Aging AR is Dying Revenue — We Recover It Before It's Gone Forever
Every dollar in your AR report over 30 days is at risk. At 90 days, collection probability drops dramatically. At 120 days, most payers consider it timely filing expired. Our aggressive AR follow-up team works every aging bucket with a data-driven recovery strategy.
What We Do
Our AR team works from a prioritized claim work queue — organized by aging bucket, dollar amount, payer type, and denial reason. We apply a strategic priority matrix that maximizes recovery per hour while ensuring no claim ages out of timely filing.
For each aging claim, our specialists contact the payer via direct phone call, online portal inquiry, or secure messaging — depending on the fastest available channel. We document every contact attempt, response, and action taken. We don't accept "in process" when a claim has been pending beyond adjudication timeframes.
Our aging bucket strategy: 0-30 days — monitor for ERA/EOB receipt. 31-60 days — first active follow-up. 61-90 days — escalated follow-up and investigation. 91-120 days — priority escalation with supervisor-level contact. 120+ days — final demand with timely filing documentation.
When a payer places a claim in "pending" requesting additional documentation, our team coordinates with your clinical staff to obtain and submit required documents within the payer's timeframe. When claims were denied due to billing errors, we correct and resubmit as corrected claims (frequency code 7).
When a payer repeatedly delays or incorrectly denies legitimate claims, we escalate through formal channels — including payer grievance processes, state insurance department complaints, and CMS complaint filings for Medicare/Medicaid issues.
What's Included
Prioritized Work Queues
Strategic priority matrix by bucket and value
Direct Payer Contact
Phone, portal, and secure messaging follow-up
Aging Bucket Strategy
Systematic 30/60/90/120+ day protocols
Documentation Requests
Clinical staff coordination for payer requests
Corrected Claims
Error correction and frequency code 7 resubmission
Payer Escalation
Formal grievance and regulatory complaints
Why This Matters for Your Revenue
Frequently Asked Questions
We use a weighted priority matrix factoring dollar amount, aging bucket, payer type, and timely filing deadlines to maximize recovery per hour.
Claims within 30 days of timely filing deadlines are escalated to highest priority with documented proof of timely submission maintained.
We maintain payer-specific escalation protocols, including supervisor contacts, formal complaints, and regulatory filings when patterns persist.
Absolutely. We specialize in AR cleanup projects and have recovered substantial revenue from aged claims practices assumed were lost.
While rates vary by payer and specialty, our systematic approach typically recovers 40-60% of claims in the 90+ bucket that had been previously unworked.
Monthly detailed reports showing AR aging trends, collection rates, claims worked, revenue recovered, and specific statuses on high-value accounts.