Denial Management and Appeals Support
Root-cause review of denials, corrected claims, and appeal preparation, with trends shared back to your team.
Service
Medical Accounts Receivable (AR) Follow-Up
Structured follow-up on unpaid and underpaid claims, prioritized by age, balance, and timely-filing risk.
Unworked AR tends to age quietly. We build prioritized work queues so outstanding claims are followed up consistently, with documented next steps on every account we touch.
Signs your practice may need this
- A growing share of AR is more than 90 days old
- Claims with no payer response that no one has checked on
- Timely-filing deadlines missed on correctable claims
- AR follow-up happens only when someone has spare time
What's included
- Aging review by payer, balance, and date of service
- Claim status checks through payer portals and phone follow-up
- Prioritization by balance size and timely-filing deadlines
- Corrected claim and resubmission preparation when needed
- Clear account notes documenting each action and next step
- Escalation of payer issues that need practice involvement
How it works
Assess
We review your current aging to understand volume, payer mix, and risk.
Prioritize
Accounts are grouped into work queues by value and urgency.
Follow up
Each claim is worked until it is paid, appealed, corrected, or resolved.
Report
Progress and recurring issues are summarized in regular updates.
What stays with your practice
We work within the systems and policies you set. Your practice retains authority over clinical documentation, coding decisions, write-offs, refunds, and patient financial policies. Any work involving protected health information takes place under a Business Associate Agreement.
Older AR may include claims that are no longer collectible because of payer filing limits. We will tell you plainly what we find.
Frequently asked questions
Can you work old AR, or only new claims?
Both. Many engagements start with a review of existing aging. We will be clear about which older claims are still workable and which may be past payer filing limits.
How do you decide which claims to work first?
We prioritize by a combination of balance size, age, payer, and timely-filing risk, so the work most likely to matter is done first.
How will we know what was done on each account?
Each action and next step is documented in account notes, and progress is summarized in regular reporting.
Do you call payers?
Yes. We check claim status through payer portals and, when needed, by phone, then take the next appropriate action.
Related services
Claims Tracking and Rejection Resolution
Monitoring of clearinghouse and payer rejections so claims are corrected and resubmitted before they stall.
Revenue Cycle Management Reporting
Regular reports on claims, payments, denials, and AR aging so you can see where revenue is moving or stuck.
Ready for a clearer view of your revenue cycle?
Tell us about your practice. We'll follow up to schedule a no-obligation consultation.