RecoverWhat is at risk

Protect revenue before it becomes a write-off.

Some receivables never follow the expected path. Klaim finds the revenue at risk, whether denied, underpaid, delayed, or aging, and works it to resolution before the value is lost.

Recover · Revenue at riskSample

At risk

$0.0K

Recovered · QTD

$0.0K
AR-3318AetnaCommercial · 64d$48,200Denied
AR-3290MedicaidGovernment · 88d$31,750Underpaid
AR-3265UnitedHealthcareCommercial · 102d$72,540Aging
AR-3241CignaCommercial · 57d$54,900Denied
Prioritized by recoverable valueTracked to resolution

Illustrative interface, not a statement of your receivables.

The leak

Earned revenue quietly ages into a write-off.

Denials, underpayments, and delays pile up faster than overloaded billing teams can work them. Recover finds what is slipping and puts the highest-value accounts first.

How Recover works

From at-risk to resolved.

01

Detect revenue going off track.

Klaim flags receivables that deviate from their expected path early in the cycle: denied, underpaid, delayed, or missing documentation.

02

Prioritize by recoverable value.

Each at-risk account is ranked by expected net recovery, so effort goes where the return is highest, not where the noise is loudest.

03

Work it to resolution.

Assign selected AR pools to Klaim for managed recovery, and track every action through to the payer's response.

What gets recovered

Not every recovery looks the same.

Some revenue is recovered the moment a rule catches it. Some needs a person to chase one missing signature, or to make the clinical case to a payer. Klaim is built around that difference.

AutomatedRules-assistedServices-led

Ordered by impact and how little human effort it takes to resolve. The platform handles what it can; the services team handles what it can't.

Automated

Eligibility & coordination of benefits

Coverage gaps and payer-sequencing errors are caught before a claim is submitted, not after it's denied.

Platform resolves it

Automated

Authorization recovery

Every payer's authorization rules are tracked automatically, and missing or expired auths are flagged before service, not after the denial.

Platform resolves it

Automated

Underpayment & contract variance

Every remittance is compared against contracted rates automatically, turning the gap into a recoverable receivable.

Platform resolves it

Rules-assisted

Timely filing & claim status

Filing deadlines are tracked against payer-specific clocks, with resubmission triggered automatically and only true edge cases escalated.

Platform fixes most, escalates the rest

Rules-assisted

Billing & coding denials

Routine code-edit mismatches are corrected automatically; anything touching clinical documentation routes to a coder with full claim context.

Platform fixes most, escalates the rest

Rules-assisted

Credentialing & benefits exhausted

Credentialing status and benefit caps are monitored continuously, with alerts sent while there's still time to act.

Platform fixes most, escalates the rest

Services-led

Documentation & physician queries

A precise request goes to the person who can close the gap, a signature, a query response, a record, and Klaim's team follows it through.

A person has to act

Services-led

Medical necessity & clinical appeals

Klaim's services team builds the clinical case and files the appeal, pulling supporting documentation directly from the record.

A person has to act

Services-led

Cost report & regulatory recovery

High-value, low-frequency filings, Medicare cost reports, disproportionate share, bad debt, reviewed and filed by specialists.

A person has to act

The recovery workflow

From flagged to filed, without adding to your team's workload.

Klaim's platform finds and prioritizes what's recoverable. Klaim's services team does the recovery work. Your teams are only ever asked for the one piece of information that's actually missing.

01

Platform

Detect and prioritize.

Every receivable is checked continuously against payer rules, contract terms, and filing deadlines, then ranked by recoverable value.

02

Platform

Activate the recovery.

A case opens automatically and routes to the right path: a rules-based fix, a payer appeal, or a request for hospital input. No one has to notice the denial first.

03

Platform → hospital team

Request what's missing.

If the case depends on something only your hospital has, a signature, a query response, a record from the EMR, one specific, pre-filled request goes to the right person. Not a ticket queue.

04

Klaim services team

Work it to resolution.

Appeals get written, payers get called, claims get resubmitted, by Klaim's team. Every action and every payer response is logged against the case.

05

Hospital team

See status, not workload.

Your team sees what's open, what's resolved, and what's waiting on them, without owning the recovery process itself.

06

Platform

Feed it back into prevention.

Every resolved case updates the rules engine, so the same authorization gap or eligibility mismatch gets caught before service next time.

Why finance teams recover with Klaim

Revenue preservation, not chasing.

Early detection

Catch receivables moving off their expected payment path before they age toward timely-filing limits.

Value-ranked queue

Prioritize accounts by expected recoverable value, so your team works the dollars that matter most.

Denials & underpayments

Surface denial, underpayment, delay, and documentation issues, and the reason behind each one.

Managed recovery

Assign selected AR pools to Klaim when internal teams are overloaded, and keep full visibility throughout.

Tracked to resolution

Every recovery action is logged and tracked through the payer's response, an auditable trail end to end.

Fewer write-offs

Recover value from receivables that would otherwise stall, age, or be written off entirely.

Recover

Find the revenue you are about to lose.

Forecast what is coming, accelerate what you need, and recover what is at risk, in one Revenue Treasury system.