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Medical Accounts Receivable Follow-Up

Unpaid claims do not collect themselves. Our A/R team works every outstanding claim until it is paid, corrected or appealed.

Why A/R follow-up matters

The longer a claim sits unpaid, the less likely it is to be collected. Claims can be lost, denied, pending for missing information or simply ignored. Regular follow-up is the only way to find out which, and to fix it before filing deadlines pass.

How we work your A/R

  • Age and value buckets. We sort claims into 0–30, 31–60, 61–90 and 90+ day groups and work the highest-value and oldest claims first.
  • Payer status checks. We check claim status through payer portals and by phone, and record what each payer says.
  • Corrections and resubmissions. Claims rejected for missing or wrong information are fixed and resent quickly.
  • Appeals. We appeal denials that should have been paid, inside the payer's appeal window. For example, a Medicare redetermination request generally has to be filed within 120 days of the initial determination.
  • Secondary and patient balances. Once a primary payer pays, we bill secondary insurance and move the remainder to the patient.
  • Root-cause fixes. Repeated problems are traced back to registration, coding or documentation and corrected at the source.

Numbers we track

We report days in A/R, the share of A/R over 90 days, and collection rates each month, so you can see the results. Learn what to aim for in our guide to reducing days in A/R and our article on revenue cycle KPIs.

A/R follow-up is one part of our full revenue cycle management service, and it works closely with denial management.

Frequently Asked Questions

What is a good number of days in A/R?

Many well-run practices aim for under 40 days, though the right target depends on specialty and payer mix.

Do you follow up on old claims?

Yes. We work claims of every age, starting with the oldest and highest-value ones, before they pass filing or appeal deadlines.

Do you also collect from patients?

Yes. Patient statements and follow-up are part of our billing and invoicing service.

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