CFO Anomaly Dashboard


CFO Anomaly Dashboard

Last 12 months ยท Refresh data: 12:19 PM EDT, Apr 20 2026

Business view
Healthcare payment integrity
Status
Updated

Prior Authorization
$6.2m
Anomaly dollars

Total dollars
$44.1m
Cases
12,840

Special Investigations
$5.4m
Anomaly dollars

Total dollars
$39.8m
Cases
11,020

Utilization Management
$6.8m
Anomaly dollars

Total dollars
$46.7m
Cases
13,560

Anomalous Service Categories

Ranked by total anomalous dollars

Category
Service type
Total
Claims
Anomalous
Claims
Total
Providers
Anomalous
Providers
Total dollars
Involved
%
Anomalous
Total anomalous
Dollars
Imaging 1,180 278 88 19 $14.2m 23.5% $3.34m
Pain Management 980 214 74 15 $12.8m 21.7% $2.78m
Orthopedics 1,040 198 79 18 $11.7m 18.9% $2.21m
Laboratory Services 1,260 233 95 21 $10.9m 19.8% $2.16m
Physical Therapy 920 171 68 13 $9.6m 17.4% $1.67m
Behavioral Health 740 156 61 12 $8.4m 15.6% $1.31m
Emergency Dept 560 141 52 11 $7.1m 12.8% $0.91m

Anomaly trend over time

Gradual steady decline

The line uses one continuous CSS track and covers the full last 12 months.
9.7
9.4
9.1
8.8
8.5

May 2025
Jun 2025
Jul 2025
Aug 2025
Sep 2025
Oct 2025
Nov 2025
Dec 2025
Jan 2026
Feb 2026
Mar 2026
Apr 2026