Seats from $1,500 a month · one month minimumUS business hours, your time zoneops@softhomeglobal.comCost calculator
Soft Home Global
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AR Calling & Denial Management

AR Calling & Denial Management from Soft Home Global costs $1,700 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time.

Aged accounts receivable called until they close, and denials read, appealed and tracked.

What the seat actually does

  • Worklist worked from the difficult end, not the easy end
  • Every call logged with the payer reference and the outcome
  • Denials categorised so the same reason stops recurring
  • Appeals written and submitted, not just re-bills
  • Weekly written summary of what moved and what did not

What it costs

$1,700

Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.

Compare against the other 21 roles →

The denial codes this seat works

12 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.

Worked by being checked against the contract before any work is done

  • CO-45Charge exceeds the fee schedule
    A contractual write-off rather than a denial. It only becomes a problem when the allowed amount is wrong.
  • CO-18Exact duplicate claim or service
    The payer already has this claim. Usually harmless, occasionally a sign that the original is stuck.
  • CO-286Appeal filed too late
    The appeal arrived after the payer’s deadline. The clock for appealing is separate from, and usually shorter than, the clock for filing.
  • CO-256Not payable under the contract
    The managed care contract in force does not provide for payment of this service.

Worked by being answered with the document the payer names

  • CO-252Additional documentation required
    The payer will not decide until it sees paperwork. Nothing happens until it arrives.
  • CO-226Requested information not supplied
    The payer asked you for something, and either nothing arrived or what arrived did not answer the question.
  • CO-251Documentation incomplete
    Something was sent, and it did not contain what the payer needed.
  • N29Documentation missing
    The payer needs clinical documentation it does not have.

Worked by being fixed at coordination of benefits and rebilled

  • CO-136Prior payer's rules not followed
    This is a secondary claim, and the secondary payer says the primary’s rules were not followed before it reached them.
  • N130Check the plan benefit documents
    The payer is pointing you at the plan document: there is a restriction on this service and the document says what it is.

Worked by being corrected and resubmitted

  • CO-16Claim lacks information
    Something on the claim is missing or malformed. On its own the code tells you nothing — the detail is in the remark code that comes with it.

Worked by being prevented rather than recovered

  • CO-29Time limit for filing has expired
    The claim arrived after the payer’s filing deadline. This one is usually terminal, which is why it deserves attention before it happens rather than after.

Working a denied claim costs $57.23 per denied claim in administrative time (source) and about about 90% of initially denied claims are eventually paid. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.

How a seat starts

You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.

The four steps in full →

Questions

How much does ar calling & denial management cost?

$1,700 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect.

Is there a minimum contract?

One seat for one month, cancellable with thirty days notice. There is no annual lock-in.

Do we have to change systems?

No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.

How quickly can a seat start?

About a week from the agreement, which covers training on your workflow, your payer mix and your system. You are not charged extra for that week.

Related

Next step

Try one ar calling & denial management seat for a month

$1,700 for the month. If it does not earn its keep, cancel it. Twenty minutes on a call is enough to tell whether it fits.

Or write to ops@softhomeglobal.com