๐ŸŸข Trusted by Healthcare Teams โ€ข 40+ Payers โ€ข HIPAA Secure

Accounts Receivable Management & AR Follow-Up Services

Stop Letting Earned Revenue Age Into a Write-Off

The MGMA benchmark for Days in AR is under 40 days, yet an MGMA Stat poll of 519 medical groups found 42% of practices wait 91โ€“120 days before even sending a patient balance to collections and every unworked denial ages a claim further from its original date of service. Svizzera works your full AR aging report every week, by bucket, by payer, and by root cause, so earned revenue gets collected instead of written off.

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OUR AR MANAGEMENT SERVICES

Every Aging Claim We Work for Your Practice

A complete accounts receivable workflow aging buckets worked weekly, denials traced to root cause, and underpayments recovered, all documented in your EHR.

AR Aging & Bucket Management

Your full AR report segmented into 0โ€“30, 31โ€“60, 61โ€“90, and 90+ day buckets and worked on a structured weekly cadence, prioritizing claims with the highest probability of recovery before they age further.

Insurance Claim Status Follow-Up

Every pending claim tracked through EDI 276/277 claim status transactions, payer web portals, and direct phone follow-up confirming where a claim sits in adjudication and what action is needed next.

Denial-Linked AR Recovery

When a claim is denied, the root cause is identified, the claim is corrected, and a resubmission or appeal is filed closing the loop between denial management and AR recovery instead of letting denials sit unworked.

Underpayment & Payer Variance Recovery

Payments are compared against each payer’s contracted fee schedule to flag underpayments. Discrepancies generate a follow-up worklist so contractually owed revenue isn’t quietly written off.

Patient AR & Self-Pay Follow-Up

Patient balances co-pays, deductibles, and coinsurance remaining after insurance adjudication are followed up through statements, calls, and payment plan coordination before accounts age past recovery.

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Aged AR Backlog Cleanup

For practices with a legacy AR backlog, we run a dedicated cleanup project auditing every claim over 90 days, distinguishing collectible from non-collectible balances, and working the recoverable portion to closure.

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MAJOR PAYERS WE SUBMIT TO

UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers

HOW IT WORKS

Your AR Workflow From Aging Report to Collected Revenue

1

AR Aging Report Pull & Segmentation

Full AR report pulled from your EHR or practice management system and segmented into 0โ€“30, 31โ€“60, 61โ€“90, and 90+ day buckets by payer and claim type, so follow-up effort is directed at the highest-value, most-recoverable claims first.
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2

Claim Status Verification

Every aging claim checked via EDI 276/277 claim status transactions, payer web portals, and direct phone follow-up โ€” confirming whether a claim is in process, denied, underpaid, or simply lost in queue.

3

Denial Root Cause Tracing & Resubmission

Denied claims are traced to a specific root cause, corrected, and resubmitted or appealed within payer timely-filing windows โ€” preventing claims from aging into the 90+ day bucket unworked.

4

Payer Variance & Underpayment Recovery

Payments are checked against each payer’s contracted fee schedule. Underpayments generate a dedicated recovery worklist rather than being accepted as payment-in-full by default.

5

Monthly AR Trend Reporting & Aging Reduction Plan

Monthly reporting shows Days in AR trend, AR distribution by aging bucket, top denial-driving payers, and a prioritized plan to bring AR performance toward MGMA benchmark levels.

INDUSTRY INSIGHT

8โ€“12%

more revenue collected per claim by practices that conduct quarterly payer variance reviews compared with those that don't the most effective documented lever for underpayment recovery.

Source: HFMA 2024 Revenue Cycle Survey. Specific outcomes vary by practice type, payer mix, and current AR condition.

WHY SVIZZERA

Six Reasons Our AR Service Reduces Days in AR

Not a once-a-month aging report review. A systematic weekly AR follow-up workflow that treats every aging claim as recoverable revenue until proven otherwise.

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Weekly Aging Bucket Discipline

Every claim in your 0โ€“30, 31โ€“60, 61โ€“90, and 90+ day buckets is reviewed weekly, not monthly โ€” catching claims before they cross into the 90+ day bucket where MGMA data shows recovery odds drop sharply.

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EDI 276/277 & Payer Portal Coverage

We use electronic EDI 276/277 claim status transactions and direct payer web portal access alongside phone follow-up โ€” multiple verification channels instead of relying on a single method per claim.

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40+ Payer Protocols Supported

All major commercial payers, Medicare Advantage plans, Medicaid MCOs, and 40+ regional carriers โ€” each with their own claim status workflows, appeal timelines, and follow-up documentation requirements.

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HIPAA-Focused ยท BAA First

A Business Associate Agreement is signed before any PHI is accessed. All team members are HIPAA-trained. Encrypted communications, role-based access, and audit trail maintenance are standard across all AR follow-up work.

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Named Dedicated AR Team

The same AR specialists work your practice’s aging report every week learning your payer mix, your highest-friction payers, and your EHR’s claim documentation conventions for consistent, practice-specific recovery.

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Monthly AR Trend & Root-Cause Reporting

Monthly reports show Days in AR trend, AR aging distribution, top denial-driving payers, and underpayment recovery totals so leadership sees AR performance moving toward MGMA benchmark levels, not just a balance number.

FAQ

Frequently Asked Questions

Answers to the most common questions healthcare organizations ask before partnering with Svizzera.

How long does onboarding take?

Most healthcare teams are operational within 5 to 10 business days depending on payer complexity and documentation requirements.

No. Svizzera works inside your existing workflows without requiring a major software migration.

We support major commercial payers, Medicare Advantage plans, Medicaid MCOs and regional carriers.

Yes. We prepare first-level appeals with supporting documentation and payer follow-up.

Yes. HIPAA-focused processes and Business Associate Agreements are provided during onboarding.

Turn Your Aging AR Into Collected, Bankable Revenue

Free 30-minute consultation. We review your AR aging report, current Days in AR, and denial patterns, and show you exactly how Svizzera would operate as your dedicated accounts receivable partner.