Billing scope 05 of 06

Money owed to your practice, actively pursued.

Outstanding claims don't get paid by sitting quietly in a queue. Dedicated follow-up on every account — aged or current — pushes each one toward resolution instead of letting it drift past a filing deadline.

Other billing scopes

Aging buckets

Every outstanding claim, prioritized by age.

0–30 days

Current

Normal processing window — monitored, not yet a concern.

31–60 days

Watch

First follow-up contact if no payment or clear status update has come through.

61–90 days

Active pursuit

Direct payer follow-up by phone, not just resubmission and waiting.

90+ days

Escalation

Escalated within the payer's process, or reviewed for appeal if a true denial is finally issued.

Why AR quietly grows

Nobody decides to ignore a claim. It just happens gradually.

A claim in limbo — not denied, not paid, just unanswered — is easy to deprioritize behind today's patients. Multiply that across months and dozens of claims, and it becomes real revenue sitting uncollected. AR recovery exists specifically to make sure that never happens quietly.

What you get back

A clear aging report showing exactly what's outstanding, how long it's been outstanding, and what's being actively done about it — not a spreadsheet nobody has time to read.

How we pursue it

Beyond resubmission.

Direct payer calls

When a claim stalls without a clear denial or acceptance, we call the payer directly to get a status and push toward resolution.

Legacy AR review

Older, previously written-off balances are reviewed for recoverability before deciding whether pursuing them further is worth it.

Pattern reporting

Recurring stalls with a specific payer are flagged, so we can adjust submission timing or documentation ahead of time.

Real reporting

Your AR position, visible every month.

Monthly reports show total collections, cancellations and no-shows, and how AR is trending — so you always know whether outstanding balances are shrinking or growing.

Included with

Medical Billing

AR recovery is part of our full Medical Billing service — 2.5% to 5% of collections, no flat monthly fee.

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Common questions

AR Recovery FAQ

What counts as aged AR?

Claims outstanding more than 30 days are typically tracked as aging, with buckets at 30, 60, 90, and 120+ days used to prioritize follow-up.

How is old, already-written-off AR handled?

Legacy AR is reviewed for recoverability before deciding whether to pursue it further — chasing a claim past the timely filing window may no longer be worth the effort compared to current claims.

Do you call payers directly?

Yes. When a claim stalls in a payer's system without a clear denial or acceptance, we follow up by phone directly with the payer to get a status and push it toward resolution.

What if a payer finally issues a denial after months of silence?

It moves into Denial Management for review and, where appropriate, appeal.

Next step

Once a claim is finally paid.

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