Deadline-first
We work claims closest to their filing and appeal limits first, so recoverable dollars don't expire in a queue.
Unpaid claims don’t fix themselves, and every month they sit, they get harder to recover. Our team works your aged AR and denials claim by claim, calling payers, correcting errors and filing appeals before the deadlines run out.
Keep your in-house biller or current billing company. We take the backlog off their desk.
Free assessment, back to you in 2 business days
We work claims closest to their filing and appeal limits first, so recoverable dollars don't expire in a queue.
Our team calls payers, corrects and resubmits claims, and files appeals. Every action is documented.
You see what was worked, what was paid, and what's still open, every month.
Physician-founded, since 2010
Collected for our clients
Denial rate, full-service RCM clients
Ambulatory specialty practices
BBB rating
Built for Ambulatory Specialty Practices
We work with multi-provider practices in neurology, sleep medicine, behavioral health, endocrinology, gynecology, physiatry, geriatrics, internal medicine and family medicine. Most come to us when the backlog has outgrown the people working it.
Claims were submitted, then nobody owned the follow-up. Now no one knows what's still open.
Claims went out but weren't checked, corrected or escalated before the payer's clock ran down.
Today's charges and patient calls come first, so 90+ day claims never get touched.
The transition left open claims, unworked rejections and a follow-up history no one can find.
Eligibility, authorization or coding issues repeat every month because no one has fixed the root cause.
The AR total is high, but you can't tell which claims are collectible, which payer is the problem, or what's next.
What We Investigate
A high AR balance doesn't tell you why it's unpaid. We sort every open claim into what's worth pursuing, what needs escalation, and what should be closed, so your team stops guessing.
Sorted by age, payer and status so the highest-value work gets done first.
We check payer status, find the missing step, and push stalled claims through.
We find why the claim was rejected, correct it, and resubmit it.
Each denial code gets a decision: correct, document, appeal, escalate, or close.
We organize inventory left behind by a staff, vendor or system change.
Patterns in eligibility, auth, coding and documentation, fixed at the source.
Not every balance is recoverable. We'll tell you which ones are, act before the deadline, and document why we close the rest.
How We Help
A high AR balance doesn’t tell you why it’s unpaid. We sort every open claim into what’s worth pursuing, what needs escalation, and what should be closed, then work the recoverable ones as an extension of your billing team. Because we’re paid only on what we collect, we focus where the money is.
We flag claims nearing timely-filing or appeal limits and work them first, then the highest-value balances, so recoverable dollars don’t expire in a queue.
We sort open claims by age, payer and status, including backlogs left behind by a staff, vendor or system change, and pursue every recoverable balance.
Rejected claims get corrected and resubmitted. Each denial gets a decision: correct, document, appeal, escalate, or close.
Our team calls payers to resolve stalled and delayed claims, find the missing step, and confirm what each claim still needs.
We track patterns in eligibility, authorization, coding and documentation, and show you how to fix them so fewer new claims end up in AR.
Every month: claims worked, dollars collected, denials resolved, and what’s still open.
Not every balance is recoverable. We’ll tell you which ones are, act before the deadline, and document why we close the rest.
How It Works
Step 1
Share business-level totals: aging, payer mix and denial volume. We'll show you what's likely recoverable.
Step 2
We sign a HIPAA BAA, confirm scope, and set up secure access to your PM system or clearinghouse.
Step 3
Claims worked by deadline and dollar value: payer calls, corrections, resubmissions and appeals.
Step 4
Monthly results plus the root causes to fix, so the backlog doesn't come back.
Results
Days in AR cut 50% and average collections up 42%, within the first 120 days.
Collected from aged AR in the first three months of the engagement.
Collected from outstanding AR and denied claims.
Every month: claims worked, payer follow-up, dollars collected, claims corrected or appealed, denial categories, open balances and next steps. Metric definitions are agreed at onboarding.
Nothing upfront and no setup fee. We charge a percentage of what we actually collect on your aged AR, so if we don't recover it, you don't pay. We'll confirm the rate and scope after your free assessment.
Often, yes. It depends on each payer's timely-filing and appeal limits, the claim's history, and the documentation available. Your assessment shows which claims are still actionable and which have aged out.
No. Most AR engagements run alongside your in-house team or current vendor. We take the backlog; they keep the day-to-day.
No. We appeal when the evidence supports it. Some denials need a correction and resubmission; others need documentation or escalation. If a claim can't be recovered, we close it and tell you why.
Deadlines first, then dollars. Claims nearing a filing or appeal limit come first, followed by the highest-value balances most likely to pay.
Corrected and resubmitted claims can pay within weeks. Appeals take longer and depend on payer response times. We'll map out a realistic timeline after the assessment.
Yes. Emerald Health is HIPAA-compliant and signs a Business Associate Agreement before we touch any claim-level data. Patient information is only shared through secure access, never through this website.
We review your numbers and set up a short call to walk through where the recoverable revenue is and what it would take to collect it, including balances no longer worth pursuing.
What's Next
Tell us a little about your practice. Within two business days, we'll come back with a view of your backlog, your biggest denial drivers, and a plan to collect what's still on the table. No upfront cost, ever.
Send us a few business-level numbers. We'll show you where the recoverable revenue is.
What We'll Ask For
Open claims and aging · Denials per month · Top payers · Who bills today
What You Get Back
AR aging review, top denial drivers, an estimate of what's still recoverable, and a prioritized plan.
Get Your Free AR Assessment