Aged A/R recovery + denial defense for an independent psychiatric group.
An independent psychiatric and behavioral health group running Tebra and Valant on the Trizetto clearinghouse. We took on ~1,300 active claims with roughly $257K of aged accounts receivable sitting past 60 days. Operations run on a daily rhythm — pull, sort, allocate, work, audit — with denial defense layered on the top 23 codes that account for the majority of bleed.
- Per-owner daily queue with recoverable-dollar sort.
- Top denial codes drafted-to-appeal before timely runs out.
- Automated EOB posting nightly into Mahler-equivalent flow.
- Single audit log across every claim touched.