Denial Management & A/R Follow-up
Turn outstanding claims into actionable work.
Work denied and unpaid claims with a defined priority, a documented next step, and a clear route for decisions that need your team.
Discuss your requirementsWhat the service covers
A defined workflow. Documented delivery.
01
Prioritize the worklist
Organize open balances by age, payer, denial reason, and the priorities agreed for your engagement.
02
Investigate & follow up
Review claim status and available payer explanations. Record follow-up activity and identify what prevents resolution.
03
Correct & escalate
Support corrected claims and appeal preparation within scope, and escalate documentation or approval needs.
What your team receives
Clear records.
Actionable next steps.
A traceable follow-up history, categorized denial issues, and a current view of unresolved exceptions.
Recovery depends on claim eligibility, documentation, payer decisions, and applicable deadlines. No collection outcome is guaranteed.
Before we start
A handover built
around your workflow.
Confirm the inputs and decision routes before assigning the first worklist.
Readiness checklist
Review A/R age bands, payer mix, balances, denial categories, and any time-sensitive items in the starting worklist.
Confirm payer access, supporting documentation, appeal responsibilities, and approvals for corrections or adjustments.
Agree worklist priorities, status notes, next-action dates, and a reporting cadence for unresolved exceptions.
Make the next action visible
A worklist with direction.
Separate payer follow-up from items waiting on a record, correction, or decision.
01
Payer follow-up
Capture the available claim status and explanation.
Record: contact or source, action taken, and next follow-up date.
02
Documentation or correction
Identify the exact information holding up the next step.
Route: required item, responsible contact, and correction or appeal activity within scope.
03
Decision or escalation
Make unresolved items easy for your team to review.
Escalate: the open question, relevant history, and any applicable deadline.
Recurring denial reasons belong in the review, too. Group patterns so your team can decide where workflow or documentation changes may help.
Explore reporting & billing review →Start the conversation
Let’s define what your team needs.
Tell us where the work is getting stuck. We’ll shape the conversation around your workflow, priorities, and capacity.
Scope, pricing, and availability are confirmed for each engagement.