Is this an actual customer result?

High-Volume Practice · Multi-Specialty

High-Volume Claim Status Follow-Up Automation

Illustrative Revenue Cycle Automation Scenario. This scenario demonstrates how a healthcare organization could apply revenue-cycle automation. It is not presented as an actual customer result.

The Challenge

A practice processing 800+ claims per week had two staff members dedicated to checking claim status. Each spent 30+ hours per week calling payers and checking portals. The process was slow, repetitive, and prone to missed claims. Claims that were not checked fell through the cracks and aged past collection deadlines.

The Approach

Sarva automated claim status checking using 276/277 EDI transactions for all submitted claims.

Batch checking was scheduled at 14, 21, and 30 days post-submission.

Paid claims were auto-posted. Denied claims were routed to the denials workflow.

Pending claims were re-checked on a schedule with escalation alerts for claims pending beyond 30 days.

Illustrative Outcomes

Staff time on status checks

Illustrative 80% reduction (2 FTEs reallocated)

Claims status-checked

Illustrative 100% of aging claims

Untracked claim rate

Illustrative reduction to near zero

Outcomes are illustrative and do not represent actual customer results.

Key Lessons

276/277 EDI automation eliminates the most tedious task in AR management.
Batch checking ensures every claim is tracked, not just those a staff member had time to call about.
Reallocating 2 FTEs from status checking to denial management improves recovery rates.

See how this approach could work for your organization.

Book an RCM Automation Demo