The bigger picture
A stronger revenue cycle starts with the details.
Unpaid and aging claims can affect your cash flow. Our A/R team actively reviews outstanding accounts, communicates with insurance payers, documents each follow-up, and identifies the next action needed.
Active follow-up, accurate documentation, and clear next steps keep outstanding receivables moving.
Built around your needs
What’s included
- Insurance claim and denied claim follow-up
- Aging A/R management
- Insurance verification and claim status review
- Payer communication and documented follow-up
- High-dollar account prioritization
- Timely filing monitoring
- Secondary insurance follow-up
We agree on the exact scope, responsibilities, and reporting with your practice before work begins.
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Investigate unpaid claims
We review claims that are pending, denied, rejected, under review, paid but not posted, awaiting information, or requiring correction. Follow-up records include payer responses, reference numbers, required actions, follow-up dates, and expected payment or resolution.
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Focus on priority accounts
We give high-dollar balances and claims nearing filing limits particular attention. We also distinguish patient from insurance responsibility and support secondary billing after primary processing.
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Common A/R issues
Our team addresses processing delays, denials, rejections, eligibility and authorization issues, coding concerns, missing documentation, incorrect patient or insurance details, coordination of benefits, underpayments, incorrect payment processing, and timely filing risks.
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A/R reporting
Regular reports help you understand where outstanding revenue sits and what action is being taken.
- Aging and payer-wise A/R
- High-balance accounts and denial trends
- Outstanding claim status
- Follow-up, resubmission, and appeal activity
- Resolved and unresolved accounts
From review to follow-up
A clear process. At every step.
Review A/R
Review aging reports and outstanding accounts.
Prioritize accounts
Prioritize by age, balance, payer, denial status, and filing deadlines.
Investigate claim status
Determine why the claim has not been paid and identify the next required action.
Contact the payer
Obtain the latest claim status and resolution requirements.
Take corrective action
Coordinate corrections, resubmissions, appeals, or documentation requests when needed.
Document the outcome
Record payer responses, reference information, and next actions.
Continue follow-up
Keep unresolved accounts on the follow-up cycle until paid, appropriately resolved, or requiring further action.
Why it matters
Better support for the work behind the care.
- Recover outstanding revenue and reduce aging balances
- Improve cash flow and prevent overlooked claims
- Address denials and timely filing risks
- Identify recurring payer issues
A little more clarity
Your questions, answered.
How are outstanding accounts prioritized?
We consider claim age, outstanding balance, payer, denial status, filing risk, and whether the balance is the responsibility of insurance or the patient. High-dollar accounts and approaching deadlines receive particular attention.
What is recorded during follow-up?
Follow-up documentation includes claim status, payer responses, reference numbers, required actions, follow-up dates, and expected payment or resolution information.
Can you investigate underpayments?
Yes. Underpayments and incorrect payment processing are among the issues reviewed, along with processing delays, missing documentation, coordination of benefits, and claims requiring correction or appeal.