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Solutions · Claims & Denial Management Services

Claims Management & Denial Management Services

Recover revenue that is stuck in accounts receivable: active claims tracking, follow-up, appeals and root-cause fixes handled by a dedicated team.

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Unpaid and denied claims quietly drain revenue. Teamliva claims management and denial management services put a dedicated team on your accounts receivable, working aging claims every day rather than in a monthly batch, and correcting the causes behind repeat denials.

Each denial is captured with its reason, triaged by value and deadline, corrected or appealed, and fed back to coding and front-desk teams. Results are reported monthly against measures such as days in A/R, denial rate and net collection.

Claims management, claims tracking and outsourced denial management

Our team covers medical claims tracking and healthcare claims management for practices that want an accountable owner for every submitted claim, delivered as outsourced claims management. Healthcare denial management and denial management outsourcing put a dedicated team on denials, and outsourced denial management means each denial has an owner, a deadline and a root-cause fix.

What's included

Claims Tracking

Every submitted claim followed until it is paid, rejected or denied.

Claims Follow-up

Regular payer contact on unpaid and aging claims, logged with dates and reference numbers.

Denial Management

Denials triaged, corrected and resubmitted or appealed before deadlines.

Root-Cause Analysis

Patterns identified by payer, code and clinic, so the same denial stops recurring.

Accounts Receivable Management

Aging buckets worked in priority order, with special attention to older balances.

Performance Reporting

Monthly reports on days in A/R, denial rate, clean claim rate and net collection.

Why Teamliva

Built to hold up under audit

  • Daily work on aging claims instead of a monthly clean-up
  • Denials appealed with root causes fixed, not just reworked
  • A clear view of revenue at risk by payer and reason
  • Fewer repeat denials over time
  • A dedicated team that learns your payers and codes
  • HIPAA-aligned handling and a signed BAA

How it works

  1. 01

    A/R Review

    Aging report and denial history reviewed to set priorities.

  2. 02

    Work the Queue

    Claims worked by value and deadline, with every contact logged.

  3. 03

    Correct & Appeal

    Errors corrected and resubmitted, or appeals filed with supporting documents.

  4. 04

    Find the Cause

    Patterns analysed across coding, registration and authorisation.

  5. 05

    Report & Prevent

    Monthly reporting and process fixes to stop repeat denials.

Who this is for

  • Practices with a growing backlog of unpaid claims
  • Groups with a high denial rate on specific payers
  • Providers who want dedicated A/R follow-up without hiring
  • Practices moving billing from one provider to another

Frequently asked questions

Contact Ops

Let's scope your squad

Tell us what you need — staffing, back-office, a web build, or a brand system. An operations architect will come back to you the same day.

ops@teamliva.com
  • Reply within 2 business hours
  • HIPAA & SOC2 Type II aligned
  • Squads live in under 72 hours