File 05 · Public Dashboard

Redacted aggregate proof, denominator-first.

A sample public-style dashboard for pilot outreach. The data below is static and redacted, built to show the proof surface Insurf will publish once real pilot outcomes resolve.

Aggregate Metrics

Pilot proof board.

Read methodology

Appeals submitted

184

Received by payer or delegated reviewer

Physician-attested appeals

176

95.7% of submitted appeals

Resolved outcomes

129

70.1% of submitted appeals

Overturn rate

42.6%

55 full or partial overturns / 129 resolved

Median days to resolution

24

Resolved outcomes only

Recovered amount

$1.84M

Paid, allowed, or credited dollars

Resolved Outcomes

The pending count stays visible.

Pending cases are not hidden inside the overturn rate. They stay in the submitted count and are excluded from resolved-outcome calculations until source evidence arrives.

Category
Cases
Resolved share
Full overturn
37
28.7%
Partial overturn
18
14.0%
Upheld
52
40.3%
Withdrawn or administrative closure
22
17.1%
Pending
55
Not in overturn denominator
Overturn rate: 55 full or partial overturns / 129 resolved outcomes = 42.6%. Pending appeals are shown separately.
Payer · Specialty Mix

Mix travels with the result.

Aggregates are interpreted with payer and specialty mix nearby, because a recovery rate without mix is not a useful operating fact.

Payer mix
UnitedHealthcaren=42 · 23%
Regional Bluesn=38 · 21%
Aetna / CVSn=31 · 17%
Cignan=24 · 13%
Elevancen=21 · 11%
Medicaid managed caren=17 · 9%
Suppressed small payersn=11 · 6%
Specialty mix
Oncologyn=64 · 35%
Gastroenterologyn=37 · 20%
Rheumatologyn=29 · 16%
Cardiologyn=23 · 13%
Neurologyn=18 · 10%
Suppressed small specialtiesn=13 · 7%
Suppression Notes

Public by design, private by default.

  • Cells with fewer than 11 cases are suppressed or combined before publication.
  • Percentages are rounded, so visible rows may not sum to exactly 100%.
  • Dollar amounts are rounded to the nearest $10K in public materials.
  • Overturn rate excludes pending cases and includes full plus partial overturns.
  • No patient, physician, practice, plan, or payer contract identifiers are published.