What the net rate measures. Insured claims only: collected ÷ (charges less contractual write-offs) — $38,403 of $69,676 collectible, for Month 1 – Month 2. The benchmark is 95–99%. A low figure means money the insurer and the patient were contractually obliged to pay has not arrived; it is not a measure of effort.
Why no practice-wide rate is shown. On the self-pay book, what looks like a write-off mixes intentional discounts, care bundled into an exam code, and balances still owed. $32,157 of June–July write-offs sit in a single adjustment code that records the procedure but never the reason. Treating all of it as contractual would produce a practice-wide rate near 70% — a figure that counts every uncollected self-pay dollar as one the practice chose to forgive. Until that code is split into contractual, cash discount, courtesy and bad debt, no practice-wide net rate can be defended, so none is published here.
Sources and dates. Charges, units and collections from Procedure Code Productivity; insured write-offs, allowed amounts and the net rate from Claim Productivity. Both cover Month 1 – Month 2 and were pulled six weeks after Month 2 closed. Excludes 27 units ($2,341) of retail posted to an unassigned provider and location. The migration month is excluded from every window: it is the practice-management migration month and its figures are unreliable.
Payments-posted basis. A payer can exceed 100% when payments landing inside the window settle claims billed earlier. Medicare Part B does exactly this. Read those rates as cash timing, not as overpayment — and note that the same window pulled eleven days earlier gave a materially different rate, which is why every figure here carries its pull date.
Gross vs. net. Collection rate against gross charges understates performance, because contractual write-offs are deducted before a payer ever pays. Net collection rate — collected ÷ charges less write-offs — is the truer measure.
Maturity. Claims keep paying for months after the date of service, so the most recent period is always understated. Treat the newer period as directional until it settles.
Why these two months do not add up to the Payer Scorecard. These are the Month 1 and Month 2 exports as they stood five weeks after Month 2 closed: $44,366 of insurer responsibility and $31,332 collected, a 70.6% rate. The same two months pulled six weeks after Month 2 closed show $43,956 and $31,340 — 71.3%. Responsibility fell $410 as claims adjudicated while collections rose $8. The rate moved seven tenths of a point and almost none of it was money. This is not an error in either figure; it is why every rate in this portal carries the date it was measured.