Medical AR Management
Medical Accounts Receivable Management and AR Recovery Services
Unpaid claims do not age well. ClainetRCM works your full insurance and patient AR on a 14-day cycle, appeals underpayments, and sends corrected claims back out within 24 to 48 hours. Share your aging report under a signed BAA and we will show you which balances are still collectible.
- AAPC and AHIMA certified coders
- HIPAA compliant, BAA signed
- Practices in all 50 states
- No setup fee, no long-term contract
Last updated .
What Is AR Follow-Up in Medical Billing?
Accounts receivable (AR) in medical billing is the money payers and patients owe your practice for services already delivered. AR follow-up is the work of chasing it: checking claim status, fixing and resubmitting rejected claims, appealing denials, disputing underpayments and collecting patient balances.
Medical accounts receivable management matters because unpaid claims have deadlines. Every payer sets a timely filing limit and an appeal window. Once those pass, a claim that should have paid becomes a write-off, no matter how clean it was.
AR recovery services are the focused version of the same work, aimed at balances that have already aged: the 90-day and 120-day buckets that built up while your team was busy with new claims.
How We Work Your AR Aging Report
Every bucket gets a different approach. The goal is to resolve claims before they move one column to the right.
| Aging bucket | What it usually means | What we do |
|---|---|---|
| 0 to 30 days | Claims are in normal processing | Confirm the payer received each claim and fix clearinghouse or payer rejections right away |
| 31 to 60 days | Past the normal payment window | Check status by portal or phone, answer requests for records, and release claims that are pended |
| 61 to 90 days | At risk of becoming old AR | Escalate with the payer, send corrected claims, and file first-level appeals on denials |
| 91 to 120 days | Filing and appeal deadlines are getting close | Prioritize by deadline and balance, and pursue second-level appeals where the first appeal was denied |
| Over 120 days | Old AR, often inherited or stranded | Sort what is still collectible from what is past filing or appeal limits, recover what can be recovered, and give you a documented write-off recommendation for the rest |
Accounts Receivable Management Services
AR services for healthcare providers, from the first status check to cleanup of old balances.
Insurance AR Follow-Up
Systematic follow-up on every unpaid claim by portal and phone, with claim status, payer reference numbers and next steps recorded on the account.
Underpayment Recovery
Payments are compared with your contracted rates. When a payer pays less than the contract allows, we dispute it instead of posting it as an adjustment.
Denial Appeals
Root cause identified, corrected claim or appeal letter prepared, supporting records attached and the appeal tracked to a decision. See denial management.
Old AR Recovery Projects
One-time cleanup of aged receivables after staff turnover, a system change or a billing company switch, without handing over your current billing.
Patient Balance Follow-Up
Statements, reminders and payment-plan setup for patient responsibility, handled courteously. We are not a collection agency, and we tell you when an account is ready for yours.
Payment Posting and Reconciliation
ERA and EOB posting, adjustment review, credit balance resolution and reconciliation against deposits, so your AR reflects reality.
Our AR Management Process
AR assessment
After a BAA is signed, you share your current aging report. We break it down by payer, age, balance and denial reason, and tell you what is realistically collectible.
Prioritization
Accounts are ranked by filing deadline, appeal deadline, dollar value and likelihood of payment.
Follow-up and correction
We call payers, work portals, send records, and refile corrected claims within 24 to 48 hours.
Appeals
Denials and underpayments are appealed with the documentation each payer requires, and followed until there is a decision.
Posting and reconciliation
Recovered payments are posted and adjustments are verified, so balances are accurate.
14-day review and monthly report
The full aging report is reworked every 14 days, and each month you see which accounts moved and which payers are stalling.
Why Choose ClainetRCM for AR Management
A fixed 14-day cycle
No balance is left untouched for months. Every open account is reviewed on a schedule.
People who understand the claim
Follow-up is backed by AAPC and AHIMA certified coders who can read the EOB, find the coding or eligibility error and fix it, instead of only asking the payer for status.
Underpayments are pursued
We check what was paid against what your contract says, and dispute the difference.
Notes on every account
Follow-up notes and payer reference numbers are documented, so you can see what was done and when.
Simple pricing
Pricing starts at 2.29% of monthly collections, with no setup fee and no long-term contract.
HIPAA compliant
BAA signed before we touch a single account, with encrypted, access-controlled systems.
AR Recovery Services for Practices in All 50 States
Filing limits, appeal levels and prompt-pay rules differ by payer and by state. Medicare claims must be filed within one calendar year of the date of service. Commercial and Medicaid managed care deadlines are set by contract and are often much shorter.
ClainetRCM provides healthcare accounts receivable management nationwide and tracks the deadlines of the payers in your state, so appeals are filed while they still count.
Find your state
AR management by specialty
Medical AR Management: Frequently Asked Questions
What is AR follow-up in medical billing?
AR follow-up is the process of pursuing unpaid and underpaid claims after they are submitted. It includes checking claim status, correcting and resubmitting rejected claims, appealing denials, disputing underpayments and collecting patient balances.
When should a practice use AR recovery services?
Consider AR recovery services when balances over 90 days keep growing, when staff have no time to call payers, after a biller leaves, or after a software or billing company change that left old claims unworked.
Why do recovery rates drop after 90 days?
Because deadlines start to expire. Payers set timely filing limits for corrected claims and fixed windows for appeals. Medicare, for example, requires a redetermination request within 120 days of the initial determination. The older a claim gets, the fewer options remain.
How are claim rejections handled differently from denials?
A rejection means the claim never entered the payer's system, usually because of a formatting, ID or eligibility error. It is corrected and resubmitted as a new claim. A denial means the payer processed the claim and refused payment, so it needs a corrected claim or a formal appeal.
How do you prioritize aged claims?
By deadline first, then by value and likelihood of payment. A high-balance claim two weeks from its appeal deadline is worked before a small claim with months left.
Can you clean up old AR without taking over all of our billing?
Yes. Old AR recovery can be handled as a standalone project. Your team keeps current billing, and we work the aged balances and report on what was recovered.
What is a good number of days in AR for a medical practice?
A commonly cited target is under 40 days, with AR over 90 days kept to no more than roughly 15% to 20% of total receivables. Benchmarks vary by specialty and payer mix, so we measure progress against your own baseline.
What reports do we receive?
A monthly report showing AR aging by payer, accounts resolved, recoveries, open appeals and the payers or denial reasons causing delays.
Find Out What Your AR Is Really Worth
Share your current AR aging report under a signed BAA. We will show you which buckets are still collectible, which payers are stalling, and what it would cost to work them, starting at 2.29% of monthly collections with no setup fee and no long-term contract.