Leak 3: Aging AR

The third revenue
leak: AR Follow-up Gaps

32% of AR ages over 90 days. Around 70% is never collected — not because it can’t be recovered, but because no one followed up in time.

Avg time per payer call 20-30 min
Actual productive progress ~5 min
Anka follow-up availability 24 / 7
The rest is hold time and transfers.
While staff are on hold, AR crosses 90 days and revenue quietly disappears. Anka checks status, resubmits, and escalates — automatically.
HIPAA Compliant SOC 2 Certified 4 weeks to go live
AR Follow-Up Dashboard
Open AR
$1.84M
214 claims
Auto-Worked Today
89
+12 vs yesterday
Recovered (30d)
$284K
94% success rate
AR Aging Buckets
0-30d
72%
31-60d
15%
61-90d
8%
90d+
5%
Active Follow-Up Queue
CLM-3341 Aetna · $2,340 47d Following Up
CLM-3298 BCBS · $5,120 31d Resubmitted
CLM-3187 UHC · $1,890 62d Escalated
CLM-3052 Cigna · $780 28d In Review
The Payer Follow-Up Problem

32% of AR sits past 90 days.
Around 70% of it is never collected.

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. A billing team can reach maybe 8 payers per day. That leaves dozens of claims uncontacted. They age. The recovery window closes.

20-30 min
Average payer call
Hold time, navigation, and discussion combined
~5 min
Productive conversation
The rest is waiting and being transferred
35-60%
Of aged AR goes unworked
Not because it can’t be recovered — because teams lack capacity
How Anka Automates AR

Five capabilities that work 24/7.
No scheduling. No hand-offs.

01

Automated status checks

Anka checks payer systems for claim status continuously — no phone calls needed — and provides real-time updates on adjudication, payment status, and denial reasons. Alerts surface only when action is required.

02

Intelligent resubmission

When a claim is pending or denied, Anka determines the right next step: resubmit with corrected information, submit appeal documentation, or escalate to higher-level review. No guessing — everything executed automatically.

03

Deadline monitoring

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.

04

Escalation routing

When a claim requires human judgment — complex clinical review, payer negotiation, exception handling — Anka routes it to the right reviewer with full context assembled. Human oversight sees the work, not the busy work.

05

Aged AR recovery

15-25% of accounts written off as bad debt are actually recoverable. Anka identifies patterns: which payers delay most, which denials are reversible, and which claims can be successfully resubmitted before deadlines close.

FAQs

AR Follow-Up

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 payer patterns and optimizes submission timing.