Closing the Gap Between Site Activity and Site Payments
Reconciliation backlog across four clinical studies— How Fuel brought control, visibility and structure to site payment reconciliation across four clinical studies and more than 30 sites.
Engagement Snapshot
Clinical Studies
4
Sites Per Study
30+
Backlog
Up to 18 months
Outcome
Portfolio-level reconciliation and recovery
The Challenge
A reconciliation delay had become a cross-functional risk to site relationships, data flow and study milestones.
Site payment reconciliation had accumulated across four clinical studies and more than 30 sites, with portions of the backlog extending up to 18 months. Although delays were known, consolidated visibility into the volume, age and status of outstanding reconciliation activity was limited. Historical site activity, payment terms and records required detailed review to identify what had been paid, what remained outstanding and what required further investigation.
Payment Delays
Site Frustration
Operational Friction
Delayed Data Entry & Cleaning
Missed Milestones
Site payment reconciliation had become a study execution issue requiring portfolio-level visibility, prioritization and control.
Fuel Stepped Up
Fuel was brought in to regain control of the reconciliation process, establish the true size of the backlog and drive recovery across all four studies.
The immediate priority was not simply to process outstanding payments, but to determine what had occurred, how deep was the financial situation and how to rectify.
Unified Intelligence in Action
1. Assess
Establish the actual backlog and identify misalignment.
2. Reconcile
Connect site activity, payment terms and records.
3. Prioritize
Focus on issues creating the greatest impact.
4. Recover
Resolve historical items and drive payment activity forward.
5. Control
Introduce tracking, ownership and portfolio visibility.
More Than a Finance Problem
Site payments are not separate from study execution—when reconciliation falls behind, the impact can quickly extend beyond finance, affecting site relationships, data flow and study momentum.Fuel connects information across systems and functions, turning fragmented inputs into a clear operational picture.
Effective reconciliation requires connecting:
Site Activity
Contracts / Payment Terms
Clinical Data
Payment Records
Operational Priorities
Transformation Impact
Four shifts that changed the portfolio:
Visibility
Before: Delays were known, but their full scale was not.
After: The true backlog was visible across 4 studies and 30+ sites.
Prioritization
Before: Outstanding issues competed for attention.
After: Recovery focused first on the greatest site and operational impact.
Ownership
Before: Tracking and accountability were fragmented.
After: Clear ownership connected discrepancies to resolution.
Control
Before: Historical issues continued to accumulate.
After: A structured portfolio process brought reconciliation back under control.
Fuel Clinical | Unified Intelligence in Action
A payment issue can become a site relationship issue. A site relationship issue can become an operational issue. And an operational issue can ultimately affect data quality and study timelines. Fuel connects those pieces.
Knowing that something is behind isn't enough.You need to know how far behind, why—and how you're going to recover.
Fuel Clinical — Starting with the End in Mind.
Facing a reconciliation or site payment backlog?