Ahsan Saeed Gohar — Medical Billing and Revenue Cycle Management
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Home / Services / Denial Management and A/R Follow-Up for Medical Practices
Medical Billing Resource

Medical Billing A/R Over 90 Days Checklist

Use this checklist to turn an aging insurance report into a work queue. Check deadlines first, then give every open claim an owner, a next action, and a follow-up date.

Before You Work the Queue

  1. Pull the open insurance balances. Use the same aging basis across the report. Include payer and plan, balance, claim status, last action, and assigned owner. Reconcile posted payments and adjustments before prioritizing balances.
  2. Confirm the applicable deadline. Check the payer and plan rules for initial filing, corrected claims, reconsiderations, or appeals. Record the deadline, the event it runs from, and where you verified it. Escalate items with uncertain or approaching deadlines.
  3. Match the action to the claim status. For a clearinghouse rejection, correct the error and confirm payer acceptance. For a denial, review the remittance and determine whether the payer requires a correction, supporting records, or an appeal. For a pending claim, confirm receipt and ask what would move it forward.
  4. Assign each claim a next step. Record the action, owner, due date, and payer reference number when available. Sort claims with verified near-term deadlines first. Then consider balance, likelihood of resolution, and whether you have what you need to act.
  5. Review progress weekly. Track payments posted, balances still open, appeals awaiting a response, and recurring denial reasons. Share repeat issues with the team that can correct them.

Sample A/R Work Queue

These claims and deadlines are fictional. Use your payer’s actual rules and claim history when assigning priority.

ClaimAgeBalanceStatusNext action
Example A97 days$410Denied. Verified appeal deadline in four days.Appeals lead reviews supporting records and saves submission confirmation before the deadline.
Example B133 days$1,280No payer receipt confirmed.Claims specialist checks acknowledgments and filing evidence today before deciding whether to resubmit.
Example C110 days$760Appeal received. Awaiting decision.Follow-up owner records the receipt reference and sets a check-in based on the payer’s stated review window.

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