essential Plan	$245.9K	$27.7K	11.2%	501	77.4%
9. PCHN HealthFirst (Essential Plan)	$241.8K	$24.1K	9.9%	310	85.8%
10. PCHN Oxford Freedom	$134.6K	$9.3K	6.9%	293	75.1%
11. Self Pay	$24.7K	$9.1K	36.9%	223	26.5%
12. PCHN UHC (Medicare)	$100K	$8K	8%	214	76.2%

Name	Billed	Paid	Real.	Claims	Denial
1. 92004 Medical Procedure	$7.6M	$554K	7.3%	5,342	79.1%
2. 92015 Medical Procedure	$3.8M	$290.9K	7.7%	5,836	80.8%
3. 92340 Vision & Materials	$2.3M	$304.7K	13.3%	10,204	85.6%
4. V2020 Vision & Materials	$2.1M	$277.5K	13.3%	10,315	85.4%
5. V2784 Vision & Materials	$1.8M	$212.1K	11.7%	8,577	88.8%
6. 92250 Medical Procedure	$1M	$80.5K	7.9%	1,242	76.7%
7. V2103 Vision & Materials	$999.5K	$125.5K	12.6%	4,797	88.4%
8. 92014 Medical Procedure	$822.9K	$68.9K	8.4%	667	67.3%
9. 99203 Medical Procedure	$583.2K	$61.2K	10.5%	488	93.6%
10. 92012 Medical Procedure	$564.9K	$80.2K	14.2%	664	77.7%
11. V2100 Vision & Materials	$494.6K	$51.4K	10.4%	2,085	88.2%
12. 92060 Medical Procedure	$410.7K	$34.6K	8.4%	611	65.3%

Name	Billed	Paid	Real.	Claims	Denial
1. Chung, Ha Eun	$9.7M	$1.1M	11.5%	27,937	85.3%
2. Chaudary, Nabeel	$12M	$1M	8.6%	19,490	83.5%
3. Negrin, Annie	$2.5M	$217.9K	8.6%	8,830	87.3%
4. Butler, William	$258.8K	$970	0.4%	463	0%

Name	Billed	Paid	Real.	Claims	Denial
1. ParCare - CTrue 16th Ave	$11.2M	$1.2M	10.8%	28,002	84.1%
2. ParCare - CTrue Vision Center	$9M	$825.8K	9.2%	17,534	81.2%
3. ParCare Community Health Network	$2.1M	$164.8K	7.7%	2,591	95%
4. Rambam Care	$2M	$151.9K	7.6%	8,429	88.1%
5. ParCare 99th Street	$122K	$8.9K	7.3%	136	93.4%
6. ParCare Fulton St.	$29.6K	$2.5K	8.6%	28	96.4%

Revenue cycle command center

Claims, paid lines, and reimbursement timing.

PCHN UHC Community Plan

Building the finance briefing

Ask the finance model

Action queue

A/R aging

Billed charges and posted cash timing

Claim line status

Collections pulse

Data confidence

Payer mix by billed charges

Outstanding balance by payer

Payer performance

CPT performance

Provider rank

Facility performance

CPT mix

Recent months

PBIX coverage

CPT group	Billed	Share
92004 Medical Procedure	$7.6M	31%
92015 Medical Procedure	$3.8M	15.4%
92340 Vision & Materials	$2.3M	9.4%
V2020 Vision & Materials	$2.1M	8.5%
V2784 Vision & Materials	$1.8M	7.4%
92250 Medical Procedure	$1M	4.2%
V2103 Vision & Materials	$999.5K	4.1%
92014 Medical Procedure	$822.9K	3.4%

Month	Billed	Cash	Claims
2025-08	$1.1M	$81.1K	2,622
2025-09	$1.6M	-$294.3K	3,386
2025-10	$892.6K	$153.1K	1,838
2025-11	$1.2M	$132.8K	2,527
2025-12	$1.5M	$187.8K	2,890
2026-01	$922.2K	$86.8K	1,666