0–30
Submitted and accepted
Nothing to do yet, and nothing should be spent here. Most of what sits in this bucket resolves without anyone touching it.
Workflow
Claim-status follow-up
A denied or pending claim costs the same to work whether it is worth forty dollars or four hundred. That economics is why small balances age out — and it is the economics this workflow is built to change.
What the clock does to a claim
The cost of working a claim barely moves as it ages. What moves is the chance of being paid for it.
31–60
It has not paid and it has not denied
This is where follow-up capacity gets consumed, and where a consistent order of operations is worth the most.
61–90
The expected value has moved
The cost of a touch has not changed. Triage decisions made here are the ones that quietly become write-offs.
90+
Timely filing starts to bite
Work not done by now is usually work never paid, whatever the balance on the claim says.
What Halcora does about it
A consistent order of operations
The outcome of a claim stops depending on which person happened to pick it up, and on what they remembered to check.
The history on one screen
Submission, responses, notes and prior touches in one place, so the first two minutes are not spent reconstructing context.
Every touch recorded with its outcome
Not just that the claim was worked, but what was done and what came back — written to the append-only audit log.
Per-payer patterns that accumulate
What a given payer actually does, gathered as the work is done, so the next claim of the same shape starts further along.
Talk through a week of stalled claims
Bring the shape of your aging report, without protected health information. We will discuss what can move automatically, what needs an operator, and what the resulting record looks like.