Average payer call: 30 minutes. Productive discussion: about 15 minutes. The rest is hold time and department transfers.
Your billing staff can’t reach payer status updates. Claims age. Timely filing deadlines pass. Accounts get written off — not because they’re uncollectible, but because they’re unworked. ANKA automates the status checks, resubmissions, and escalations. Your team handles judgment calls. ANKA executes everything else 24/7.
Every payer has a phone line. Every call takes 30 minutes. Half of that is productive. The other half is navigation, hold time, and transfers. Your staff can reach maybe 8 payers per day. That leaves 42 payers uncontacted. Claims age. Opportunities close
ANKA checks payer systems for claim status continuously—no phone calls needed—and provides real-time updates on claim adjudication, payment status, and denial reasons. Your team receives alerts only when action is required.
When a claim is in pending or denied status, ANKA determines the right next step: resubmit with corrected information, submit appeal documentation, or escalate to a higher-level review. No guessing—everything’s executed automatically.
Timely filing deadlines, appeal windows, and resubmission timeframes—ANKA tracks every deadline and triggers appropriate action before the window closes. Nothing ages past the point of recoverability.
When a claim requires human judgment—complex clinical review, payer negotiation, exception handling—ANKA routes it to the right team member with full context assembled. Your team sees the work, not the busy work.
15–25% of accounts written off as bad debt are actually recoverable. ANKA identifies patterns in aged AR: which payers delay most, which denials are reversible, and which claims can be successfully resubmitted.
AR follow-up is one component of ANKA’s end-to-end revenue cycle execution, working alongside denial management and underpayment recovery to maximize your revenue recovery.
ANKA uses direct payer connections (where available), EDI 276/277 status inquiry protocols, and proprietary payer data feeds. For payers without automated feeds, ANKA integrates with your EHR and billing system to monitor claim progress. The result: near-real-time status updates without phone calls or manual follow-up.
Aged AR that has been written off typically falls into one of three categories: appeal reversal (the payer agrees they were wrong), timely filing exception requests (successful 60–70% of the time), or resubmission (the claim was never properly adjudicated). ANKA analyzes each account, identifies the applicable path, and pursues it automatically. Many clients recover 15–25% of previously written-off AR within 12 months.
Both. ANKA increases claim velocity through automated follow-up and deadline monitoring. Payer response times improve because ANKA escalates intelligently. Clients typically see a 20–30% reduction in AR days within 90 days and a 40%+ reduction by month 6 as the system learns your payer patterns and optimizes submission timing.
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