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AgedA/R Project
50States
Old A/R Recovery Services
Old A/R recovery works aged insurance balances as their own project — often a backlog left by a prior biller, a system migration, or months of follow-up that stopped. Vector Medical Billing inventories the file, separates what is still recoverable from what should be documented for write-off, and reports progress separately so new claim work is not buried under old accounts. From Jamaica, NY, for all 50 states.
Separate engagement
What old A/R recovery is
A time-boxed project on balances that are already old — not the daily workqueue for new claims.
Ongoing A/R follow-up keeps the current book moving. Old A/R recovery takes a defined aging file — often 90+, 120+, or balances stranded after a billing switch — and works what is still inside filing or appeal windows before those windows close.
On Vector Medical Billing’s services list, old A/R recovery is quoted as its own engagement. It is not a silent add-on inside the monthly billing percentage.
When practices use old A/R recovery
The trigger is a backlog that routine follow-up is not clearing.
Prior biller handoff
Open insurance balances arrive with the switch. Working them as a separate file keeps new submissions from competing with abandoned claims.
System or EHR conversion
Balances stranded in a prior practice-management system need inventory and access before anyone can tell what is still collectible.
Neglected aging buckets
Months of 90+ and 120+ insurance A/R with no documented status work — denials unappealed, claims never confirmed received.
Triage before full effort
Not every aged balance is worth the same work. The first deliverable is a sorted inventory.
Still recoverable
Inside the payer’s filing or appeal window, with enough claim history or documentation to act — status, corrected claim, or appeal path.
Needs denial / appeal work
Adjudicated refusals with a CARC still inside appeal time move through denial management methods inside the project scope.
Document for write-off
Past filing with no workable exception, no supporting proof of original submission, or already closed by the payer with no reopen path — reported as excluded rather than chased blindly.
How Vector Medical Billing runs an old A/R project
Scope in writing first. Then inventory, work, and report against that file.
1
Inventory
Aging by payer, DOS, balance, and prior status from the export you provide.
2
Screen
Timely-filing and appeal windows, duplicates, credits miscoded as A/R, and missing docs.
3
Work eligible
Status, correct, appeal, or transfer — highest dollars and nearest deadlines first.
4
Report
Recovered, still open, and recommended write-offs — separate from monthly current-book reports.
What a triage line looks like
Illustrative composite example — not a client recovery result and not a promised dollar amount.
| Field | Example entry |
|---|---|
| Claim age | 138 days from DOS |
| Payer / balance | Commercial primary; open insurance balance $412 |
| Prior status | No documented follow-up after original submission |
| Filing check | Still inside plan filing window with clearinghouse ack on file |
| Triage | Eligible — status then corrected claim if never received |
| Excluded example | Different claim: 410 days, no ack, timely-filing denial already final → document for write-off |
Real projects use your aging export and EHR access. We do not publish a Vector recovery percentage for old A/R on this page without documented engagement evidence.
What old A/R recovery is not
Related services stay separate so scope and fees stay clear.
Not current A/R follow-up
A/R follow-up is the ongoing queue on the live book. Old A/R is a defined backlog project.
Not underpayment recovery alone
Paid-but-short contract lines may appear in a backlog; pure underpayment work is scoped under underpayment recovery when that is the issue.
Not patient collections by default
This page is mainly insurance aged A/R. Patient balances follow patient statements rules unless the written project includes them.
How old A/R recovery is priced
Old A/R is a separate engagement with a written scope after the aging is reviewed. Vector does not treat it as an automatic line inside the monthly billing percentage.
In the wider US market, aged A/R recovery is often quoted as a contingency percentage of dollars actually recovered — public vendor examples commonly land around 12–15% for contained projects, with complex multi-year or multi-TIN files quoted individually. Those figures are market examples, not Vector’s published rate card for your file.
Send an aging export for a written quote. No invented recovery guarantee.
What we need to start
Aging by payer and DOS, claim or denial status where available, EHR or prior-system access, and your write-off / approval rules. The screen tells you what is eligible before full work begins.
Aged A/R reviewed before it is chased
Share an aging report or describe the prior-biller handoff. We reply with what looks eligible, what should be documented for write-off, and a written project scope — without promising a recovery percentage we have not reviewed.
Separate
Engagement
Triage
Before Work
Filing
Window Check
50
US States
Old A/R recovery questions
Straight answers tied to the sections above.
What is old A/R recovery?
A separate project to work aged insurance balances — often from a prior biller or neglected backlog — by triage, timely-filing checks, and recovery work on what is still eligible.
How is it different from A/R follow-up?
Follow-up is continuous work on the current book. Old A/R recovery is a defined file of already-aged balances, scoped and reported on its own.
Can every aged claim still be collected?
No. Claims past filing with no exception, or without submission proof, are often documented for write-off rather than chased. Triage decides before full effort.
How is old A/R priced?
As its own engagement after the aging review. Market vendors often use contingency fees on recovered dollars; your Vector rate is quoted in writing for that file — not invented on this page.
What do you need to start?
An aging export, payer and DOS detail, access to claim history where possible, and the practice’s write-off rules.
Do we change our EHR?
No. Work runs in your current system when access is available, or against exports from a prior system during a conversion — confirmed before the project starts.