Help Documents

What this article covers: How to read the ClaimScore Dashboard — what every section means, how to interpret scores and results, and how to navigate across cases. This article is useful both for admins who have just completed setup and for lawyers or team members joining an active case.

Getting to the Dashboard

Click Dashboard at the top of the left sidebar. At the top of the dashboard, you'll see two selectors:

• Organization selector — If you belong to more than one organization, switch between them here.
• Case selector — Switch between cases within the current organization. This is how you navigate across active, in-progress, and completed cases.

💡 If you were just invited to ClaimScore: Use the Case selector to find the case you've been given access to. Cases are listed by name. If you don't see a case you expect to see, you may have been added as an Organization Member but not yet assigned to that specific case — ask your admin.

The Processed Claims Summary

At the top of the dashboard, you'll see three summary cards:

CardWhat it means Score ≥ 700 (Pass) Claims that scored 700 or above. These passed ClaimScore's fraud thresholds and are considered valid. Score < 700 (Fail) Claims that scored below 700. These have been flagged as potentially fraudulent or invalid. Not Analyzed (Insufficient) Claims that could not be scored because they were missing required data fields.

Each card shows the count of claims in that category. This gives you an immediate read on the health of your claim population: how many passed, how many failed, and how many couldn't be evaluated at all.

The Claim Results Timeline

Below the summary cards, a timeline chart shows claim submissions and scoring results over time. This chart helps you:

• See when submissions were concentrated (e.g., a spike near the deadline)
• Track how the pass/fail ratio has evolved as more files are processed
• Identify unusual submission patterns that may warrant closer review

Top Sources and Top Deduction Codes

These two panels give you signal-level insight into why claims are failing:

• Top Sources — Shows which referrer sources are associated with the highest volume of flagged claims. A single source driving an outsized share of failures is worth investigating.
• Top Deduction Codes — Shows the most common reasons claims were flagged. Each deduction code corresponds to a specific fraud signal — for example, a shared IP address, an undeliverable address, or a duplicate identity. Understanding which codes appear most frequently tells you what type of fraud pattern is most prevalent in your case.

The Claim Submissions Table

At the bottom of the dashboard, a table shows individual claim records with their scores, determinations, and deduction codes. This is where you review specific claims.

For each claim you can see:

• The claim's score
• Its determination (Pass / Fail)
• The deduction codes applied (the specific reasons for any flags)
• Submission date and other identifying fields

This table is where a lawyer reviewing case progress will spend most of their time — understanding not just how many claims passed or failed, but why.

How to Check Case Status

The Case selector at the top of the dashboard is also how you understand which cases are active and which are not. Cases will reflect their current state based on where they are in the process:

• A case with no uploaded files yet will show empty summary cards
• A case mid-analysis will show results from completed files and pending status on files still being processed
• A case where analysis is complete will show final totals across all included files

For file-level status, navigate to Claim Files in the sidebar to see each file's individual status (Pre-Processing, Ready for Review, Pending Analysis, Completed).

What Happens Next

If you need to share results with stakeholders or schedule regular reporting, see: 7. Creating and Scheduling Reports

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