Revenue cycle reporting for primary care practices
Primary care runs on volume, a broad payer mix, and margins that do not tolerate leakage. Most practices have a practice management system that submits claims well and reports on them poorly. PayerVista reads the remittance files coming back and turns them into the denial and AR reporting that was missing.
What makes this hard
Eligibility and registration denials
Terminated coverage, ID mismatches, and coordination-of-benefits problems are among the largest denial categories in primary care, and nearly all of them originate at the front desk rather than in billing.
Preventive versus problem-oriented coding
Wellness visits, screening frequency limits, and separately identifiable E/M services produce a steady stream of denials that are correctable — but only if someone can see the pattern.
Reporting that stops at "we got paid"
Most practice management systems will tell you what was collected. Far fewer will tell you what was denied, why, by whom, and what it was worth.
Nobody owns denial follow-up
In a small practice, denial work is whatever is left after the day is done. Without a prioritised queue, the claims that get worked are the ones that happen to be on top.
What PayerVista does about it
Denials by reason, payer, and dollars
Every reason code translated to plain English and aggregated, so the biggest recoverable category is obvious.
Revenue KPIs that stay current
Collection rate, days in AR, and net collection rate calculated from your remittance data instead of assembled in a spreadsheet each month.
Payer scorecards
Which payer pays fastest, which denies most, and what those denials have in common — from your own claims, not benchmarks.
A daily worklist
A prioritised queue ordered by filing risk, appeal deadline, and dollar value, so the highest-value work happens first.
Denial codes that hit primary care & family medicine hardest
Terms worth knowing
Frequently asked
Do we have to switch practice management systems?
No. PayerVista is additive — it reads the remittance files your payers already send and leaves your existing scheduling, charting, and claim submission untouched.
What file types do we upload?
The 835 remittance files (also called ERAs) your payers or clearinghouse already deliver. You can also upload 837 claim files so submitted claims that were never answered can be flagged.
Is there a free trial?
Yes — a 14-day free trial with no credit card required. There is also a live demo with sample data that needs no signup at all.
See your own numbers in minutes
Free 14-day trial, no credit card required. Upload your remittance files and your full AR picture populates immediately — or click through the live demo first with sample data and no signup at all.