Independent Physician Practice · Primary Care

Independent-Practice AR Follow-Up Without Adding Billing Staff

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 solo primary care practice had aging AR exceeding $200K, with the oldest claims over 120 days. The physician handled billing personally with limited part-time help. There was no time for systematic AR follow-up — claims were submitted and payment was posted, but unpaid claims were rarely pursued. Cash flow was tight and the practice was writing off significant revenue as uncollectable.

The Approach

1

Sarva's AR follow-up automation was configured to prioritize claims by recovery probability and yield.

2

Automated payer contact via 276/277 EDI and portal checking was activated for all aging claims.

3

AI voice follow-up was deployed for payers that did not support electronic status checking.

4

Aging thresholds were set to escalate claims at 45, 60, and 90 days.

Illustrative Outcomes

AR over 90 days
Illustrative reduction from 45% to under 15%
Days in AR
Illustrative reduction from 51 to under 25
Staff time on AR
Illustrative reduction of 15+ hours per week

Outcomes are illustrative and do not represent actual customer results.

Key Lessons

  • Automated AR follow-up is particularly valuable for small practices that cannot dedicate staff to collections.
  • Probability-based prioritization ensures the highest-value claims are worked first, maximizing recovery.
  • Consistent follow-up prevents claims from aging past timely filing limits.

See how this approach could work for your organization.

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Frequently Asked Questions

No. This is an illustrative scenario. The metrics shown are illustrative, not actual customer results.

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