Where revenue leaks
Most commonNo-response claims
Why it happens
Payer never adjudicated; claim lost in transit
How we stop it
Early status checks catch silence before 30 days
Service · Aged receivable recovery
A/R Follow-Up Services
Aged A/R doesn't resolve itself. It decays.
Every claim that sits unpaid past its aging window is money your practice has already worked for. Our accounts receivable follow-up services reopen the stalled claim, force a resolution from the payer, and convert dormant receivables into posted cash before the window closes for good — with net collections near 99%, days in A/R held under 25, and every touch logged on a live dashboard.
HIPAACompliant
SOC 2Type II
< 25 daysIn A/R
Every dayNot when there's time
One aging report
Recovery queue · Live
Difficulty of collectionrises with every bucket
routinepast appeal, past filing
Aged A/R does not resolve itself
It decays
JUMPS THE QUEUE High-dollar claims
JUMPS THE QUEUE Anything near a timely-filing limit
Every touch loggedNet collections ~99%
What our A/R follow-up recovers
No-response claims
Underpayments
Pended-for-information claims
Abandoned small balances
Aging patient balances
01Already worked for, never collected
The revenue you already earned but never collected
Charges were captured, care was delivered, and the claim went out the door — yet the payment never arrived, and no one circled back. That gap is where most practices quietly lose six and seven figures a year. Claims stall in adjudication, get lost at the clearinghouse, sit in a "pending information" queue, or slip past a timely-filing deadline while the front desk fights today's fires.
Track 01
Insurance A/R
A payer-accountability problem. The money is owed under a contract, and the work is forcing the payer to adjudicate, pay the contracted rate, or state a reviewable reason.
Worked by payer cadence and escalation
Track 02
Patient A/R
A communication and cadence problem. The balance is legitimate, but it will not collect itself without clear statements, plain-language explanation of what insurance did and did not cover, and a consistent follow-up rhythm.
Worked with statements and payment plansThe longer a balance ages, the harder it is to collect. A claim worked at 30 days is routine; the same claim at 120 days may be past appeal, past timely filing, or written off out of fatigue. A common reason aged receivables balloon is treating insurance balances and patient balances as one undifferentiated pile — they behave completely differently and demand different tactics. We run both tracks in parallel.
02Effort matched to age and dollar value
What our A/R follow-up recovers
We work receivables bucket by bucket, matching effort and urgency to the age and dollar value of each balance. The framework below shows how we triage an aging report so the highest-yield, most time-sensitive claims are worked first.
| Aging bucket | Priority | Primary action | Typical outcome |
|---|---|---|---|
| 0-30 days | Monitor | Confirm receipt and adjudication status; flag no-response claims early | Prevents claims from ever aging |
| 31-60 days | Active | Payer follow-up call or portal check; resolve pending-info requests | Claim moves to payment or correction |
| 61-90 days | High | Root-cause the delay; resubmit, correct, or escalate; protect timely filing | Recovered before the appeal window narrows |
| 90+ days | Urgent | Formal escalation, supervisor review, appeal where warranted | Recovers "at-risk" aged revenue |
| 120+ days | Critical | Last-window recovery, documented write-off decisioning | Cash recovered or clean, defensible closure |
| Patient balances | Continuous | Statement cadence, balance clarification, plan setup | Reduces patient A/R and bad debt |
High-dollar claims and any claim approaching a payer's timely-filing limit jump the queue regardless of bucket, because a single large claim lost to a filing deadline can outweigh a week of small-balance work. This is the discipline most in-house teams cannot maintain: when everything feels urgent, the aging report gets worked oldest-first or alphabetically instead of by financial impact. We work it by financial impact, every day, so the dollars that are hardest to replace are always protected first.
The small-balance strategy most billers skip
Low-dollar claims are where recovery discipline quietly breaks down — because of one uncomfortable fact.
$22
costs this much to work$2,200
costs almost the sameSo busy teams deprioritise small balances until they age out and get written off
Individually they look trivial; in aggregate, across thousands of encounters a year, abandoned small balances are a serious annual leak. Our small-balance strategy handles them in batches — grouped by payer and denial or delay reason so a single corrective action or bulk resubmission clears many claims at once, rather than one expensive phone call at a time.
03Relentless, unglamorous, always deprioritised
Outsource A/R follow-up without losing control of your cash
Not carelessness
Most practices do not have a denial or A/R backlog because their staff is careless — they have one because follow-up is relentless, unglamorous, and always loses to patient-facing work. When you outsource accounts receivable follow-up to a specialist billing company, you get a team whose entire job is to work the aging report every single day, not when there is a spare hour.
Not a black box
Outsourcing this function to 247 Medical Billing Services does not mean handing over the keys and hoping. You keep full visibility through the reporting dashboard, approve write-off thresholds, and see every touch logged against every claim. As an experienced medical billing services company, we bring payer-specific playbooks, disciplined cadence, and the staffing depth to attack a 90+ day backlog head-on — the three things an in-house desk almost never has all at once.
Pays for itself
An in-house A/R desk carries salary, benefits, software seats, training, and the hidden cost of turnover — and it still competes with front-desk priorities every day. When you outsource to a specialist billing company, that overhead becomes a predictable cost tied to recovered dollars, and the capacity flexes with your volume instead of your hiring cycle. Practices that outsource A/R follow-up typically recover revenue that was already being silently written off, so the engagement frequently pays for itself out of money the practice had given up on.
Revenue review
How much of your aging report is still recoverable?
We start with a review of your current aging report to quantify recoverable revenue and identify the biggest leaks — before you commit to anything.
- Aged balances sized by bucket, payer and dollar value
- Claims approaching a timely-filing deadline flagged
- Underpayments compared against your contracted rates
HIPAA & SOC 2 Type II
Back within one business day
You set the write-off thresholds
Request a Revenue Review
Tell us about your backlog.
An A/R recovery lead will reach out within one business day.
Thanks — we've got it.
An A/R recovery lead will reach out within one business day.
04Not worked by making random calls
Our recovery workflow
Aged A/R is not worked by making random calls. It is worked by a repeatable process that finds the reason each claim stalled and applies the correct fix.
- 01Segment
Aging analysis and segmentation
We pull your full aging report and segment it by bucket, payer, dollar value, and timely-filing risk, so the queue is prioritized before a single claim is touched.
- 02Diagnose
Root-cause identification
For each open claim we determine why it is unpaid — never received, pended for information, denied, underpaid, or misrouted — using payer portals, clearinghouse status, and remittance detail rather than guesswork. Where a denial is the root cause, we coordinate with our denial management services.
- 03Chase
Payer follow-up cadence
We contact payers on a disciplined schedule — portal first, call when required — and document reference numbers, representative names, and promised actions so nothing depends on memory or a sticky note.
- 04Resolve
Resolution and resubmission
We correct and resubmit, supply requested documentation, or escalate to a supervisor or appeal, matching the action to the root cause and the remaining timely-filing window.
- 05Close
Post, reconcile, and close the loop
Recovered payments flow into accurate posting through our payment posting services, and recurring stall patterns are fed back upstream so the same claims stop aging in the first place.
05A/R follow-up is really leak repair
The leaks we close
These are the recurring reasons revenue gets stuck — and how our recovery process seals each one.
Where revenue leaks
Missed timely filing
Why it happens
Claim aged past the payer's submission deadline
How we stop it
Filing-deadline flags force at-risk claims to the top
Where revenue leaks
Underpayments
Why it happens
Paid below contracted rate, accepted as full
How we stop it
Contract-rate comparison detects and appeals shortfalls
Where revenue leaks
Pended for information
Why it happens
Payer request buried in a queue, never answered
How we stop it
Documentation supplied within cadence, not weeks later
Where revenue leaks
Small balances abandoned
Why it happens
Low-dollar claims deprioritized until written off
How we stop it
Batch small-balance strategy recovers in aggregate
Where revenue leaks
Patient balances aging
Why it happens
No consistent statement or follow-up rhythm
How we stop it
Structured patient A/R cadence with clear balance communication
Where revenue leaks
Stalled 90+ backlog
Why it happens
In-house team never has time to reach old claims
How we stop it
Dedicated recovery team works oldest, highest-risk first
06Recovery is a core discipline
Why providers trust 247MBS with aged A/R
Not a general back office that touches A/R between other tasks.
Our outcomes reflect it: net collection near 99%, days-in-A/R held under 25, and a 98% client retention rate that says practices stay once the cash starts flowing. Every engagement runs on a foundation of a 99% clean-claim rate, within-24-hour submission on new claims, and up to 90% recovery on denials that surface during follow-up. We are HIPAA-compliant and SOC 2 Type II certified, HBMA members, and staffed by AAPC- and AHIMA-certified coders and seasoned A/R specialists — a professional team with 20+ years of payer-side experience behind every call.
- DAILYThe aging report is worked every dayNot when a spare hour appears.
- IMPACTQueued by financial impactDollar value, filing risk, then bucket.
- LOGGEDEvery touch logged against every claimReference numbers, names, promised actions.
- YOURSYou approve the write-off thresholdsClosure is a decision, not a default.
Practices stay once the cash starts flowing
What a dedicated recovery engine produces:
~0%
Net collection
<0
Days in A/R
0%
Clean-claim rate on new claims
up to 0%
Recovery on denials found during follow-up
0 hrs
Submission window on new claims
0%
Client retention
07It shows up on your aging report
Specialist vs. generalist recovery
Not all follow-up is equal. The difference between a dedicated recovery specialist and a generalist billing company shows up directly on your aging report:
Dimension
Generalist / in-house desk
247MBS A/R specialists
When A/R gets workedFollow-up always loses to patient-facing work.
Whenever there's spare time
Every day, by prioritized queue
PrioritizationWhen everything feels urgent, nothing is ranked.
Oldest-first or random
Dollar value, filing risk, and bucket
Root-cause depthA resubmission without a diagnosis just ages again.
Resubmit and hope
Diagnosed cause before action
Small balancesTrivial alone, a serious leak in aggregate.
Usually abandoned
Batched recovery strategy
Timely-filing protectionOne large claim can outweigh a week of small work.
Frequently missed
Deadline-flagged and escalated
VisibilityNothing should depend on a sticky note.
Sporadic reporting
Live 360° dashboard, every touch logged
Days in A/RThe single number that says whether it's working.
Often 40-60+
Driven under 25
08Scales to the volume in front of it
Who we serve
Our accounts receivable follow-up services support solo physicians, group practices, multi-specialty clinics, hospitals, ambulatory surgery centers, and billing companies that need overflow recovery capacity. We work across specialties — behavioral health, primary care, urgent care, anesthesiology, nephrology, pain management, telehealth, and more — adapting the follow-up cadence to each specialty's payer mix and denial patterns.
Post-migration backlogs
Practices carrying a fresh backlog from a system migration, where claims stalled during the cutover and nobody has caught up since.
What decides recoverySpeed before filing windows close
Accumulated aged A/R
Groups with years of accumulated aged receivables, where the 90+ bucket has never had a dedicated owner.
What decides recoveryWorking oldest, highest-risk first
Hospitals & ASCs
High-volume facility receivables where a single large claim lost to a deadline outweighs a week of small-balance work.
What decides recoveryProtecting the largest balances
Billing companies
Companies needing overflow recovery capacity that flexes with volume rather than with a hiring cycle.
What decides recoveryCapacity on demand
09Deliberately low-friction
Onboarding
Getting started is deliberately low-friction — and adds capacity without disrupting your team.
We size the opportunity
We begin with a review of your current aging report to quantify recoverable revenue and identify the biggest leaks.
You set the rules
We agree on write-off thresholds, priority rules, and reporting cadence, then securely connect to your practice-management or EHR system.
Oldest claims first
Within the first weeks our specialists are already working your oldest, highest-risk claims.
You see progress on the dashboard from day one — whether you engage us for A/R follow-up alone or as part of broader billing services.
They are the systematic process of tracking, chasing, and resolving every unpaid insurance and patient claim on your aging report — identifying why each balance is unpaid, working payers on a set cadence, and converting aged receivables into posted cash before timely-filing windows close.
A/R follow-up pursues all open balances by age and value — including claims that were simply never paid or are underpaid — while denial management focuses specifically on denied claims. The two work together; see our denial management services for the denial-specific program.
Payment posting records payments that have already arrived and reconciles remittances. A/R follow-up is the upstream chase that makes those payments arrive in the first place. Explore payment posting services for the reconciliation side.
Our target is days-in-A/R under 25, alongside net collections near 99%. Actual timelines depend on your starting backlog and payer mix, which the initial review assesses.
Yes. We work insurance receivables by aging bucket and manage patient balances with a structured statement and communication cadence to reduce patient A/R and bad debt.
Absolutely. Many practices outsource A/R follow-up as a standalone recovery engagement, then expand to full-cycle billing once they see the cash impact.
segment·root-cause·chase·resolve·post
Reverse the decay on revenue you already earned.
A claim worked at 30 days is routine; the same claim at 120 days may be past appeal, past timely filing, or written off out of fatigue. Hand the aging report to a team whose entire job is working it every single day — by financial impact, with every touch logged, and with the write-off thresholds still yours to set.
Related: denial management · payment posting · full revenue cycle management