We aggressively pursue unpaid insurance claims, ensuring every outstanding dollar is tracked, followed up, and collected reducing your AR days and improving cash flow.
From clear patient statements to friendly follow-ups, we handle patient balances with care and professionalism improving collections without compromising patient relationships.
We dig deep into denial reasons, identify trends, and implement swift corrections turning rejected claims into recovered revenue quickly and efficiently.
Our team prepares airtight appeal letters and handles timely re-submissions to reverse denials and secure the payments your practice rightfully deserves.
We escalate unresolved claims with payers and reconcile payment discrepancies to ensure accurate reimbursement and complete financial transparency.
We identify the root causes of claim issues using data-driven insights, delivering actionable reports to prevent future denials and optimize your entire revenue cycle.
Proactive recovery of 60, 90, and 120+ day aged claims through targeted payer follow-ups, corrections, and escalation preventing avoidable write-offs and revenue loss.
| Aging Bucket | Priority | What We Do | Typical Outcome |
|---|---|---|---|
| 0–30 days | Monitor | Confirm receipt and adjudication status; catch no-response claims early | Prevents claims from ever aging further |
| 31–60 days | Active | Payer follow-up call or portal check; resolve pending-information requests | Claim moves to payment or correction |
| 61–90 days | High | Identify root cause of delay; resubmit, correct, or escalate | Recovered before the appeal window narrows |
| 90+ days | Urgent | Formal escalation, supervisor review, appeal where warranted | At-risk revenue recovered before it's lost |
| 120+ days | Critical | Last-window recovery effort, documented resolution | Cash recovered or a clean, defensible close |
| Patient balances | Continuous | Statement cadence, balance clarification, payment plan setup | Reduces patient A/R and bad debt |