Aging inventory
Sort by payer, provider, date of service, balance and aging bucket so work is prioritized intelligently.
Insurance AR follow-up
Keep unpaid claims moving before aging becomes the normal state.
CareMedox helps practices organize payer follow-up, document claim status, identify the next action and prioritize unpaid balances by age, value, deadline and workability. The focus is not to make repeated status calls—it is to move each workable account toward resolution.
60-, 90-, 120- and 120+ day prioritization
Payer portal and phone follow-up
Action notes, deadlines and escalation tracking
Why this matters
Unpaid does not always mean denied—but it always needs an owner.
Claims can remain unpaid because of payer processing, missing information, coordination of benefits, corrected-claim requirements, denial status, documentation requests or simple lack of follow-up. Without documented action, the same account may be touched repeatedly while important deadlines continue to move.
High-value claims
Escalate larger balances and claims with filing or appeal risk rather than treating every account equally.
Payer communication
Use payer portals and calls, document reference numbers and capture the payer’s stated next step.
Handoffs
Route denials, rejections, missing documentation and practice-dependent issues to the right owner.
Service scope
What CareMedox can manage
AR follow-up is built around a repeatable work queue with clear evidence of what happened on each account.
Aging AR review
Review 30-, 60-, 90-, 120- and 120+ day balances by payer, provider, DOS, claim status and balance.
Priority sorting
Use age, dollar value, remaining deadline, payer status and workability to determine what should be worked first.
Insurance follow-up
Check payer portals and contact payers to confirm receipt, status, processing, payment, denial or missing requirements.
Denial & rejection handoff
Move claims needing correction, resubmission or appeal support into the proper workflow rather than leaving them in AR.
Detailed follow-up notes
Document payer references, actions, expected turnaround, next follow-up date and dependencies.
AR summary reporting
Show leadership which balances are moving, blocked, pending practice input, denied, paid or still at risk.
How the work moves
A clear process from intake to reporting.
Each practice is configured around its actual systems, payer mix, staffing and responsibilities. The sequence below shows the operating logic—not a forced one-size-fits-all workflow.
AR inventory review
Establish the current aging picture and identify missing or outdated follow-up history.
Prioritize 60/90-day risk
Work balances that are old enough to require urgency while also preventing 30-day claims from aging further.
Follow payer status
Use approved payer channels to identify the actual reason the claim remains unpaid.
Document & route action
Record the response, assign the next step and escalate practice-dependent items promptly.
Report movement
Summarize aging movement, problem payers, high-value claims and unresolved risks for management review.
Why CareMedox for this service
The CareMedox principles that matter here.
Different services need different safeguards. These are the CareMedox operating values most relevant to ar follow-up services.
Aging control
CareMedox deliberately focuses on 60–120+ aging while balancing value, deadlines and collectability.
TFL awareness
AR follow-up includes attention to timely filing, corrected-claim and appeal deadlines so aging does not silently become unrecoverable.
Documented visibility
Reference numbers, follow-up notes and next actions reduce duplicate work and give the practice a clearer audit trail.
What your practice gains
Operational improvement you can actually see.
Success depends on payer rules, documentation, practice cooperation and the agreed scope, but the workflow is designed to produce clearer ownership and better visibility.
- Better control of unpaid insurance balances
- Earlier action on 60- and 90-day claims
- Clearer payer follow-up history and next actions
- More structured escalation of denials and missing information
- Reduced internal staff time spent on repetitive status work
- Management visibility into what aging is actually workable
Common questions
AR Follow-Up Services FAQs
General answers are provided here. Payer-specific or claim-specific decisions depend on the actual case and the agreed service scope.
Which aging buckets does CareMedox prioritize?
CareMedox gives deliberate attention to 60- and 90-day balances, then works 30-day prevention items and 120+ inventory based on balance, deadlines, payer status and workability.
Can you work through payer portals and phone calls?
Yes, depending on payer availability, client access and approved workflow. The goal is to document a reliable status and next action.
Can CareMedox work inside our PM/EHR notes?
Yes when permissions and workflow allow it. Notes can also be maintained in agreed reporting files or work queues.
Do you provide AR reports?
Yes. Reporting can include aging summaries, high-value/problem claims, payer delays, follow-up status and custom categories agreed with the practice.
Connected services
Related workflows
Revenue-cycle functions affect one another. These services are commonly connected to this work.
Next step
Discuss Your AR
Have unpaid claims sitting in 60, 90 or 120+ days?
Share the current aging picture with CareMedox. We can discuss whether you need ongoing AR follow-up, a focused cleanup project or denial support.