Claim Recovery Services
Recover every dollar you’ve earned. Partner with MedCloudMD, a trusted medical billing and revenue cycle partner, to efficiently reclaim unpaid and underpaid claims. From identifying stuck or denied claims to persistent follow-ups and accurate payment posting, our claim recovery services help accelerate reimbursements and strengthen your cash flow.
Get in touch today and start recovering lost revenue with confidence.
Maximize Revenue with Claim Recovery Services
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97%
12–18%
99%
98%
Average Days in AR
Collection Ratios
Revenue Improvement
First Pass Ratio
Clean Claims Accuracy
Claim Recovery Services for Healthcare Providers
Unpaid and denied claims can quietly drain your revenue and slow down your cash flow. At MedCloudMD, we help healthcare providers recover the payments they’ve already earned without adding more stress to their internal teams.
Claim delays, denials, and underpayments are common in medical billing, but they don’t have to be permanent losses. Our claim recovery services focus on identifying unresolved claims, fixing errors, following up with payers, and securing timely reimbursements so your practice stays financially strong.
Patient Claim Recovery Services
Recover patient balances the right way. Our patient claim recovery specialists help you collect outstanding copays, deductibles, and self-pay balances through clear statements and respectful follow-ups. We prioritize transparency and professionalism to protect your patient relationships while improving collections.
Insurance Claim Recovery Services
Get paid what you’re owed by insurance companies. Our insurance claim recovery team tracks unpaid and underpaid claims, corrects billing issues, manages resubmissions, and files appeals when needed. By working directly with payers and meeting all compliance requirements, we reduce payment delays and maximize reimbursements for your practice.
Claim Recovery Services for Healthcare Providers
Unpaid and underpaid claims are one of the biggest reasons healthcare organizations struggle with cash flow. Every delayed or ignored claim directly impacts revenue, staff productivity, and long-term financial stability. Many providers simply don’t have the time or internal resources to chase aging claims, correct errors, or follow up with payers consistently.
At MedCloudMD, our claim recovery services help healthcare providers recover lost revenue by actively tracking, correcting, and collecting unpaid claims. Instead of writing off hard-earned reimbursements, we step in with a structured recovery approach that turns unresolved claims into real payments faster and more efficiently.
Claim Review & Root Cause Identification
We begin by reviewing unpaid and underpaid claims to uncover why payments were delayed or missed. Whether it’s coding issues, missing documentation, eligibility errors, or payer-specific rules, our team identifies the exact cause to ensure accurate recovery.
When claims are rejected or returned unpaid, we correct billing errors, update documentation, and resubmit clean claims that meet payer requirements. This reduces repeated rejections and speeds up reimbursement cycles.
Claim Correction & Resubmission
Compliance-Focused Recovery Process
Our claim recovery services follow payer guidelines, CMS rules, and medical billing regulations to ensure every resubmission and appeal is fully compliant protecting your practice from future risks.
Insurance Follow-Ups & Payment Tracking
Our specialists proactively follow up with insurance companies to check claim status, resolve payment holds, and ensure timely processing. From initial submission to final payment posting, we track every claim until it’s resolved.
If a claim is partially paid or denied incorrectly, our team files strong, well-documented appeals. We gather supporting records such as EOBs, medical notes, and authorization details to recover the full reimbursement your practice deserves.
Appeals & Underpayment Recovery
Prevention & Revenue Protection Strategies
Beyond recovery, we analyze trends in unpaid claims and provide insights to help prevent repeat issues. This proactive approach improves clean claim rates, shortens AR days, and strengthens your overall revenue cycle.
Get in Touch with Us for Claim Recovery Services
Our Claim Recovery Process & Workflow
Unpaid or denied claims can quietly drain your revenue. At MedCloudMD, our claim recovery process tracks, corrects, and recovers every claim with full transparency, from identifying issues to preventing future payment delays.
Identifying Unpaid or Denied Claims
We start by reviewing your claim ledger to pinpoint unpaid, underpaid, or denied claims. Understanding why a claim wasn’t paid is the first step toward effective recovery.
Verifying and Correcting Claim Information
If the claim was unpaid due to missing or incorrect information, we verify patient and service details, correct discrepancies, and ensure clean claim submissions for faster reimbursement.
Collecting Supporting Documentation
For claims that require additional documentation, we request medical records, authorizations, and billing statements from the provider. These are attached to the reworked claim to increase the chances of successful recovery.
Filing Appeals for Underpaid or Denied Claims
When claims are denied or partially paid, our team prepares evidence-based appeals, including EOBs, clinical notes, and pre-authorizations, to recover the full payment owed to your practice.
Tracking and Following Up on Claims
After resubmission, we actively track claim status and follow up with payers. Some claims are resolved quickly, while others require persistent attention we ensure no claim is left unresolved.
Prevention & Revenue Optimization Strategies
Finally, we analyze patterns in unpaid claims and implement strategies to prevent future issues. From staff training to workflow automation, our goal is to minimize claim delays, improve collection rates, and optimize your revenue cycle.
24/7 Support Across All Specialties
We provide unparalleled, round-the-clock support to every specialty, including orthopedics, pediatrics, OB-GYNs, and more. Our customer representatives are always available on the call to address your issues. Whether you have a complex problem or a simple query, talk to us today to get the help you need to manage your AR recovery.
Cardiology
Orthopedics
Urology
Nephrology
Oncology
Radiology
OB/GYN
Behavioral Health
Neurology
Pediatrics
Anesthesiology
Gastrology
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FAQs
What is claim recovery in healthcare?
Claim recovery is the process of identifying, correcting, and collecting unpaid or underpaid medical claims. It helps healthcare providers maximize revenue, reduce write-offs, and improve overall cash flow.
How can MedCloudMD help with claim recovery?
MedCloudMD’s claim recovery specialists track unpaid claims, correct errors, resubmit denied claims, and file appeals. Our process ensures faster reimbursements, higher collection rates, and a healthier revenue cycle.
How long does the claim recovery process take?
The duration varies depending on claim complexity and payer response times. At MedCloudMD, we prioritize quick resolution, actively following up until claims are fully paid and posted.
Why do claims go unpaid or denied?
Claims may remain unpaid due to coding errors, missing documentation, eligibility issues, payer delays, or incorrect submissions. Timely claim recovery ensures these issues are corrected and payments are collected.
What is the difference between patient and insurance claim recovery?
Patient claim recovery focuses on outstanding copays, deductibles, and self-pay balances, while insurance claim recovery addresses unpaid or underpaid claims from payers. Both processes are handled professionally to maintain compliance and patient trust.
How can claim recovery improve my practice’s revenue cycle?
By recovering unpaid and denied claims, correcting errors, and implementing preventive strategies, claim recovery reduces AR days, increases first-pass acceptance rates, and strengthens your practice’s overall financial health.