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 91–120 days before even sending a patient balance to collections. Svizzera works your full AR aging report every week, by bucket, by payer, and by root cause.
Full AR aging worked weekly · 0–90+ buckets
EDI 276/277 + portal + phone follow-up
Works inside your existing EHR / PM system
HIPAA-focused · BAA provided at onboarding
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 0–30, 31–60, 61–90, 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.
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.
Your AR Workflow
From Aging Report to Collected Revenue
Systematic weekly follow-up ensuring no aging claim is left unresolved or written off prematurely.
AR Aging Report Pull & Segmentation
Full AR report pulled from your EHR or practice management system and segmented into 0–30, 31–60, 61–90, and 90+ day buckets by payer and claim type.
Claim Status Verification
Every aging claim checked via EDI 276/277 claim status transactions, payer web portals, and direct phone follow-up — confirming status in adjudication.
Denial Root Cause Tracing & Resubmission
Denied claims are traced to a specific root cause, corrected, and resubmitted or appealed within payer timely-filing windows.
Payer Variance & Underpayment Recovery
Payments are checked against each payer’s contracted fee schedule. Underpayments generate a dedicated recovery worklist rather than default write-offs.
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 reach MGMA benchmarks.
more revenue collected per claim by practices that conduct quarterly payer variance reviews compared with those that don't.
Source: HFMA 2024 Revenue Cycle Survey. Specific outcomes vary by practice type, payer mix, and current AR condition.
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.
Weekly Aging Bucket Discipline
Every claim in your 0–30, 31–60, 61–90, and 90+ day buckets is reviewed weekly, not monthly — catching claims before they cross into the 90+ day bucket where recovery odds drop sharply.
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 — multiple verification channels instead of relying on a single method per claim.
40+ Payer Protocols Supported
All major commercial payers, Medicare Advantage plans, Medicaid MCOs, and 40+ regional carriers — each with their own claim status workflows, appeal timelines, and follow-up documentation requirements.
HIPAA-Focused · 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.
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.
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.
MAJOR PAYERS WE SUBMIT TO
Frequently Asked Questions
Answers to the most common questions healthcare organizations ask before partnering with Svizzera.