When workers’ compensation claim follow-up stalls, document the open items, use the payer’s available contact paths, and ask for the appropriate escalation contact when routine outreach goes unanswered. In one case, we reached an adjuster’s supervisor and continued follow-up; the claims were eventually paid, but the reason for payment was not established.
When a payer says a claim is held for provider enrollment, verify the payer’s exact reason, the provider and service location, and the enrollment effective date for the date of service. Do not assume it is a clearinghouse enrollment issue or change and resubmit the claim until the payer clarifies what action it requires.
A paid claim may warrant underpayment review when the remittance is lower than the amount expected under the applicable contract and claim facts. Verify the benchmark, explain the variance, and then decide whether to correct, appeal, contact the payer, or close the review.
Prioritize denied therapy claims by the risk of missing a deadline, their current status, and the action available—not balance or age alone. Keep the rest of accounts receivable visible so urgent denial work does not leave other claims without an owner.
A physical therapy billing company should show more than a collections total. Evaluate how claims move from submission to payment, what happens when they are rejected or underpaid, and who owns each unresolved issue and next action.
An AR aging report shows how long balances have been open. For a physical therapy practice, the useful next step is to identify why older balances remain, who owns each one, and what happens next.
Unpaid claims should be reviewed continuously, but not every claim needs the same follow-up interval. Set each claim’s next action from its current status, expected payer response window, filing or appeal deadline, value, and unresolved blocker.
A physical therapy billing company should turn completed visits into resolved balances. That includes claim preparation, rejection and denial work, payment posting, unpaid-claim follow-up, patient billing support, reporting, and clear escalation when the practice must act.
