Missed Revenue Control Tower
Evidence-backed missed revenue detection across Indian hospitals, payers, and claim workflows
Claims Reviewed Today
126
Missed Revenue Found
₹1.4L
Claims with Missed Items
31
Avg. Missed / Flagged Claim
₹4.5K
Queries Near Deadline
9
Also monitoring weak documentation support on billed items.
Evidence-Backed Missed Revenue Found
LiveSyauctus compares clinical notes, operative notes, medication charts, investigation references, consumables records, pre-auth approvals, and draft bills to identify services and items that appear documented but are missing or underbilled in the claim.
Investigations Not Billed
₹38K
Clinical notes mention investigations not clearly found in draft bills.
Pharmacy Underbilled
₹27K
Medication charts do not fully match pharmacy billing.
Consumables Under-Captured
₹42K
OT and nursing notes suggest consumables not fully reflected in draft claims.
Payer / Scheme
Claim Stage
Active Claim Review Queue
Click a case to review evidence-backed missed revenue
| Case | Hospital | Payer / Specialty | Readiness | Missed Revenue | Evidence Found | SLA | Next Action |
|---|---|---|---|---|---|---|---|
IND-CLM-1048 PM-JAY Ortho Implant | Shree Multispecialty Hospital Lucknow | Ayushman Bharat / PM-JAY Orthopedics | 48% Not Ready | ₹8K–₹15K | Post-op X-ray documented but not found in draft bill | 18 hrs | Review missed bill items |
IND-CLM-1052 Private TPA Surgery | Apex Care Hospital Jaipur | Private TPA General Surgery | 54% At Risk | ₹8K–₹16K | Approved investigation, OT consumables, and pharmacy quantities not fully reflected in final bill | 11 hrs | Reconcile pre-auth and documentation with final bill |
IND-CLM-1061 CGHS Cardiology Query | City Heart Centre Nagpur | CGHS Cardiology | 42% Not Ready | ₹5K–₹10K | Angiography documented; billing/report match incomplete | 6 hrs | Validate investigation billing |
IND-CLM-1074 ESIC Obstetrics | Lotus Hospital Indore | ESIC Obstetrics | 66% Needs Review | ₹3K–₹6K | Medication chart does not fully match pharmacy bill | N/A | Reconcile medication chart |
IND-CLM-1207 Private TPA ICU Medical Management | Metro Lifecare Hospital Pune | Private TPA Critical Care | 57% At Risk | ₹7K–₹16K | ICU chart and medication record show billable items not clearly reflected in final bill | 14 hrs | Reconcile ICU notes, medication chart, lab monitoring, and final bill |
IND-CLM-1324 Open Billing ICU + Procedure Support | Meridian Care Hospital Ahmedabad | Private TPA Critical Care | 51% At Risk | ₹11K–₹24K | ICU notes, respiratory therapy records, medication chart, and nursing notes show services/items not clearly reflected in final bill | 10 hrs | Validate ICU services, respiratory support, pharmacy, and consumables against final bill |
Missed Revenue Patterns
Where evidence-backed missed revenue is coming from across the portfolio
Most Common Missed Item
Investigations documented but not found in draft bill
Seen in 18 cases this week
Most Common Underbilling Pattern
Medication chart does not fully match pharmacy bill
Seen in 11 cases this week
Highest Opportunity Area
OT consumables and procedure-linked items
Highest cumulative missed revenue
Most Common TPA Gap
Approved item not reflected in final bill
Seen in 14 private/corporate claims
Missed revenue estimates are directional and require RCM validation. Items should only be added if supported by payer rules, package terms, hospital tariff, and final documentation. Syauctus does not auto-add charges or submit claims.