Unworked denials and aging claims are money your practice has already earned. We sort denials by reason, call the insurer when the portal does not explain enough, file appeals for incorrect denials, and work your oldest unpaid claims first.
Denial management is the work of finding out why an insurer refused to pay a claim, fixing the cause, and getting the claim paid through a corrected claim, a reconsideration or an appeal. AR follow-up is the related work of chasing claims that have not been paid or answered, so they do not age past the payer's deadlines. AR stands for accounts receivable: money owed to the practice.
We start by sorting denials by reason, such as a missed timely filing limit, a missing authorization or an absent referral, because each reason has its own fix and each payer has its own rules. We review the denial in the insurance portal, and call the insurer when we need more detail. On the call we explain the issue, ask how it can be resolved, and request a review when one is appropriate.
For denials we believe are wrong, we file an appeal through the payer portal with supporting documents. For AR follow-up we use your AR ledger to find outstanding claims, check their status and age, and work the oldest first. Every action and every call reference number is logged in your system, so you can see what was done on any claim.
Each claim ends with a clear outcome: corrected and resubmitted, appealed, sent for payer review, or a named next action.
| Task | Average time |
|---|---|
| Simple denial, first action | 15 to 30 minutes |
| Complex denial, first action | 30 to 45 minutes |
This is hands-on time per item, not a promise of when your whole queue is cleared. Queue timing depends on your volume and is agreed with you at the start.
Using something else? Tell us which system you use. We will say plainly whether we have worked in it before.
Our parent company, Hire My Assistants KPO LLP, is HIPAA compliant.
We sign the Business Associate Agreement your practice or plan uses, before any access is set up.
We work directly in your billing or claims system, or through the VPN or virtual desktop you provide. We never download or store patient data.
Restricted, monitored workstations, multi-factor login, encrypted devices, and access logs. No phones or writing material on the floor.
Every team member passes police verification and an outside background check, and completes HIPAA training when they join the team.
Tell us how many open denials you have, how old your AR is and which payers deny most. We reply within one business day.