AR Recovery Services for Hospitals & Medical Practices in the USA
Your aged AR has revenue we can recover. Billr Health’s AR recovery specialists work every open balance across every payer, including the 90-day and 120+ day claims your team has mentally written off. We are paid on contingency, so we get paid when you get paid.
- What Are AR Recovery Services?
What Are AR Recovery Services?
AR recovery services are specialized billing services that identify, follow up on, and collect outstanding insurance and patient balances that are past normal payment windows, typically 90, 120 or more days old. Specialists audit aged claims, correct errors, appeal denials, escalate unresponsive payers, and resubmit claims before timely filing deadlines expire.
Our medical billing and AR medical billing recovery teams work as a standalone service or alongside your revenue cycle management.
- The AR Problem
Why Old AR Gets Harder to Collect
The average practice has more than a month of revenue unpaid at any time. As old AR ages, payer timely filing and appeal windows close, balances get adjusted off, and staff move on to newer claims.
Billr Health’s AR recovery team works on contingency — meaning we’re paid when you’re paid. We focus on the highest-value, highest-probability recoveries first, and systematically work down to the oldest, most complex buckets.
38
60–80%
$140K
| AR age | What typically happens | Our recovery action |
|---|---|---|
| 0–30 days | Claim in normal payer processing | Status check, clean-claim review |
| 31–60 days | Pending, rejected or missing information | Correct and resubmit, payer follow-up |
| 61–90 days | Denials surface, timely filing risk begins | Appeal preparation, reconsideration requests |
| 91–120 days | Old AR: appeal and filing windows closing | Priority outreach, escalation |
| 120+ days | Highest write-off risk | Formal appeals, payer escalation, proof of timely filing |
- Process
Our AR Recovery Process
We build a full aging report segmented by payer, provider, age bucket (30/60/90/120+) and claim type, and estimate recovery potential before we work a single claim.
We work high-value, high-probability claims first, contacting payers by phone, portal and EDI to confirm status and request reconsideration.
For denied claims we run root-cause analysis, prepare appeals and resubmit within each payer’s timely filing window, using our denial management process.
When standard follow-up fails, we escalate through provider relations contacts, state insurance commissioner complaints and Medicare/Medicaid formal channels.
Patient-responsibility balances are billed with clear statements, payment plans and online pay options.
Every month you receive a report showing what was collected, what is pending, and what was written off and why.
- AR run-down audit
AR Run-Down & Recovery Audit Services
An AR run-down and recovery audit is a line-by-line review of every open claim, segmented by payer, age bucket and denial reason, to find which balances are collectible. It produces a prioritized recovery list, root-cause findings and an estimated recoverable amount before any claim is reworked.
- Scope: last [90 or 180] days of claims, denials and AR
- What you receive: payer-level aging, top denial reasons, an estimate of recoverable dollars, and written-off balances worth reopening
- Turnaround: 10+ business days
- Cost: free, no commitment
- Hospitals
AR Recovery Services for Hospitals
The hospital’s AR recovery services are meant to recover old inpatient and outpatient accounts receivable, including denied UB-04 or 837I claims and severely delayed payments. Their employees check through account aging, authenticate DRG or contracted payments, present corrective claims, and push through (raise claims).
- Inpatient and outpatient institutional claim follow-up
- Underpayment and contract-variance review against payer agreements
- Medical-necessity and authorization denial appeals
- Medicare, Medicaid and commercial payer escalation
- Self-pay and patient-balance follow-up with compliant communication
- Outstanding AR
Outstanding AR We Recover
- Unpaid and pending claims with no payer response
- Denied claims still within appeal or timely filing windows
- Underpaid claims versus contracted rates
- Old AR balances adjusted off or written off in error
- Patient-responsibility balances
- AR Recovery Results
Real AR Recovery Numbers.
$85K
15
80%
↓72%
- What Our Clients Tell Us
What Medical Practices Say About Billr Health
From solo psychiatrists to multi-specialty groups, here is what practice owners and administrators say about our medical billing services.
“We were leaving $15,000/month on the table in denied claims that no one had time to appeal. Billr recovered $87,000 in our first six months — money I had mentally written off.”
“Our AR days went from 41 to 12. I check the dashboard every morning before I open my email. I finally know what’s happening with our revenue in real time.”
“Psychiatry billing is its own world — telepsychiatry codes, time-based modifiers, payer-specific rules. Billr’s team knew our codes better than our in-house biller did.”
- Explore More
- Pricing and trust
Contingency Pricing
Why Healthcare Providers Choose Billr Health
AR Recovery FAQs
How long does AR recovery take?
Most clients see first payments within [30–60] days of starting, though complex appeals and payer escalations can take 90 days or more. Timing depends on claim age, payer responsiveness, denial type and whether appeal and timely filing windows are still open.
How much do AR recovery services cost?
Billr Health works on contingency: we charge 3-7% of the amount recovered and nothing if we recover nothing. There are no setup fees and no long-term contracts. Rates vary with claim age and complexity, and we confirm them in writing before we start.
How old is too old to recover AR?
It depends on the payer. Medicare generally requires claims within one calendar year of the date of service, while commercial payers set their own contract limits. Claims aged 90 to 120+ days are often still recoverable if appeal or timely filing windows are open, or if we can prove timely original submission.
What is the difference between AR recovery and denial management?
Denial management analyzes and fixes the reasons claims are denied, usually on newer claims. AR recovery works the older balances, including denied, underpaid or unanswered claims, and pursues payment through appeals, escalation and patient billing. The two overlap, and we often run them together.
What is included in an AR run-down and recovery audit?
The audit reviews every open claim by payer, age bucket and denial reason. You get a prioritized recovery list, root-cause findings and an estimate of recoverable dollars. It is free, carries no commitment, and gives you a clear plan before any claim is reworked.
Do you provide AR recovery services for hospitals?
Yes, We recover aged inpatient and outpatient institutional claims, review underpayments against contract terms, and appeal denials. If you are a hospital or health system, request an AR run-down audit and we will scope the work by payer and facility.
Do you serve providers across the USA?
Yes. Our U.S.-based team works with commercial, Medicare and Medicaid payers in all 50 states. We follow each payer’s timely filing, appeal and escalation rules, including state insurance commissioner channels where appropriate.
- Get Started Today
Get a Free AR Analysis
We will review your last 90 days of claims, denials and AR and show you where revenue is being lost. No commitment, no sales pressure.
No setup fees · No long-term contracts · HIPAA compliant · U.S.-based team