A/R & Denial Management

Aging balances worked. Denials fixed, payments recovered.

AR follow-up, denial resolution, appeals and payment recovery, worked inside the system you already use, with a named representative you can call.

Request an A/R AssessmentSee Medical Billing

The recovery playbook

Find it. Fight it. Recover it.

Phase 01

Find.

Know exactly what's owed, and why it hasn't been paid.

  • Aging AR review

    Claims are worked by aging bucket (0-30, 31-60, 61-90, 90+ days). The oldest and highest-dollar claims go first, before anything crosses the timely-filing deadline.

  • Root-cause denial analysis

    Every denial is categorized: eligibility, authorization, coding, medical necessity, duplicate, timely filing and more.

  • Underpayment identification

    Claims paid below the contracted rate are flagged and pursued for the difference instead of written off.

Phase 02

Fight.

Go to the payer with the right fix and the right paperwork.

  • Payer follow-up calls

    Outbound calls and portal checks directly with insurance carriers get real claim status, not just automated EOB codes.

  • Appeals and reconsiderations

    Wrongful denials and underpayments get appeal letters with supporting documentation: medical records, notes and payer policy citations.

  • Corrected claim resubmission

    Coding and data errors are fixed and refiled before the timely-filing window closes.

Phase 03

Recover.

Bring the money in, and show you where it came from.

  • Patient responsibility follow-up

    Where a balance shifts to the patient, we handle the statements and the follow-up conversations.

  • Reporting

    AR aging trends, denial rates by payer and recovery totals: what's being collected, and why claims were denied in the first place.

Root cause, not resubmit

Every denial gets a reason.

Each one is categorized, then fixed at the source. Resubmitting the same claim just earns the same denial.

  • 01Eligibility
  • 02Authorization
  • 03Coding
  • 04Medical necessity
  • 05Duplicate
  • 06Timely filing

Pricing

A/R & Denial Management starting at $4 per claim, or performance-based.

Final terms are confirmed after the A/R assessment and go in writing before work begins.

Per claim

$4

Starting price per claim worked.

Performance-based

Custom

Pricing tied to performance, available after the A/R assessment.

Included either way

  • A/R aging analysis
  • 30/60/90/120+ day follow-up
  • Unpaid claim follow-up
  • Denial root-cause analysis
  • Claim status investigation
  • Corrected claims
  • Claim resubmissions
  • Appeals management
  • Timely-filing review
  • Underpayment identification
  • Payer follow-up
  • Old A/R cleanup
  • Recovery & aging reports
  • Denial trend analysis
Recover Your RevenueBook a Consultation

Looking for something wider?

FAQ

Frequently asked questions

01How is pricing structured?

A/R & Denial Management starts at $4 per claim, with performance-based pricing available. Final terms are confirmed after the A/R assessment and go in writing before work begins.

02Is Accounts Receivable Operations a one-time cleanup or an ongoing service?

It can be either. Some practices need a one-time recovery project, while others choose ongoing A/R management to keep aging balances under control.

03Do you follow up on patient balances as well as insurance claims?

Yes. We manage both insurance follow-up and patient balance recovery while maintaining professional communication and compliance.

04Can I use this service without switching my medical billing provider?

Yes. Accounts Receivable Operations can often be provided as a standalone service depending on your practice's needs.

05What's the difference between Accounts Receivable Operations and Medical Billing?

Medical Billing runs day-to-day eligibility, claim submission, posting and patient billing. Accounts Receivable Operations focuses on aging balances, denial resolution, appeals, underpayments and recovery of outstanding claims.

06How far back can outstanding claims be recovered?

Recovery opportunities vary depending on payer requirements, claim status, filing deadlines, and documentation. During your A/R assessment, we'll identify which balances remain recoverable.

Next step

Stop letting outstanding revenue slip away.

Every aging claim represents revenue your practice has already earned. Bring your A/R ageing and a recent month of denials, and we'll show you what is still recoverable.

Request an A/R Assessment