Service
Insurance Billing
Recurring billing keeps the next cleanup from happening. Same team, ongoing claims, posting, and aging follow-up.
Insurance billing →We work through aged AR for your practice as a one-time fixed-scope project. That means claims and patient balances that have been sitting unpaid for months, often past 60, 90, or 120 days.
AR (accounts receivable) is the money owed to your practice that has not been collected yet. Some of it is from insurance companies on claims that have been submitted but not paid. Some of it is from patients on balances left over after insurance.
Over time, AR ages. Most practice management software reports it in 30-day buckets: current, 30, 60, 90, and 120 or more. The longer a claim or balance sits, the harder it is to collect. Appeal windows close. Patients move. Documentation gets harder to find. By the time something is 120 days old, recovery rates have dropped sharply.
Most practices end up with a bucket of aged AR that nobody has time to work through. New production keeps coming in, current claims keep getting submitted, and the old stuff just sits.
AR cleanup is a one-time, fixed-scope project. We pull the aging report from your PMS, sort the claims by bucket and reason, and then we work each one.
For each claim, we read the EOB. If the appeal window is still open and the claim is fixable, we correct it and resubmit. If it is appealable on the merits, we file the appeal. If neither path makes sense (the window is closed, the documentation is not there, the carrier has issued a final denial), we recommend writing the claim off, and we write down the reason.
At the end of the project you have two things. You have a claim-by-claim disposition log that shows what happened on each claim. You have a recovery summary that shows what was collected and what was written off.
Monthly insurance billing is the ongoing operation that handles claims, posting, denials, and aging on your current production. AR cleanup is a one-time fixed-scope project on receivables that have already gotten old. It is different work, on a different pricing model, and is often run alongside the monthly service.
No. The cleanup is a standalone project. Some practices do the cleanup first, see how the work runs, and then decide on monthly. Others keep their internal billing team and use us only to clear an aged bucket.
We price AR cleanup per project, not as a percentage of collections. We look at the actual claims first, give you a realistic read on what is collectible, and price the work based on the volume and age of the bucket. The pricing page covers the framework.
Yes. At the end of the project you have a claim-by-claim disposition log: what we did on each claim, what was collected, what was written off, and the reason in each case.
We say so, in writing. Past the appeal window, a claim is not recoverable through the carrier. We will tell you whether the patient can be billed for the balance based on your contract, or whether the right move is to write the claim off.
AR gets old when claims sit in a queue nobody works. Once the bucket is clear, the only way to keep it that way is to keep working the queue. That is what the monthly insurance billing service is for.
Recurring billing keeps the next cleanup from happening. Same team, ongoing claims, posting, and aging follow-up.
Insurance billing →Day-before benefit checks so the claims that go out are cleaner from the start.
Insurance verification →Statements branded as your practice for the balance left after insurance pays.
Patient billing →A 30-minute call about your practice, your PMS, your typical payer mix, and what is sitting in the aging bucket right now. We respond within one business day.