BillingOS Dashboard
Claims, pharmacy billing, vendor billing, compliance, treasury allocation, and ledger mapping in one operating view.
TOTAL CLAIMS
Intake & routing overview
APPROVED
Approved claims
DENIED
Denied claims
PAYOUTS PENDING
Awaiting release
PHARMACY BILLING QUEUE
NCPDP intake
VENDOR SETTLEMENT QUEUE
Invoices in routing
COMPLIANCE ALERTS
HIPAA · CMS · State
TREASURY ALLOCATION
Claims · Pharmacy · Vendors
CLAIMS LIFECYCLE
Claims Intake & Routing Control
Track every claim from intake and normalization through routing, payout status, denial reasons, and required documentation.
STEP 01
Claim Intake & Normalization
Intake Queue
Incoming claims are captured, validated, and normalized into a consistent format before routing.
STEP 02
Routing Path
Payer Routing
Each normalized claim is assigned a routing path to the correct payer, location, and review workflow.
STEP 03
Payout Status & Denials
Approved / Denied
Monitor pending payouts and review denial reasons so rejected claims can be corrected and resubmitted.
STEP 04
Required Documentation
Docs Checklist
See which supporting records, authorizations, and attachments each claim needs before payout.
PHARMACY OPERATIONS
Pharmacy Billing Command
NCPDP billing intake, the inventory-to-billing-to-payout chain, delivery confirmation, and settlement status.
NCPDP Billing Intake
Receiving
Claims queued
Inventory Reconciliation
Matched
Ready to bill
Billing Submission
Submitted
Awaiting adjudication
Delivery Confirmation
Confirmed
Proof on file
Payout & Settlement
Pending
Routed to treasury
VENDOR BILLING COMMAND
Vendor invoices, settlement routing, and treasury allocation
Track lab, supplier, and equipment vendor billing from intake through settlement and treasury allocation.
● Intake active
Lab Invoices
Reconcile lab invoices against claims and orders, then route approved items to settlement.
● Settlement routing
Supplier Invoices
Match supplier invoices to inventory and pharmacy orders, with settlement routing by location.
● Treasury allocation
Equipment
Manage equipment vendor billing and allocate payments to treasury accounts by invoice.
REGULATORY OVERWATCH
Billing Compliance Hub
HIPAA checks, CMS rule validation, state rule validation, compliance alerts, and audit trail status in one view.
URGENT · ACTION REQUIRED
Compliance Alerts
- Open alerts flagged by HIPAA, CMS, and state rule checks
- Claims held pending required documentation
- Rule validation failures routed for review
- Escalations awaiting compliance sign-off
Audit Trail Status
- Every compliance check logged with timestamp and reviewer
- Rule versions recorded per claim decision
- Exceptions traceable from billing to payout
HIPAA Checks
- PHI access logging
- Minimum-necessary data review
- Disclosure audit records
CMS Rule Validation
- Coding and modifier checks
- Coverage rule validation
- Validation results logged
State Rule Validation
- Multi-state rule mapping
- Location-specific requirements
- Exceptions flagged for review

TREASURY ALLOCATION MODULE
Route every dollar with corridor-level clarity
Allocate funds per claim, pharmacy order, and vendor invoice, route across locations, and forecast cash flow from one treasury view.
Per-claim allocation
Tracked by claim
Pharmacy orders
Order-level funding
Vendor invoices
Invoice-level routing
Multi-location & forecast
Cash flow forecasting
BILLING ANALYTICS
Billing Analytics Performance
Denial rate trends, revenue leakage, payout timing, pharmacy billing efficiency, vendor settlement performance, and multi-location financial health.
REVENUE LEAKAGE
$184,200 recovered this quarter
▲ +12.4% recovery vs. last quarter
Underpayments, missed charges, and unbilled pharmacy and vendor items flagged across all locations.
Pharmacy billing efficiency
96.1% clean claims · ▲ +2.3%
Vendor settlement performance
92% on-time · ▲ +4.0%
Multi-location financial health
11 of 12 locations healthy
DENIAL RATE TREND
6.8% denial rate
▼ -1.9% vs. prior 30 days
Top reasons: missing documentation, eligibility, coding mismatch.
PAYOUT TIMING
14.2 days avg. to payout
▲ +8.5% faster vs. prior 30 days
Measured from claim approval to settled payout across payers.
BILLING AUDIT STREAM
Billing-to-payout-to-settlement traceability
● Live stream · Immutable log
System Audit Events
09:42:18 UTC
CLAIM → PAYOUT · claim normalized, routed to payer, payout queued
[ OK ]
09:40:07 UTC
COMPLIANCE · CMS rule validation pending documentation on claim batch
[ WARN ]
09:36:12 UTC
CLAIM · denial recorded, reason code attached, resubmission flagged
[ DENIED ]
09:41:52 UTC
PHARMACY → SETTLEMENT · NCPDP order delivery confirmed, settlement posted
[ OK ]
09:38:31 UTC
VENDOR → TREASURY · lab invoice allocated, settlement routed
[ OK ]
09:35:00 UTC
LEDGER · records mapped to TreasuryOS, immutable hash sealed
[ SEALED ]
