Focused Support for Unpaid and Denied Claims

RitzeeCare helps healthcare practices investigate outstanding insurance balances and address eligible claim denials. Our focused services provide organized payer follow-up, documented next steps, and clearer visibility into accounts that need attention.

A/R Recovery

How We Work With Your Practice

Give Outstanding Insurance Balances Consistent Attention

When claims remain unpaid, it can be difficult for a busy practice team to determine what happened and what action is needed. RitzeeCare reviews outstanding insurance accounts, researches claim status, follows up with payers, and documents the path forward for eligible balances.

Our A/R recovery work may include:

• Reviewing aging reports and prioritizing accounts for follow-up

• Researching claim status through payer channels

• Identifying missing information or other payment barriers

• Coordinating next steps with authorized practice staff

• Recording payer responses and reporting account outcomes

We can discuss a defined cleanup project or ongoing follow-up support based on your practice’s needs and the accounts available for review.

Denial Management

1. Understand your needs
We discuss your outstanding A/R, denial challenges, current workflows, and the type of support you need.

2. Agree on scope and access
We define which accounts and activities are included, establish authorized access, and arrange appropriate methods for exchanging information.

3. Research and follow up
We work eligible accounts, communicate with payers, document responses, and coordinate with your team when additional information is required.

4. Report what is happening
We share completed actions, account statuses, identified barriers, and next steps so your practice can see the progress of the work.

What You Can Expect

Understand the Denial. Pursue the Appropriate Next Step.

A denied claim may require a correction, additional documentation, an appeal, or another action within a payer’s deadline. RitzeeCare reviews denial information, identifies available next steps, coordinates with the practice when its input is needed, and tracks eligible claims through the agreed follow-up process.

Our denial management work may include:

• Reviewing and categorizing denial reasons

• Researching payer requirements and claim history

• Coordinating corrections or authorized appeals

• Tracking applicable deadlines and payer responses

• Reporting outcomes and recurring denial patterns

Clinical documentation and coding decisions remain with the practice and its qualified professionals.

RitzeeCare’s goal is to make follow-up activity visible and actionable. Depending on the agreed scope, your practice can expect documented account activity, clear status updates, items requiring staff attention, and reporting on outcomes and recurring issues.

Results vary by claim age, payer requirements, coverage, documentation, deadlines, prior activity, and the information available. Payment of an individual claim cannot be guaranteed.

Frequently Asked Questions

Do you replace our billing team?
RitzeeCare can provide focused A/R recovery and denial management alongside your existing staff. The division of responsibilities is defined during onboarding.

Can you work on older A/R?
We can review older balances to determine their status and available next steps. Collectibility depends on factors such as filing limits, payer rules, documentation, and prior claim activity.

Do you submit appeals?
Appeal responsibilities, authorization, and required practice input are defined in the service agreement. Clinical or coding determinations remain with the practice and its qualified professionals.

How do you protect patient information?
We discuss information-handling requirements and appropriate agreements during onboarding. Please do not send patient or claim information through the public website form.

How is pricing determined?
Pricing depends on the agreed service scope and account volume. We explain the applicable fee structure before work begins.

Let’s Review Your Outstanding Claims

Tell us about your A/R and denial challenges. We’ll discuss your current process and whether RitzeeCare’s focused services are a fit.