Service
Medical Accounts Receivable (A/R) Follow-Up Services
Accounts receivable follow-up services targeting aging buckets, payer escalations, underpayments, and unresolved balances — with clear documentation and recovery trends.
Overview
What A/R follow-up covers.
A/R follow-up is the work of getting every unpaid claim to a final answer: paid, corrected and resubmitted, appealed, or written off for a documented reason. LRx Healthcare works open insurance A/R for medical practices, clinics, labs, behavioral health providers, and pharmacies — prioritizing by age, dollar value, and payer, and contacting payers until each claim is resolved.
Aged A/R is rarely one problem. It is usually many small ones: claims the payer never received, claims pending records, underpayments nobody compared to the contract, and denials nobody appealed. We sort the open balance into those categories first, so effort goes where money is still recoverable — starting with claims that are close to a timely filing or appeal deadline.
Denials found during follow-up move into denial management, posting errors into payment posting, and patient balances into patient calling. To see how your A/R is aging before you commit, start with the free billing audit or read our guide on how to read an A/R aging report.
What you get
What’s included.
- Aging bucket prioritization and segmentation
- Payer follow-up with documented call notes
- Underpayment review and recovery
- Patient balance review and statements
- Weekly recovery and trend reporting
Outcomes
What better looks like.
- Lower AR days outstanding
- Higher recovery on older buckets
- Cleaner balance management
- Predictable cash flow
How it works
How we work an aging A/R.
- 1
Aging bands
Open A/R is split into 0–30, 31–60, 61–90, 91–120, and 120+ day bands by payer, so you can see exactly where money is stalling.
- 2
Prioritization
Claims are ranked by dollar value, remaining timely filing or appeal window, and payer behavior, so the most recoverable money is worked first.
- 3
Claim status check
Status is checked through payer portals, electronic claim status responses (276/277), or a call to the payer — received, pending, denied, or paid.
- 4
Resolution
Each claim gets the action it needs: resubmission, corrected claim, records sent, coordination-of-benefits update, or escalation.
- 5
Appeals coordination
Denied claims are routed into the denial workflow with supporting documentation and tracked to a decision.
- 6
Underpayments
Where your fee schedule or contract is available, payments are compared to the expected allowed amount, and underpaid claims are disputed with the payer.
- 7
Documented contact
Every payer contact is logged with the date, call reference number, and next action, so follow-up never restarts from zero.
- 8
Recovery reporting
Weekly recovery and trend reporting shows what was collected, what is still open, and why.
What we need to get started
- A current A/R aging report by payer
- Access to your practice management system and payer portals
- Fee schedules or contracted rates, for underpayment review
- A contact for medical records requests
- A signed Business Associate Agreement before any PHI is exchanged
What your weekly report shows
- Amount collected and still open, by aging band and payer
- Claims resolved this period and how each was resolved
- Underpayments identified and disputed
- Claims at risk of missing a filing or appeal deadline
- Write-offs, each with a documented reason
Related services
Often paired with this service.
Most providers see the biggest gains when these workflows are operated together.
AR Follow-Up guides
Free guides on this topic.
Practical, answer-first guides from the LRx Healthcare revenue cycle team.
How to Reduce Claim Denials: A Prevention-First Guide
How to reduce claim denials: common CARC denial codes and fixes, root causes, a five-step prevention workflow, and the denial metrics to track monthly.
Read the guideHow to Read an AR Aging Report (and Find Where Revenue Leaks)
How to read a medical AR aging report: what each aging bucket means, how to calculate days in AR and net collection rate, and how to prioritize AR follow-up.
Read the guideIn-House vs. Outsourced Medical Billing: How to Decide
In-house vs. outsourced medical billing: true costs, control, staffing risk, the hybrid model, signs it is time to outsource, and how to switch safely.
Read the guideAR Follow-Up FAQ
Common questions about this service.
Quick, direct answers to the questions providers ask most about LRx Healthcare.
Let's get started
Ready to upgrade your AR follow-up workflow?
Request a free consultation or billing audit and we’ll walk you through where this service fits in your revenue cycle.