Insurance A/R Follow-Up
A Clean Claim That Nobody Chases Still Ages Into a Write-Off.
A submitted claim is not a worked claim. Getting the payer to pay it is the work. Named specialists work every aging bucket of your outstanding insurance AR, supported by technology that flags stalled and aged claims before they cross a timely-filing deadline.
Aging AR Isn't a Reporting Problem. It's a Staffing Problem.
Most billing teams can produce a clean aging report. What they can't do is work it: every bucket, every payer, every day, until every recoverable claim is resolved.
The Work Gets Deferred
Low-dollar claims get skipped as “not worth the time,” hold queues get checked when someone gets to them, and the 45-minute payer call slides to tomorrow. Then there are new claims on top, and the AR keeps aging.
Aged Claims Get Written Off
Claims drift past 90, 120, 180 days, and the ones that quietly crossed a timely-filing window are gone for good: not denied, not appealable, just written off. A claim coded and submitted correctly disappears because nobody had capacity to chase it.
Worked Claims Get Paid
The practices that collect that money work every account in priority order until there is a resolution. Named specialists do that work: in our documented aged-AR engagement we collected 84% of the balances placed, accounts others had stopped working.
Technology That Flags Stalled Claims Early
We use technology to flag the outstanding claims that have stalled, pended, or gone unanswered, across payer portals and clearinghouse responses, so they surface early instead of weeks later on an aging report. That keeps our specialists focused on resolving claims and talking to payers, not combing reports to find which accounts need attention.
Systematic Aging-Bucket Workdown
We work every bucket (30, 60, 90, 120+ days) in priority order, weighting by dollar value and days remaining before timely-filing deadlines. Nothing gets skipped for being inconvenient, and nothing ages out silently while higher-dollar claims get all the attention.
Timely-Filing Protection
Every payer has a clock, and once it runs out the revenue is almost always gone. We track filing and appeal windows by payer and surface at-risk claims first, so the deadline never catches a recoverable claim sitting in a queue.
Low-Dollar, High-Volume AR
The claims most teams write off as "not worth chasing" add up to real money in aggregate. Technology makes the small balances economical to surface and prioritize, so our specialists give a $40 claim the same systematic follow-up as a $4,000 one.
Named Specialists Who Call Payers
When a claim needs a human, it gets one: a named specialist who works payer hold queues, navigates IVR, and escalates to a payer representative when a claim is being slow-walked. You know who is working your AR, and we report to you like staff, not like a vendor.
Insurance A/R Follow-Up is the proactive work that happens before a claim becomes a problem. A claim that went out clean through Claim Submission & Scrubbing can still sit unpaid, so this work starts where Payment Posting leaves off, the moment a claim is outstanding, and feeds the rest of the back end: when a claim comes back denied it routes to Denial Management, and when a claim is paid short of contract it routes to Underpayment Review. The goal is the same one we hold across the whole cycle: nothing ages out, and no earned dollar gets left with the payer.
84%
Collection on AR >90 Days (documented case)
One documented engagement: 375 accounts averaging 224 days old, because aged claims get paid when someone actually works them.
52 to 31
Days in AR
~40% reduction, top-quartile against an industry average of roughly 45-50 days (MGMA/HFMA) and worsening.
Named
Specialists on Your AR
Real people, accountable to you by name. Technology helps them prioritize and flags what's stalled, but people do the work.
Documented results; improvements are measured against your own baseline. See how we measure
Insurance A/R Follow-Up FAQs
How is insurance AR follow-up different from denial management?
AR follow-up is proactive. It works claims that are outstanding but haven't been adjudicated yet: pended claims, hold queues, and no-response claims that are aging. Denial management is what happens once a payer returns a denial with a reason code. KeyMed does both, and they hand off to each other: AR follow-up chases the claim so it doesn't age out, and when a denial does come back it routes to the denial team for root-cause and appeal.
How does technology fit into your AR follow-up?
It handles the repetitive part: flagging the claims that have stalled, pended, or gone unanswered across payer portals and clearinghouse responses, including small-balance claims that are uneconomical to surface by hand. That keeps our specialists working resolutions instead of hunting for which claims need attention. People own the work: named specialists make the payer calls, handle the escalations and exceptions, and are accountable for the result. The technology supports them. It doesn't replace them.
Will you work low-dollar and small-balance claims?
Yes. Low-dollar claims are usually the first thing a stretched billing team stops working, and in aggregate they're real revenue. Because the engine makes status-checking and prioritization economical at any balance, a small claim gets the same systematic follow-up as a large one.
How do you keep claims from crossing timely-filing deadlines?
We track filing and appeal windows by payer and prioritize at-risk claims first, so the accounts closest to a deadline get worked before the ones with time to spare. Once a timely-filing window closes the revenue is unrecoverable, so protecting that clock is built into how the aging buckets are worked.