Provider Dashboard
Total Claims
22
Pending Review:
12
Approved:
7
Flagged:
3
Total Value:
KES 24,850.00
Early Payout Eligible
5
High Confidence (> 80%):
3
Medium Confidence:
2
Available Now:
KES 2,150.00
Active Loans
2
Total Borrowed:
KES 860.00
Expected Repayment:
KES 877.00
Est. Insurer Payout:
Jan 15-25, 2025
This Month
22
Claims Submitted:
22
Avg. Processing Time:
3.2 days
Monthly Revenue:
KES 24,850.00
⚠ Action Required
Claims Requiring Action
Claim ID
Status
AI Confidence
Action
CLM-2024-0891
Missing Docs
--
CLM-2024-0892
Flagged
42%
CLM-2024-0893
Eligible
89%
CLM-2024-0894
Pending
76%
New Claim
Patient Information
System hint: Patient found in records
Treatment Details
Based on similar claims: J02.9 (Acute pharyngitis)
Billing & Costs
AI estimate: KES 450 - KES 520 based on historical data
Document Upload
[Upload Icon]
Drag and drop files here or click to browse
Required: Medical records, insurance card
[File] medical_records.pdf
[File] insurance_card.jpg
Review & Submit
Patient Information
Patient ID:
PT-123456
Patient Name:
John Smith
Insurance:
Blue Cross Blue Shield
Treatment Details
Date of Service:
12/10/2024
Diagnosis:
J02.9 - Acute pharyngitis
Procedure:
99213 - Office visit
Billing
Billed Amount:
KES 500.00
Expected Reimbursement:
KES 485.00
Documents
2 files uploaded
Step 1 of 5
Bulk Upload Claims
Upload Multiple Claims at Once
Upload a CSV or Excel file with multiple claims. Each row should represent one claim.
1. Download the template file below
2. Fill in your claims data
3. Upload the completed file
4. Review and submit
Drag and drop your file here
or click to browse
Supported formats: CSV, XLSX, XLS (Max 1000 claims per file)
All Claims
Filters
Claims List (22 total)
Claim ID
Date
Patient ID
Amount
Status
AI Confidence
CLM-2024-0891
12/13/2024
PT-5829
KES 450.00
Missing Docs
--
CLM-2024-0892
12/13/2024
PT-6102
KES 520.00
Flagged
42%
CLM-2024-0893
12/12/2024
PT-4721
KES 485.00
Eligible
89%
CLM-2024-0894
12/12/2024
PT-5401
KES 380.00
Pending
76%
Claim Details
Claim ID: CLM-2024-0891
Missing Docs
Claim Timeline
Submitted
Dec 10, 2024 - 10:30 AM
Claim received and logged
Validated
Dec 10, 2024 - 10:32 AM
Initial validation passed
AI Verification
In Progress
Awaiting additional documents
Loan Eligibility Determined
Pending
Sent to Insurer
Pending
Insurer Response
Pending
AI Confidence Score
--
Awaiting verification
Risk Indicators
Missing documentation
Procedure code validated
Insurance active
Flagged Items
• Medical records not uploaded
• Insurance authorization pending
Actions
Available after AI verification
Early Payout Loan Offer
You're Eligible for Early Payout!
For Claim: CLM-2024-0893
Eligible Loan Amount
KES 430.00
89% of expected reimbursement
How This Amount Was Calculated
Expected Insurer Reimbursement:
KES 485.00
AI Confidence Score:
89%
Risk Adjustment:
-5%
Processing Fee (2%):
-KES 8.50
You Receive Today:
KES 430.00
Fees & Repayment Summary
Loan Amount:
KES 430.00
Processing Fee:
KES 8.50 (2%)
Interest Rate:
0% (if repaid within 30 days)
Total Repayment:
KES 438.50
Repayment Method:
Auto-deducted from insurer payment
Expected Insurer Payout
Estimated insurer payout date:
January 25, 2025
Average processing time:
45-60 days
By accepting this loan, you receive funds today instead of waiting 45-60 days