HIPAA Compliant & SOC-2 Audited Workflows
(209) 671-6993
Provider Billers LLC
100% Contingency ($0 Upfront)

Contingency-Based Aged AR Recovery (>90 Days)

Zero Upfront Cost. We Only Get Paid When You Collect Trapped Revenue.

Stale accounts receivable older than 90, 120, or 365 days represent massive lost profit for private practices. Our dedicated SWAT team of aged AR recovery specialists investigates, appeals, and liquidates aging balances on a strict contingency basis.

Performance Commitments
Upfront Cost to Practice

$0

Average Recovery Rate on >90d AR

64.2%

Historical Timely Filing Overturn Rate

81%

100% HIPAA CompliantMutual BAA Executed
AAPC & AHIMA CertifiedCPC, CPMA & CCS Coders
SOC-2 Type II AlignedEncrypted EDI Gateways
CMS & OIG StandardsCMS-1500 & UB-04 Audits
Zero Migration Needed • Direct In-EHR Operations:
AthenaHealthEpic SystemseClinicalWorksKareo / TebraAdvancedMDModMedNextGenDrChrono
Problems We Eliminate

Common Practice Bottlenecks Solved

Thousands of uncollected dollars aging off the books past payer timely filing limits

In-house staff prioritizing easy current claims while old complex denials gather dust

Payer 'ghost denials' where claims were lost in clearinghouses with no formal remit issued

Unpaid patient deductibles that clinics are hesitant or unable to collect efficiently

Scope of Work

Key Deliverables & Standard Operating Procedures

Comprehensive AR Aging Ledger Forensic Audit categorizing balances by age, payer, and denial reason
Clearinghouse proof-of-timely-submission retrieval to overturn timely filing deadline denials
Direct payer claims representative escalation and medical director review requests
Identification of systemic payer underpayments against contracted fee schedule allowances
Re-submission of corrected claims and secondary/tertiary billing coordination
Zero disruption to your existing in-house team or current day billing operations
Systematic Execution

Our 4-Step Operational Workflow

01

No-Risk Data Extraction

We pull your current >90 day AR aging bucket directly from your EHR or via encrypted secure CSV export.

02

Forensic Categorization

Our algorithms triage claims into recoverable tiers: timely filing re-submissions, authorization appeals, and payer underpayments.

03

Aggressive Payer Pursuit

Our veteran recovery specialists call payer provider lines, submit Level 1 & 2 appeals with certified clinical attachments.

04

Direct Practice Deposit

Insurance payments go directly into your bank account. You only pay our contingency fee after the funds are realized.

Frequently Asked Questions

How does your contingency model work?

You pay nothing upfront. Our compensation is a negotiated percentage of the actual cash we recover from claims that were previously written off or languishing past 90+ days. If we recover nothing, you owe nothing.

Can you recover claims that payers denied for 'Timely Filing Exceeded'?

Yes. In the majority of timely filing denials, original electronic transmission records (EDI 277 CA acceptances) exist that prove the initial submission occurred within the payer's window. We obtain clearinghouse logs to overturn these wrongful denials.

Zero Risk • Mutual BAA Signed First

Ready to Upgrade Your Practice’s Aged AR Recovery?

Take the risk-free first step with our Free 10-Claim Denial Audit. We pinpoint the exact leaks in your current billing workflow within 48 business hours.

Speak directly with an RCM Director:

(209) 671-6993

100% Risk-Free B2B Evaluation

Request Your Free 10-Claim Audit for Aged AR Recovery

Zero upfront cost. We sign a HIPAA BAA before examining any documentation.

100% HIPAA Compliant. Protected by 256-bit TLS encryption. Mutual BAA executed before any PHI is inspected.