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The Money You Already Earned Is Sitting in Your A/R.
You treated the patient, filed the claim, and did everything right. Then the claim got denied, underpaid, or ignored, and now it's aging while your staff chases payers on hold. Qualigenix works your full accounts receivable by payer and aging bucket, appeals denials with the root cause fixed, and recovers what's owed before it ages past timely filing. You collect what you're owed without the chase.
What are the benefits of Partnering with Qualigenix for AR Recovery
Outsourcing A/R recovery to Qualigenix keeps net collections at 97.7% and pulls days in A/R down from 54 to 36, which lifts practice cash flow by 29 to 32%. Every open claim is worked by payer and aging bucket, not sampled, so denials get appealed instead of written off, underpaid claims get recovered against your contracts, and no-response claims get chased before they cross a filing deadline. Assigned staff handle the work inside your existing system across 133 EMR and EHR platforms, and 79% of denials are overturned. You get daily, weekly, and monthly A/R dashboards where every number carries its definition. Onboarding takes 6 days on average, so there's no revenue gap during the switch.
The revenue your practice actually keeps
PRECISION
| Metric | Result |
|---|---|
| Net collections rate | 0 |
| Clean A/R rate | 0 |
| Denials overturned | 0 |
| Root-cause resolution rate | 0 |
PROGRESS
| Metric | Result |
|---|---|
| Days in A/R | 0 |
| A/R over 90 days | 0 |
| Cash-flow improvement | 0 |
| Revenue recovered | 0 |
WHAT CLIENTS SAY
What our clients say about this service
“
Qualigenix helped us tackle five months of outstanding A/R and achieve an incredible turnaround in just 60 days. Their team worked diligently to recover every possible dollar while ensuring patient responsibility was calculated accurately. What had been a significant revenue backlog was brought under control quickly and efficiently. We were impressed by their attention to detail, persistence, and ability to deliver measurable results in such a short time. Qualigenix truly made a difference to our practice’s cash flow.
Linda M
Practice Owner • Brighter Pathways, LLC
“
Qualigenix helped our gastroenterology practice recover a significant amount of outstanding A/R that had accumulated due to coding and billing challenges with our endoscopy procedures. Their team carefully reviewed our claims, identified coding issues, and ensured our endoscopy services were billed accurately. Their expertise and persistence played a major role in recovering revenue that we had previously struggled to collect. Qualigenix not only helped us recover a substantial amount of A/R but also improved the accuracy and efficiency of our billing process.
Dr. Abdul M
Clinic Director • GI Associates, PA
“
When our previous biller was unexpectedly injured, our billing operations came to a sudden halt. Claims began piling up for more than three months, creating a serious disruption in our cash flow and putting significant pressure on our practice. Qualigenix stepped in quickly, took control of the backlog, and helped get our billing operations back on track within just a couple of weeks. Their responsiveness, expertise, and ability to act quickly made an enormous difference. We’re grateful to Qualigenix for turning a major billing crisis into a manageable situation so quickly.
Dr. Sandra J
Practice Owner • Sky Health & Wellness, PLLC
What Qualigenix does at every stage of your A/R
Qualigenix works each open claim to resolution so nothing ages out between your front desk and the payer. Assigned staff handle denials, follow-up, and underpayments inside your system, not a bolt-on portal.
Claim tracking and worklists
Every unpaid claim is segmented into 0–30, 31–60, 61–90, and 90+ day buckets and worked in priority order, so nothing sits unworked and nothing crosses a filing deadline.
Payment Posting and Reconciliation
Payments are posted from ERA (835) and EOB, contractual adjustments reconciled, and co-pay, deductible, and coinsurance allocated, so your A/R shows what's really owed instead of a quiet imbalance.
Denial Segregation and Root Cause
Denials are sorted into clinical, technical, and eligibility categories, then traced to the real cause, so the same denial doesn't repeat next month.
Appeals and Reconsideration
Denied claims are corrected and appealed with payer-specific logic, not written off, and 79% of worked denials are overturned.
Payer Follow-up
Assigned staff pursue each claim by phone, portal, and written follow-up, with escalation for zero-pay and no-response accounts, so aged claims keep moving toward paid.
Underpayment Recovery
Allowed amounts are checked against your payer fee schedules to catch short-paid claims, and the difference is recovered instead of left on the table.
How Qualigenix AR recovery works Workflow
Qualigenix onboards a new practice in 6 days on average and works your A/R inside your existing system, so old money keeps coming in with no gap during the switch.
1
Kickoff and A/R snapshot
BAA and agreement executed; a named onboarding owner is assigned to your account
We collect NPIs, tax IDs, contracted payers, and fee schedules
We connect to your EMR or PM system across supported platforms, no software change
A current A/R snapshot is pulled so nothing in flight gets dropped
2
A/R triage and aging review
Open claims are segmented into 0–30, 31–60, 61–90, and 90+ day buckets
Claims near their payer's timely filing deadline are flagged and prioritized first
Denials are sorted by clinical, technical, and eligibility category
Underpayments are identified against loaded payer fee schedules
3
Staff assignment and payer rules
Assigned staff matched to your specialty mix and payer set
Payer-specific follow-up and appeal logic configured against your highest-volume payers
Escalation paths set for zero-pay and no-response accounts
4
ERA, EFT, and posting routing
Clearinghouse connected and ERA enrollment routed to Qualigenix, tracked per payer
We confirm ERAs land in posting and EFT matches remittance
Secondary and crossover claim triggers configured
5
Recovery run and appeals
Oldest recoverable claims worked first, with root-cause corrections applied
Corrected claims, appeals, and reconsiderations filed with payer-specific documentation
Underpaid claims recovered against contract; interest and penalty recovery pursued where applicable
6
Steady state and reporting
Full A/R worked to resolution or documented as uncollectible with a reason
Denials worked to appeal; payments posted against expected reimbursement
Monthly A/R dashboards set: days in A/R, A/R over 90 days, net collection rate, denial overturn rate
Continuous process improvement recommendations to stop denials at the source
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HAVE QUESTIONS?
AR recovery questions, answered
What practice managers ask most before moving their accounts receivable to Qualigenix.
AR recovery is the process of collecting payments a practice has earned but not yet received, including denied, underpaid, and no-response claims. Qualigenix works each open claim by payer and aging bucket until it's resolved. Most practices start with a free A/R review.