SpectrumBillings

The recovery process needs to account for these differences.

Spectrum Billings supports multiple specialties and uses certified billing professionals to review claims according to their specific requirements.

A Practical Case Study

Consider a fictional multi-provider specialty practice that has accumulated a large number of unpaid insurance claims.

The practice's internal team submits new claims every week, but employees also handle patient calls, insurance verification, payment posting, and front-office responsibilities. As the workload increases, older claims receive less follow-up.

The practice notices that its accounts receivable report contains a growing number of balances older than 90 days.

When Spectrum Billings reviews the accounts, our team separates the balances by payer, age, claim status, and denial reason. Some claims are found to be pending with the payer. Others contain issues that require correction. Several denied claims have documentation that can support an appeal.

Rather than treating the entire AR balance as one group, our specialists assign the appropriate next action to each account.

Pending claims receive payer follow-up. Correctable claims are prepared for resubmission. Appropriate denied claims move through the appeal process. Older accounts receive additional review based on their status and recovery potential.

The practice also receives clearer reporting, allowing its management team to see where unpaid revenue is concentrated.

This type of review can help a practice understand not only how much money remains outstanding, but also why it remains outstanding.

Preventing New AR From Building Up