Provider Portal — Synora Health Network

Pending Claims

↑ 8 from last week

Approved This Month

312

↑ 14% vs last month

Outstanding Payments

ETB 184K

↓ 3% from prior period

Auth Requests Pending

2 urgent — >24h

Recent Claims

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Claim ID	Member	Service	Amount	Date	Status
CLM-20920	Tigist A. (dep)	OPD - General	ETB 1,200	07 May	Approved
CLM-20919	Kebede M.	Lab - CBC Panel	ETB 850	07 May	Paid
CLM-20918	Sara T.	Inpatient - 3 days	ETB 12,400	06 May	Under Review
CLM-20917	Dawit B.	Surgery - Minor	ETB 8,200	06 May	Pending
CLM-20916	Helen G.	Pharmacy - Chronic	ETB 2,100	05 May	Approved
CLM-20915	Muluneh K.	Radiology - CT	ETB 5,800	05 May	Rejected
CLM-20914	Selam W.	OPD - Pediatrics	ETB 950	04 May	Paid

Authorization Queue

🚨

Laparoscopic Surgery

Tigist A. · ETH-2024-00847

ETB 28,500

Urgent — 26h

⏳

MRI Brain — Contrast

Kebede M. · ETH-2024-01124

ETB 9,200

18h remaining

📋

Inpatient Admission

Sara T. · ETH-2024-00583

ETB 15,000

38h remaining

Payments — May 2025

Claims submitted359

Approved312 (87%)

Total approved valueETB 1.24M

Paid to dateETB 1.06M

OutstandingETB 184K

Next payment date12 May 2025

Service Utilization — MTD

OPD

78%

Inpatient

52%

Lab/Diag

65%

Pharmacy

44%

Emergency

31%

Member Eligibility Verification

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Member Information

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Encounter Date *

Service Details

Service Type *

Primary Diagnosis (ICD-10) *

CPT / Procedure Code

Total Amount (ETB) *

Clinical Notes

Supporting Documents

📄 Prescription / Invoice

🔬 Lab / Imaging Report

📋 Discharge Summary

Claims — May 2025

359 total · Page 1 of 36

Claim ID	Member	Service Type	ICD-10	Amount	Submitted	Status
CLM-20920	Tigist A.	OPD - General	J06.9	ETB 1,200	07 May	Approved
CLM-20919	Kebede M.	Lab - CBC	D64.9	ETB 850	07 May	Paid
CLM-20918	Sara T.	Inpatient	K80.2	ETB 12,400	06 May	Under Review
CLM-20917	Dawit B.	Surgery	K35.8	ETB 8,200	06 May	Pending
CLM-20916	Helen G.	Pharmacy	E11.9	ETB 2,100	05 May	Approved
CLM-20915	Muluneh K.	Radiology	R51	ETB 5,800	05 May	Rejected
CLM-20914	Selam W.	OPD - Peds	J11.0	ETB 950	04 May	Paid
CLM-20913	Yonas T.	Emergency	S52.0	ETB 7,400	04 May	Approved

/100

Overall Score

★ Gold

Network Tier

94%

Claims Accuracy

4.7

Patient Rating

ETB +12K

Perf. Bonus MTD

98%

License Compliance

Quality Dimension Breakdown

Licensing Compliance

Clinical Quality

Claims Accuracy

Patient Satisfaction

Referral Management

Documentation Quality

Notifications (12 unread)

Urgent: Preauthorization for CLM-20918 requires clinical review within 4 hours.

2 minutes ago

Payment of ETB 48,200 processed. Expected in your account by 10 May.

1 hour ago

Your Quality Score has improved to 91/100. You are eligible for a Gold Tier performance bonus.

3 hours ago

Claim CLM-20915 was rejected (reason: missing lab report). Submit appeal within 30 days.

Yesterday, 3:45pm

New cashless member enrolled under Ethio Telecom plan. Member ID: ETH-2024-01389.

Yesterday, 10:20am

Contract renewal approved for 2025–2026. Fee schedule updated. View contract

3 May 2025

Preauthorization Requests

Auth ID	Member	Procedure	Amount	Submitted	Status
AUTH-20250108-7742	Tigist A.	Laparoscopic Surgery	ETB 28,500	07 May	Urgent
AUTH-20250107-7698	Kebede M.	MRI Brain — Contrast	ETB 9,200	06 May	Pending
AUTH-20250106-7612	Sara T.	Inpatient Admission	ETB 15,000	05 May	Under Review

Payment Reconciliation — May 2025

Payment ID	Period	Claims	Gross Amount	Deductions	Net Payment	Status
PAY-2025-0502	1–7 May	78	ETB 312,400	ETB 9,372	ETB 303,028	Paid
PAY-2025-0425	18–30 Apr	124	ETB 487,200	ETB 14,616	ETB 472,584	Paid
PAY-2025-0412	1–17 Apr	98	ETB 356,800	ETB 10,704	ETB 346,096	Paid

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