Insurance Follow-Up Services for Healthcare Providers
Recover unpaid insurance claims faster, reduce AR days, and improve cash flow without adding burden to your internal teams.
Stop Writing Off Aged Claims. We'll Recover Them for You.
Healthcare providers lose thousands in revenue annually to aged insurance claims that go unfollowed. As claims age past 30, 60, and 90 days, recovery becomes increasingly difficult—and most billing teams simply don’t have time for persistent payer outreach while managing current workflows.
TruBridge revenue cycle specialists manage the entire follow-up process: tracking claim status, contacting payers, appealing denials, correcting errors, and resubmitting claims until payment is secured. Whether you need help with all aged claims or just specific payers, we work as a seamless extension of your business office.
Why Healthcare Insurance Claims Get Delayed or Denied
Insurance reimbursement is impacted by complex rules, fragmented systems, and administrative constraints that slow claims resolution. Without a structured insurance follow-up process, these challenges lead to rising AR days, avoidable write-offs, and inconsistent cash flow.
Complex Billing and Coding Requirements
Healthcare billing and coding rules vary by payer and change frequently. A single incorrect modifier, outdated code, or missing documentation element can delay payment by 30-45 days or trigger a denial requiring extensive appeals.
Limited Claim Status Visibility
Providers often struggle to obtain timely, accurate updates from payers, making it difficult to prioritize follow-up and resolve issues before claims age out.
Administrative and Documentation Burden
Insurance follow-up requires extensive documentation, correspondence, and manual outreach. For resource-constrained teams, the cost of follow-up can outweigh recovery without dedicated support.
Product Features
How Our Insurance Follow-Up Process Works
Our systematic approach ensures no claim falls through the cracks while minimizing burden on your internal team.
1. Assessment & Prioritization
We analyze aged accounts receivable to identify high-value claims needing immediate attention, prioritizing by amount, aging, payer history, and deadlines.
What We Analyze:
• Claims aged 30–120+ days
• High-dollar claims at risk of write-off
• Payer denial and delay patterns
2. Seamless Integration
We integrate with your practice system, accessing claim data and working within existing workflows with minimal setup.
Integration Benefits:
• No new software required
• Secure, HIPAA-compliant data handling
• Real-time updates to billing system
3. Daily Follow-Up & Resolution
We contact payers via phone, portal, or email, document communications, correct errors, file appeals, and resubmit claims efficiently.
Key Activities:
• Monitor claims and escalate as needed
• Error correction and appeals
• Coordination with clinical staff
4. Reporting & Results Tracking
Receive weekly updates on recovery progress, AR day reduction, payer performance, and detailed activity logs.
Reporting Includes:
• Claims contacted and resolution status
• Dollars recovered by payer and aging
• AR days trending and payer performance
Ensuring you get the most from old insurance claims.
Insurance Follow-Up involves tracking and managing the status of claims submitted to insurance companies, with our team’s expertise and experience helping to ensure timely reimbursement.
Let's Talk.
Insurance claims causing headaches? TruBridge helps you Clear the Way for Care.
Insurance Follow-Up Services Frequently Asked Questions
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Insurance follow-up is the systematic process of tracking unpaid or delayed claims after submission to maximize reimbursement. It includes contacting payers, resolving denials, correcting claim errors, filing appeals, and resubmitting claims in accordance with payer requirements. For healthcare organizations, consistent follow-up is critical to revenue cycle performance, as 50–70% of denied claims can be successfully recovered with expert intervention.
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Healthcare leaders should monitor claims beginning approximately 15 days post-submission and initiate active follow-up at 30 days if payment or an Explanation of Benefits (EOB) has not been received. Early engagement ensures claims are addressed before they approach payers’ timely filing limits (typically 90–120 days), improving recovery rates and reducing write-offs.
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The timeline varies based on claim complexity and payer responsiveness:
- Simple status inquiries: 1-3 days for payer response
- Claims pended for information: 7-14 days to gather documentation and secure payment
- Denied claims requiring appeals: 30-60 days through the appeal process
- Complex medical necessity denials: 60-90 days for multi-level appeals
- Claims aged beyond 90 days: 60-120 days of intensive recovery efforts
Multiple follow-up attempts are often needed per claim. Problematic payers may require 5-10 contact attempts over 60-90 days before resolution.
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Yes, TruBridge offers flexible engagement models tailored to your specific needs:
Flexible Service Options:
- Payer-Specific Programs: Target your most problematic 2-3 insurance companies
- Age-Based Follow-Up: Focus only on claims aged 60+, 90+, or 120+ days
- Denial Type Focus: Handle only medical necessity denials or coding-related denials
- Temporary Staffing: Cover vacations, leaves, or turnover gaps (2-6 months)
- Overflow Support: Handle volume that exceeds your team’s capacity
- Comprehensive Outsourcing: Manage all insurance follow-up activities
Many clients start with a targeted approach (e.g., “just help with claims aged 60+ days”) and expand as they see results. We customize to fit your practice’s unique situation.
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Claims aged beyond 90 days approach many payers’ timely filing limits and become increasingly difficult to collect. They require intensive follow-up, formal appeals, and often escalation to payer supervisors or medical directors.
Challenges with 90+ Day Claims:
- Many payers have 90-120 day timely filing deadlines
- Claims may have been denied without notification reaching you
- Payer systems may have archived the claim, making status harder to track
- Additional documentation requirements increase
- Recovery rates decrease by 10-15% for each additional 30 days of aging
Without action, these claims result in write-offs. TruBridge specializes in recovering aged claims before they hit timely filing limits. For claims already past 120 days, see our dedicated AR Recovery & Workdown services →