Insurance Accounts Receivable (A/R) Follow-Up & Recovery

Systematic Aging Tiers, Payer Dispute Resolution & Accelerated Cash Velocity

Aging insurance accounts receivable ties up vital working capital. Intellisight India provides disciplined A/R follow-up teams who comb through open claims across 30, 60, 90, and 120+ day buckets. We directly contact commercial payers, Medicare contractors, and Medicaid plans to resolve stalled claims, underpayments, and unadjudicated balances.

Core Capabilities & Features

  • Aging Bucket Triage & Prioritization

    Segmentation of outstanding receivables by balance size, aging category, and payer timely filing deadlines to focus recovery efforts effectively.

  • Direct Payer Contact & Portal Investigation

    Telephonic and portal outreach to claims adjudicators to identify pending requests for information (RFI), coordination of benefits, or missing attachments.

  • Underpayment & Contractual Allowance Auditing

    Comparing remitted amounts against contracted payer fee schedules to identify and dispute improper short-payments or missing fee adjustments.

  • Credit Balance & Unapplied Payment Resolution

    Auditing overpayments, processing legitimate refunds, and allocating unapplied credits to keep practice balance sheets clean and compliant.

Structured Implementation Process

  1. Step 01

    A/R Aging Ledger Extraction

    Our analysts extract aging reports from your billing system and categorize claims by financial class, payer, and age bracket.

  2. Step 02

    Status Discovery & Payer Linkage

    Electronic 276/277 claim status inquiries and direct payer portal audits are conducted to discover the true adjudication status.

  3. Step 03

    Issue Resolution & Re-adjudication

    Missing information, corrected claims, medical records, or W-9s are submitted immediately to release stalled reimbursement.

  4. Step 04

    Payment Reconciliation & Ledger Balancing

    Recovered funds are posted and reconciled against practice bank deposits with complete audit trails.

Frequently Asked Questions

How do you prioritize which aging claims to work first?

We prioritize claims by balance threshold and payer timely filing deadlines, giving urgent attention to claims nearing appeal or correction expiration dates in the 90+ and 120+ day buckets.

How do you detect payer underpayments?

We load your contracted commercial payer fee schedules into our analysis matrix and flag any paid claim where the remitted allowance is less than the contracted rate.

Does Intellisight handle old or legacy A/R backlogs?

Yes. We frequently execute targeted 'clean-up' campaigns on aged backlogs resulting from system migrations, EHR transitions, or previous staffing shortages.

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