Sample Recovery opportunity report, annotated
This is the deliverable of the MARR 90+ Day Recovery Audit. The figures below are a constructed sample for a 14-provider orthopedic group; your report uses your aging report and comes with a claim-level appendix. Every section is explained beneath it.
| Aging bucket | Claims | Balance | Actionable |
|---|---|---|---|
| 0–60 days | 3,812 | $740,000 | not in scope |
| 60–90 days | 602 | $112,000 | monitor |
| 90–120 days | 518 | $121,400 | $78,900 |
| 120–180 days | 466 | $104,600 | $61,200 |
| 180+ days filing deadlines | 436 | $114,000 | $44,900 |
| 90+ day A/R | 1,420 | $340,000 | $185,000 |
| Denial category | Claims | Balance | Path |
|---|---|---|---|
| Prior authorization | 214 | $52,300 | Retro-auth + appeal |
| Medical necessity | 131 | $41,700 | Documentation + appeal |
| Modifier / coding | 302 | $38,100 | Correct + resubmit |
| Underpaid vs. contract | 188 | $29,400 | Rate dispute |
| No follow-up on file | 407 | $23,500 | Payer status + rework |
| Estimated recovery | $80,000 – $130,000 | ||
Reading the report
Header
Practice size, specialty, and the month the aging report was pulled. The numbers are only as current as that report; we ask for a fresh export at engagement start.
Aging buckets
Claims and balance by age, as the practice-management system reports them. Buckets under 90 days are shown for context and marked out of scope; we do not touch them unless asked.
Actionable
The part of each bucket that is inside deadlines with a valid recovery path (see the methodology). It is always less than the balance. The gap is pending, held, or unrecoverable claims, each listed in the appendix with a reason.
90+ day total
The scope of the engagement. This is the figure we quote a fee against, and the denominator for the monthly recovered-percentage line.
Denial categories
The 90+ day claims grouped by the action they need, not by the payer's wording. "No follow-up on file" is its own category because those claims need status verification before anything else.
Path
The first action for each category. Appeals are written to the payer's stated reason; corrected claims go back as corrections so they keep the original filing date.
Estimated recovery
A range, built from expected allowed amounts weighted by path. Low assumes only first-level actions succeed; high assumes escalations and disputes also succeed. The fee implied by each end is stated in the notes.
Payer concentration
The payers driving the aged balance. Concentration above roughly a third in one payer usually points to a contract, credentialing, or payer-processing issue worth a provider-relations escalation.
Deadline claims
Claims within 30 days of a timely-filing or appeal limit. These are worked in the first week of an engagement whatever their balance.
What comes with it
- A claim-level appendix (CSV): every 90+ day claim with its classification, path, deadlines, and expected allowed amount. Delivered through the secure portal, never by email.
- A deadline list for the first week.
- A held-claims list: what documentation we would need from you, by claim.
- A write-off list: unrecoverable claims with the reason and the deadline that closed them.
- The fee schedule the estimate implies, so the decision to engage is made on numbers.
What it costs
Nothing. The audit is free and carries no obligation. If you engage us, the fee is 12–18% of recovered revenue by claim age; if you don't, the file you uploaded is deleted within 90 days.