The 90-Day Claim Problem

Look at the last column of your insurance aging report. Everything sitting past 90 days is money your practice earned months ago and still hasn't collected. The longer it sits, the less of it you'll ever see.

Why 90 Days Matters

Claims get harder to collect as they age. The people who handled the original visit have moved on to newer work, the details get harder to piece together, and payer filing deadlines start to close. A claim denied for timely filing is one of the hardest to recover.

What Healthy Looks Like

A common benchmark is to keep claims older than 90 days under 10 to 15% of everything you're owed. If your 90+ column is a quarter of the total, a meaningful chunk of last year's work is at risk.

Work The Backlog In An Afternoon

Sort every claim over 90 days by balance, largest first. Check each plan's filing deadline and flag anything close to expiring. Then work the top ten: call, correct, resubmit, or appeal. Ten claims won't clear the whole column, but they're usually where most of the dollars are.

Keep It From Coming Back

Old claims pile up when nobody owns the follow-up. Set aside one hour a week for one person to work anything that has crossed 30 days. Catching a claim at 30 days is far easier than chasing it at 120.

Curious how much of your practice's money is stuck past 90 days? Run the free checkup and Iris will put a dollar figure on it.

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What A Healthy Denial Rate Looks Like In Eye Care