A/R Recovery Services for Healthcare Practices in USA

Unpaid claims can sit in your accounts receivable for weeks or months without getting the attention they need. A claim may have denied, stalled in payer processing, paid below the expected amount, or simply reached the point where someone needs to make the next call.

Medaura Medical Billing provides A/R recovery services that help healthcare practices work through those outstanding balances and recover revenue that still has a reasonable path to payment.

Our team reviews aging A/R, identifies the reason each balance remains open, contacts payers, corrects claim issues, submits appeals when appropriate, follows up on pending claims, and tracks each account until it reaches a clear resolution.

Recover More from Your Existing A/R

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Your A/R Should Tell You Where the Money Is

A large A/R balance does not always mean the same thing.

One account may need a corrected claim. Another may need a payer call. A third may have a valid denial that requires an appeal. Another account may have reached the patient responsibility stage.

Treating all outstanding balances the same wastes time.

Medaura starts with the reason behind the balance.

We segment your A/R by age, payer, claim status, denial reason, balance, specialty, and recovery opportunity. That gives our team a practical way to decide what needs attention first and what action each account requires.

What Our A/R Recovery Team Handles

Medaura can manage the full recovery process for outstanding insurance and patient balances.

Aged A/R Recovery.We work through older unpaid accounts that have remained unresolved after the normal billing cycle. Our team reviews the claim history, payer responses, previous follow up, and documentation before deciding what action makes sense.
Insurance A/R Follow Up.We contact payers regarding claims that remain unpaid, pending, delayed, denied, or incorrectly processed. Follow up includes reviewing claim status, identifying payer requests, documenting conversations, and moving the claim toward the next appropriate step.
Denied Claim Recovery.A denial does not always mean the revenue is lost. We review the denial reason, determine whether the claim needs correction, additional documentation, reconsideration, or appeal, and route the account through the appropriate recovery process.
Underpayment Recovery.A payer can process a claim without paying the amount your practice expected. We compare payment information with the applicable reimbursement terms and claim details to identify potential underpayments for further review.
No Response Claim Follow Up.Some claims remain unresolved because the payer never gives your team a useful answer. We follow up on outstanding claims and document payer responses so accounts do not remain in limbo.
Corrected Claim Submission.When a claim needs a correction, we identify the issue and coordinate the appropriate corrected submission instead of continuing to chase the original claim.
Appeals and Reconsiderations.When the payer denies a claim and the account has a valid basis for further review, our team can prepare the appropriate appeal or reconsideration workflow using the available documentation.
Secondary Insurance Follow Up.When primary insurance processes a claim and a valid secondary balance remains, we help identify the next billing step and follow the account through secondary payer processing.
Patient A/R Recovery.Not every outstanding balance belongs with the payer. Once insurance processing ends, we help practices identify patient responsibility and move eligible accounts into the appropriate patient billing workflow.
Credit Balance and A/R Cleanup.We also identify unusual balances, duplicate payments, credits, and other account conditions that can distort your A/R reporting.

How Medaura Recovers Aging A/R

We don't treat a 30-day account and a 180 day account the same way. Each aging category requires a different approach.

0 to 30 Days

Recent balances often need routine claim status monitoring, payment posting, or correction before they become older A/R.

31 to 60 Days

Our team reviews unpaid claims that have passed the normal payment window and begins targeted payer follow up.

61 to 90 Days

Older balances receive closer review for denials, missing information, payer issues, underpayments, and unresolved claim status.

91 to 120 Days

At this stage, we examine the complete claim history and determine whether the account needs correction, appeal, payer escalation, or another recovery action.

120+ Days

Older A/R requires a more detailed review. We look at the original claim, payer responses, previous billing activity, documentation, timely filing considerations, denial history, and available recovery options before deciding what to do next.

Our A/R Recovery Process

Medaura uses a structured recovery workflow so your outstanding balances do not simply move from one aging bucket to another.

Step 1

Analyze Your A/R

We begin with your aging report and supporting claim information. We examine:

Payer
Patient
Date of service
Claim age
Outstanding balance
Claim status
Denial reason
Previous follow up
Payment history
Adjustment history

This gives us the information needed to separate recoverable A/R from accounts that require another disposition.

Step 2

Segment Accounts by Recovery Opportunity

We organize accounts based on what they need.

A pending claim may need payer follow up.
A coding related denial may need correction.
A documentation denial may need records.
An underpayment may require payment review.
A patient balance may need patient billing.

This prevents your team from using the same follow up method for every account.

Step 3

Research the Claim History

Before contacting a payer, our team reviews the available claim and account history. We look for previous submissions, payer responses, corrections, denials, payments, adjustments, and notes. That helps us avoid repeating work that someone already completed.

Step 4

Contact the Payer

We follow up with the payer when the account requires direct intervention. The team documents claim status, payer instructions, reference information, pending requirements, and the next action needed.

Step 5

Correct the Problem

If the payer identifies a claim issue, we determine whether the account needs a corrected claim, additional documentation, coding review, eligibility correction, authorization information, or another billing action.

Step 6

Appeal When the Claim Supports It

If the denial has a reasonable basis for reconsideration or appeal, we move the account through the appropriate process. We track the submission and follow up according to the payer's process.

Step 7

Track Every Follow Up

A/R recovery requires persistence. We document payer conversations, submission dates, reference numbers, requested documents, appeal status, and next follow up dates. This creates an account history your practice can review.

Step 8

Close or Escalate the Account

Every account needs a clear outcome.

The claim may pay.
The payer may uphold a denial.
The practice may need to provide documentation.
The balance may move to patient responsibility.
Or the account may require another internal review.

We record the outcome so unresolved accounts do not disappear from view.

Recover the A/R Your Current Billing Process Leaves Behind

Your billing team may submit clean claims and still have thousands of dollars sitting in older A/R.

That happens because revenue recovery continues after claim submission.

A payer may request records.
A claim may deny after adjudication.
A payment may arrive below the expected amount.
A corrected claim may need another submission.
A secondary payer may remain unpaid.
An old account may require an appeal.

Medaura focuses on these later stages of the revenue cycle, where persistent follow up can make the difference between an unresolved balance and recovered revenue.

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Common A/R Problems We Help Resolve

Claims Stuck in Pending Status.We investigate why a claim remains pending and determine what the payer needs before payment can move forward.
Claims Denied for Missing Information.We review the denial and identify the information required for correction, reconsideration, or appeal.
Eligibility Related Denials.We examine coverage information and claim history to determine whether the account needs eligibility correction or another billing action.
Authorization Related Denials.We review available authorization information and determine whether the claim has a viable path for reconsideration or appeal.
Medical Necessity Denials.When documentation and clinical support exist, we help move the account through the appropriate payer review process.
Coding Related Denials.We coordinate with the appropriate coding or billing team when the denial points to a coding issue.
Timely Filing Issues.Older claims require careful review because payer filing limits can affect recovery options. We examine the available claim history and payer information before recommending further action.
Underpaid Claims.We flag payments that appear inconsistent with expected reimbursement for additional investigation.
Unworked Aging A/R.Old balances can lose attention when internal staff spend most of their time handling current claims. Our A/R team works specifically through these aging accounts.

A/R Recovery by Payer Type

Medaura supports practices working with a mix of government and commercial payers.

Medicare A/R

We follow up on outstanding Medicare claims, review remittance information, identify unresolved issues, and move eligible accounts through the appropriate next step.

Medicaid A/R

Medicaid claims can involve state specific rules and managed care organizations. We review the payer response and follow the applicable process for the account.

Medicare Advantage

We work with Medicare Advantage claims that remain unpaid, denied, or underpaid and track the account through the appropriate payer workflow.

Commercial Insurance

Commercial payer A/R often requires payer specific follow up, contract review, claim correction, or appeal work. Our team documents each step.

Workers' Compensation

Where applicable, we can support follow up on workers' compensation accounts and coordinate outstanding claim information with the responsible payer.

A/R Recovery for Different Medical Specialties

Every specialty produces a different claim mix, and that changes the type of A/R problems your team encounters.

Medaura supports A/R recovery for practices including:

Primary Care
Internal Medicine
Cardiology
Orthopedics
Pain Management
Behavioral Health
Psychiatry
Pediatrics
Podiatry
Dermatology
Gastroenterology
Urology
Neurology
Physical Therapy
Occupational Therapy
Chiropractic
Urgent Care
Wound Care
Diagnostic Imaging
Surgical Practices

Our team adjusts the recovery workflow based on your specialty, payer mix, claim volume, and billing system.

Don't Let Aging A/R Become Permanent A/R

A claim does not become uncollectible simply because it has aged.

However, older accounts often become harder to recover because filing deadlines pass, documentation becomes harder to locate, payer information changes, and account histories become more complicated.

That makes timing important.

Medaura works through aging A/R while the practice still has an opportunity to take meaningful action.

A/R Recovery and Denial Management Work Together

Denial management identifies why claims fail.

A/R recovery takes that information and works toward resolution.

For example, suppose a payer denies a $2,500 procedure because it says the required authorization was missing.

Simply recording the denial does not recover the money.

The account needs someone to review the authorization history, check whether the service had valid authorization, gather supporting information, submit the appropriate reconsideration or appeal, and follow up with the payer.

That is where A/R recovery becomes more than ordinary claim follow up.

A/R Reporting That Shows Where Revenue Gets Stuck

You should not have to guess why your A/R continues to grow.

Medaura can organize A/R reporting around the information your billing team needs to act. Reports can include:

A/R by aging bucket
A/R by payer
A/R by provider
A/R by specialty
A/R by denial reason
High balance accounts
Pending claims
Underpayment opportunities
Appeal status
Unresolved claims
Patient responsibility
Credit balances
Recovery activity

This gives your practice a clearer view of where outstanding revenue sits and what your team is doing to recover it.

What Makes Medaura's A/R Recovery Different?

We Start with the Reason, Not the Age

A 90-day claim does not automatically need the same action as every other 90 day claim. We investigate the account before deciding what to do.

We Connect Follow Up with Resolution

Calling a payer and recording "still pending" does not recover revenue. Our team documents what happened and identifies the next action.

We Track Older Accounts

Aging A/R requires consistent follow up. We keep account activity organized so older balances continue moving through the recovery process.

We Separate Recoverable A/R From Dead Ends

Not every balance has the same recovery potential. We review the available information and identify accounts that need correction, appeal, patient billing, or another disposition.

We Give Your Team Visibility

You can see what remains outstanding, why it remains outstanding, and what actions the recovery team has taken.

When Should You Outsource A/R Recovery?

A practice may benefit from dedicated A/R recovery support when:

Your A/R keeps aging
Your billing team has a large backlog
Staff spend most of their time on current claims
Old denials remain untouched
Payers require repeated follow up
Underpayments go unidentified
Appeals sit unfinished
Your A/R reports contain too many unresolved accounts
You lack dedicated A/R staff
Your collections do not match your claim volume

You don't necessarily need to outsource your entire revenue cycle.

Medaura can take over A/R recovery while your internal team continues handling other billing functions.

How We Measure A/R Recovery

Medaura looks beyond the number of phone calls completed.

Useful A/R performance measures can include:

A/R aging
Days in A/R
Collection activity
Recovery by payer
Recovery by aging bucket
Denial recovery
Appeal outcomes
Underpayment opportunities
Unresolved account volume
Claim follow up activity
High balance recovery
Patient balance movement

These measurements help your practice understand whether outstanding revenue is actually moving toward resolution.

A/R Recovery Built Around Your Practice

Every practice has a different payer mix, claim volume, specialty, staffing model, and billing system.

Medaura starts by reviewing your existing A/R instead of forcing your accounts into a generic workflow. We can review:

Your aging report
Payer mix
Outstanding balance distribution
Denial patterns
Current follow up process
Existing billing software
Payment posting workflow
Appeal process
Staff responsibilities
Reporting structure

Then we can build the recovery workflow around the gaps we find.

Get a Clearer Path Through Your Aging A/R

Your A/R report contains more than unpaid balances. It contains claims waiting for action, payer problems, denial patterns, underpayment opportunities, patient balances, and accounts that need a final resolution.

Medaura Medical Billing helps you work through those accounts with a structured recovery process. From payer follow up and claim correction to appeals, underpayment review, and patient balance recovery, our team keeps outstanding accounts moving.

See What Your Aging A/R Can Recover

Send us your basic practice information and we'll review your current A/R situation with you.

Frequently Asked Questions

A/R recovery services focus on outstanding healthcare accounts that have not reached final payment or resolution. The work can include payer follow up, denied claim recovery, corrected claims, appeals, underpayment review, secondary billing, and patient balance follow up.

Denial management focuses specifically on claims that payers have denied. A/R recovery covers a broader group of outstanding accounts, including pending claims, unpaid claims, denials, underpayments, secondary balances, and older patient or insurance A/R.

Yes. Medaura can review aging accounts and determine what recovery options remain available. Older A/R requires careful attention to claim history, payer rules, filing limits, previous follow up, documentation, and the reason the balance remains unpaid.

We can prioritize accounts based on factors such as balance, age, payer, claim status, denial reason, recovery opportunity, and the next action required. High balance accounts and claims with a viable recovery path can receive appropriate attention without ignoring smaller balances that still need resolution.

Medaura can work on eligible denied claims by reviewing the denial reason, claim history, available documentation, and payer requirements. Depending on the circumstances, the next step may involve correction, reconsideration, additional records, or an appeal.

We review the claim status and payer response to determine why payment has not occurred. Depending on the situation, the next action may involve payer follow up, additional documentation, claim correction, or escalation through the applicable process.

A/R recovery helps your practice address revenue that already entered the billing cycle but has not reached final resolution. It can also reveal recurring problems such as payer delays, denial patterns, underpayments, documentation issues, or claim submission problems that your billing team can address earlier in the process.