Preventing 90+ Day Claim Write-Offs

Claims over 90 days require an immediate shift from a standard follow-up to deep-dive forensic analysis. The agent must treat the claim as a complex project, reviewing the entire claim history, every touchpoint, every denial code, and every EOB. The non-standard approach is a multi-channel escalation, calling the payer’s dedicated high-balance or supervised rep, sending faxes or documentation, and involving a team lead to jointly review the claim. This multi-level contact strategy ensures the claim is escalated out of General Work Queue before the timely filing window closes completely.