Potential population
Patients initially identified for review.
Request an assessment OPERATIONAL SCORECARD
Measure the whole path—not just calls, enrollments, or claims.
PrimeVital uses a funnel that follows a patient from initial identification to clinically appropriate participation, complete evidence, claims readiness, and follow-through.
See the 90-day pilotDefinitions first. Results when defensible.These are transparent operating definitions—not promised targets or published outcomes.
THE COMPLETE FUNNEL
Every handoff is visible.
A program can look healthy on enrollment while failing at activation, documentation, claims, patient retention, or clinical response. The scorecard makes those breaks visible.
Clinically eligible
Patients confirmed appropriate by the practice.
Payer verified
Patients whose coverage and plan pathway have been reviewed.
Reached
Patients successfully contacted after outreach attempts.
Consented
Reached, eligible patients who agree to participate.
Activated
Consented patients who complete program activation.
Usable data participation
Patients meeting the applicable data or participation requirement.
Service completion
Patient-months meeting the applicable clinical and service requirements.
Documentation completeness
Records passing pre-claim quality review.
Clean-claim rate
Claims accepted without correction.
Initial denial rate
Denied claims divided by submitted claims.
90/180-day retention
Patients still appropriately participating at the selected interval.
Escalation response
Time from a qualified exception to documented action.
Clinical measure
A program-specific measure such as BP status, weight trend, or medication issue resolution.
HOW TO USE THE SCORECARD
Improve the workflow before promising an outcome.
During a pilot, the practice and PrimeVital use the definitions to identify whether the issue is population selection, reachability, consent, activation, documentation, payer pathway, clinical escalation, or something else. Actual results should only be published when they are complete, attributable, and defensible.
DESIGN A PRACTICAL STARTING POINT
Tell us where the workflow is breaking. We’ll show you where to begin.
Choose how to connect
Continue on your phoneScan to open a pre-addressed email draft.Email contact@theprimevital.com