complex claims

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Where Complexity Meets Clarity.

Complex claims require more than standard follow-up, they require experience, legal insight, and consistent engagement. That's where we come in.
Auto accidents, Workers Compensation, Veteran Affairs, and Attorney-Driven accounts often involve multiple parties, incomplete data, and legal nuance that overwhelms most billing teams. When left unresolved, they create serious leakage across your revenue cycle.
Our specialized team of seasoned claims experts, compliance experts, and our in-house law firm work in unison to resolve complex claims quickly and accurately.
The discovery tool most vendors don't have
ClaimQuest™ is our proprietary process. It combines advanced database access with expert auditing to locate insurance, workers' compensation, and litigation details, verify documents, file liens, and identify the best payment sources on every complex claim. The databases behind it are not available to most vendors, which is why we find coverage other teams never see.
90%+
Success rate uncovering unknown or hidden coverage
Locates unknown or secondary insurance coverage
Verifies accident details and files liens faster
Identifies the best payment source to accelerate resolution

how it

works

Discovery

We use ClaimQuest™ to locate coverage, confirm accident data, and connect payer sources.

Triage & Segmentation

Claims are routed by complexity to our in-house team or legal escalation.

Payer Coordination

Our reps manage direct contact with insurers, adjusters, and attorneys.

Resolution & Payment

Documentation is filed, claims are submitted, and reimbursement is expedited.

download the complex claims capability overview

see how we help hospitals recover revenue that gets trapped in process gaps

 

Complex claims aren’t slow, they’re structurally different. They require investigation, documentation, and multi-party coordination your standard workflows weren’t built to handle.

Download the Complex Claims Capability Overview to see how Harris & Harris helps hospitals recover revenue that gets trapped in process gaps.

Smart Recovery for

Complex Reimbursement

From discovery through payment, we navigate every layer of complexity, ensuring claims don’t get lost in the shuffle. With ClaimQuest™, our proprietary discovery tool, we identify coverage others miss, reduce cycle times, and ensure compliance across all claim types.
9

A noticeable lift in claim recovery

When compared to internal processes

9

100% Compliance

With all state workers’ compensation regulations

9

21-Day Faster Reimbursement

Thanks to improved coverage identification and payer coordination