AnnexMedAnnexMedAnnexMed
Corporate Office
USA
299 S. Main Street
Suite 1300
Salt Lake City, UT 84111
Chennai - Tower I
CeeDeeYes Tyche Towers,
Block-1 3rd Floor, Perungudi Bypass Rd, Perungudi,
Chennai - 600096
Chennai - Tower II
4th Floor, IIFL TOWERS
MGR Main Rd,
Perungudi, Chennai - 600096
Villupuram
No 9, Viswalingam Layout
Villupuram,
Tamil Nadu – 605602

Aged AR Recovery

Aged AR Recovery for Specialty
& Infusion Pharmacy

Targeted recovery on specialty pharmacy AR aged 90+ days — denial re-work, secondary billing, and escalated appeals on claims most billing operations have already written off. Typical first-pass recovery: 40–65% of aged inventory.

40–65%

Aged AR recovery

98%+

Recovery workflow accuracy

24/7

Dedicated follow-up teams

The Reality

Why Aged AR Becomes Write-Off in Most Specialty Pharmacies?

Aging-Window Pressure

Most specialty pharmacy AR aged 90+ days sits in queue because current AR teams are running flat-out on fresh claims. Recovery work requires dedicated capacity that operational teams don't have.

Multi-Touch Complexity

Aged claims often need multi-touch recovery: prior denial reversal, appeal re-filing, secondary billing, prescriber re-engagement. Each touch takes time the original biller already spent.

Payer Aging Rules

Specialty payers enforce aging rules that close appeal windows at 90, 120, or 180 days post-denial. Aged AR that crosses these windows becomes permanently uncollectable

Documentation Decay

Aged claims often need clinical documentation the prescriber's office cannot easily reproduce. Without active outreach discipline, the documentation that would win an appeal stays unattainable.

Patient Billing Drift

Aged patient-responsibility balances become harder to collect over time. Without compassionate collections workflow, patient AR ages into write-off.

Lost Recovery Opportunity

Industry data suggests 40–65% of specialty pharmacy AR aged 90–365 days is still recoverable with dedicated work — but only if the work happens before the next aging threshold.

Recent Client Results

Proof From The Field

A regional specialty pharmacy recovered $1.6M in aged AR (91–180 days) within the first four months of partnering with AnnexMed — 58% of the targeted inventory. An ambulatory infusion center recovered $920,000 in aged AR (181–365 days) by deploying AnnexMed’s escalation playbook for high-dollar oncology and biologic claims. A home infusion provider eliminated $580,000 in aged patient-responsibility balances through compassionate collections and payment plan coordination within six months.

40–65%

Aged AR Recovery
Rate

120 days

Typical Full-Sweep
Duration

$500K+

Typical First-Sweep
Recovery

How we support you

Three-Stage Aged AR Recovery

AnnexMed runs aged AR recovery as a separate, dedicated capability — not bolted onto your current AR team. The work is staged by aging cohort, prioritized by dollar value, and executed with payer-specific recovery playbooks.

Inventory & Triage

Map the recoverable inventory

  • Full aged AR data extract and segmentation
  • Aging cohort analysis (91–180 / 181–365 / 365+)
  • Dollar-value prioritization by claim
  • Payer-specific recovery window assessment
  • Documentation gap identification
  • Recovery probability scoring

Recovery Execution

Active multi-touch recovery

  • Denial re-work and resubmission
  • Appeal re-filing within payer windows
  • Secondary and tertiary payer billing
  • Prescriber re-engagement for clinical documentation
  • Peer-to-peer review re-initiation
  • External review escalation on high-dollar claims

Patient Recovery

Compassionate self-pay collection

  • Aged patient balance segmentation
  • Payment plan coordination
  • Financial assistance and foundation screening
  • Compassionate collections outreach
  • Statement and dunning workflow
  • Settlement and write-off discipline

Financial impact

What These Improvements Mean in Dollars?

For a specialty pharmacy with $5M–$15M in aged AR balances, a 120-day recovery sweep typically returns $1M–$5M+ in one-time revenue capture, plus ongoing aged AR discipline that prevents future accumulation.
Improvement Area
Estimated Annual Impact
First-Sweep Aged AR Recovery (91–180 days)

$500K – $2M in one-time recovery

Long-Aged Recovery (181–365 days)

$300K – $1.5M in one-time recovery

Aged Patient-Responsibility Recovery

$100K – $500K in compassionate collections

Underpayment Identification in Aged Inventory

$200K – $700K in re-billed underpayments

Ongoing Aging Prevention

$300K – $900K annually in prevented future aging

External Review Wins on Aged High-Dollar

$100K – $400K in escalated recovery

Performance Targets vs. Industry Benchmark

KPIs we hold ourselves accountable to — tracked in real time through your operational dashboards:  
Performance Metric
Industry Benchmark
AnnexMed Target
Aged AR (91–180 days) Recovery Rate

Industry avg: 18–30%

55–65%
Long-Aged AR (181–365) Recovery Rate

Industry avg: 8–15%

30–45%
Days to First Touch on Aged Claim

Industry avg: 30–60 days

< 7 days
Appeal Re-Filing Success on Aged

Industry avg: 25–40%

60%+
Patient AR Aging Reduction

Industry avg: 30–45%

70%+
Total Aged AR Reduction (12 months)

Industry avg: 35–50%

75%+

Why Annexmed?

In-House vs. AnnexMed Partnership

How the AnnexMed model compares to typical in-house or generalist billing operations:
In-House / Traditional
AnnexMed Partnership
Aged AR Treatment

Deprioritized vs. fresh claims

Dedicated capacity exclusively on aged work

Recovery Window Tracking

Manual; many windows missed

Automated aging alerts; payer-specific rules applied

Documentation Outreach

Limited; prescriber engagement weak

Standing prescriber coordination workflow

Recovery Methodology

Re-work only

Re-work + appeal + secondary + escalation

Patient AR Discipline

Standard collections; aged often written off

Compassionate collections + financial assistance

External Review Use

Rare on aged inventory

Routine on high-dollar aged claims

Reporting Visibility

Aging buckets only

Recovery probability, expected value, and trend reporting

Engagement Model

Fixed cost regardless of recovery

Fixed or contingency engagement options available

Real cost example: Specialty pharmacy with $9M aged AR (91–365 days)

Without AnnexMed: $4M–$5M expected to age into permanent write-off over 12 months. AnnexMed (contingency engagement): $600K–$900K typical recovery fee on $2M–$4M projected recovery = net financial benefit of approximately $1.4M–$3.1M to the pharmacy, with zero impact to current AR team capacity.

Technology

Powered by proprietary AI & analytics

AnnexMed’s technology stack was built for payer-specific operational demands, not adapted from provider-side billing tools. Risk adjustment accuracy, payment integrity, and credentialing compliance each require different data models, workflow logic, and reporting architectures than provider RCM. Our platform reflects that.

AI Agents & Automation

AI Agents & Intelligent Automation deploys autonomous AI agents across the full revenue cycle, automating eligibility verification, prior authorization, claims processing, payment posting, and denial management at hospital scale and speed.

Data & Analytics Platform

Data & Analytics Platform delivers real-time Power BI dashboards built for hospital executive visibility, including system-wide KPIs, service line performance, payer analysis, productivity, financial forecasting, and national benchmarking insights.

Intelligent AR Management

Intelligent AR Management handles A/R follow-up at hospital scale with intelligent worklists prioritized by dollar value and aging, payer-specific follow-up rules, automated escalation for high-value accounts, and full accountability for every claim.

Computer Assisted Coding

Computer Assisted Coding orchestrates hospital coding operation, intelligent chart assignment by service line, TAT tracking with SLA monitoring, quality audits with accuracy scoring, and coder performance management at enterprise scale.

Together, these platforms create a fully instrumented RCM operation where nothing falls through the cracks. You don’t interact with these systems directly, but the results they enable show up directly in your financial performance.

user-bg

Ready to Recover What's Aging in Your AR Queue?

Most specialty pharmacies recover $1M–$3M in aged AR within the first 120 days of partnership — with zero impact to current AR team capacity. Schedule a free aged AR analysis to see what’s recoverable.

Trusted by 100+ Healthcare Providers | AAPC, AHIMA & AAHAM Certified | SOC 2 Type II | HIPAA Compliant

Request a free aged AR analysis
Schedule a recovery strategy call
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Payer client outcomes

AnnexMed delivers measurable financial impact within the first 60 to 90 days of engagement. The following represent outcomes from active payer partnerships:

$15M–$40M

Risk
Adjustment

$18M–$50M

Payment
Integrity

6 Weeks

Credentialing Clearance

$15M–$50M+

Revenue
Impact

Case Studies

See the impact we deliver

Discover how AnnexMed reduces denials, accelerates reimbursements, and strengthens financial performance. Backed by measurable outcomes and proven RCM expertise, we deliver operational excellence, revenue stability, and sustainable growth you can trust.

Client Voices

See how our clients succeed

Hear from organizations that trust AnnexMed to reduce denials, accelerate reimbursements, and strengthen cash flow. Our expert support delivers measurable performance gains, operational efficiency, financial stability, and scalable growth.
Claims adjudication backlogs were delaying provider payments and increasing complaint volumes. AnnexMed took over processing, cleared the backlog in 30 days, and improved turnaround by 45%. Provider satisfaction scores climbed significantly, dispute volumes dropped, and our network relationships strengthened significantly.
Anx Image

Dr. Richard Calloway

Horizon Health Plan
Our payer operations team was overwhelmed with member inquiries, provider disputes, and claims rework. AnnexMed brought dedicated support that handled every function with accuracy and speed. Processing errors dropped by 60%, provider abrasion decreased, and our operational costs came down by nearly a third.
Anx Testimonial

Dr. Priya Menon

Crestview Insurance Partners
Managing claims accuracy, provider data, and member support internally was draining our resources. AnnexMed streamlined our payer operations end to end. Claims processing improved, provider onboarding accelerated, and our administrative burden reduced dramatically. They understand payer complexity like no other partner.
Anx Testimonial

Laura Simmons

Meridian Managed Care

Proven RCM expertise. Delivered at scale.

For over 20 years, AnnexMed has delivered RCM solutions nationwide, combining expert billing, coding, and AR support to drive measurable results and growth.

  • 20+ years of proven healthcare RCM experience
  • 2,000+ professionals supporting billing, coding & AR
  • 500+ certified coders across multiple specialties
  • 99%+ compliance with HIPAA and security standards
  • All 50 states served with consistent, scalable operations
Certification

Want to talk to our RCM experts?

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