A/R Remediation Fee

Every new client starts with our A/R Remediation Department. A/R Remediation does a complete evaluation of a client’s A/R, and provides a report for the Account Manager to review with a client.

From there, while our Revenue Cycle Management Department (Claims and Verifications) begins work on a client’s account, the A/R Remediation Department begins sorting out the client’s A/R – especially claims older than 60 days.

This includes:

• Line-by-line claim review and status verification
• Filing claims that are unpaid
• Identification and logging of:
  • Already-paid but unposted claims
  • Patient vs. insurance misallocations
  • Claims requiring write-offs or adjustments
• Balance correction and posting
• Final reconciliation and reporting

This is not just billing support—it is detailed, labor-intensive A/R correction and recovery.

As claims are paid, they would be posted by the Revenue Cycle Management Department. Claims that have to be adjusted (i.e. Claim was already paid but not posted, balance is actually a patient, not insurance, balance, etc.), would be handled by the A/R Remediation Department.

Note, A/R Remediation would not automatically do “write-offs” without specific instructions from the client.

In any event you can see – especially for a client with a large and potentially confusing A/R – this is a TON of work. And despite that, we don’t want to charge a client for moneys we don’t actually collect.

Benefit Verification

We use a volume-based monthly pricing model. Clients are billed based on how many verifications are completed in a given month. All verification types (Simple, Standard, Full, etc.) count toward that total.

ASAP verifications—defined as any verification requested within 48 hours of the patient’s appointment—count as two verifications regardless of tier.

The price structure is as follows:

Verification Types Definitions

• Simple Eligibility: Confirms if a patient’s insurance is active.
• Standard: Includes max, deductible, frequencies, waiting periods, and basic benefit details.
• Full: Includes Standard plus broader coverage along with code specific coverage for a number of procedures as detailed on SCC’s Full Verification Form.
• Custom: Full + up to 5 additional custom procedure codes (additional sets of 5 custom codes are $1 more per verification). *
• ASAP: Any verification requested within 48 hours of the appointment.

* = Note: The client is only allowed up to five custom verifications with more than five custom codes as a part of the original 100 in the pricing structure above. Anything above five verifications of this type (more than five custom codes) would be charged for individually.

Per-Verification Pricing

(For 100+ per month or custom-tier clients)

Any verifications above 100 in a given calendar month are charged for individually based on the following price schedule: