INSURANCE RESOLUTION
Insurance resolution is a comprehensive approach built to manage the full claim lifecycle through payment while delivering insights that strengthen your claims process and prevent future delays.
WHY CLAIMS STALL AFTER SUBMISSION
On average, 20% of all submitted claims are initially denied. Providers spent over $20 billion in 2025 on insurance follow-up tasks to recover that revenue. Most of that spend goes toward chasing status, not resolving the claim, and the same denial reasons keep returning because nobody corrects the source.
Our Advantage: People, Intelligence, & Follow Through
AI and machine learning comb your claims data so our team can run root cause analysis, prepare appeals, file order changes, resubmit electronically, and identify alternate insurance options. AI-enhanced workflow prioritizes the queue and keeps working each claim until every option is exhausted. We recover today’s denials while correcting what caused them.
What We
Resolve
Denial Management
Harris & Harris manages denials and works closely with healthcare organizations to prevent them from happening. We recover today's denied and underpaid claims while identifying and correcting the root causes behind them.
20%
Of all submitted claims are initially denied, on average
$20B+
Spent by providers in 2025 on insurance follow-up tasks to recover that revenue
AR Follow-Up
Using AI and machine learning to comb through data, our team performs root cause analysis to understand the reasons for claim denials.
We use that same intelligence to prepare appeals, file order changes and electronically resubmit claims, or identify alternate insurance options for claim resolution.
AI-enhanced workflow guides our team to prioritize tasks, query claim status, and consistently follow through to exhaust all options for claim resolution.
Automated Claim Status
No manual intervention needed. Claims are tracked automatically from submission through resolution, and you get real-time updates on approvals, denials, or required actions.
Our advanced proprietary denial management software categorizes claims by payer, aging, and balance, allowing us to identify patterns and trends with specific payers.
Efficient and transparent, automated claim status minimizes errors and allows you to focus on high-priority claims that need the most attention.
Zero Balance
Just because an account has a zero balance doesn't mean every dollar was collected correctly.
Our Zero Balance Project reviews previously closed accounts to identify reimbursement opportunities that may have been missed during the normal revenue cycle, including payer underpayments, payment variances, incorrect adjustments, coordination of benefits issues, and reimbursement policy discrepancies.
Pre and Post Conversion Work Downs
Don't Carry Legacy A/R Through Your System Conversion
A system conversion is one of the most significant operational events a healthcare organization will experience. Whether transitioning to Epic, Oracle Health (Cerner), Meditech, Altera, or another platform, unresolved accounts receivable can delay implementation, reduce staff productivity, and negatively impact cash flow.
Our Pre- and Post-Conversion Work Down services help hospitals reduce legacy A/R before conversion and rapidly resolve remaining accounts after go-live, allowing internal teams to focus on patient care and system stabilization.
Planning a Conversion?
Talk to Our TeamComprehensive resolution for
The FullClaim Lifecycle
We recover today's denied and underpaid claims while identifying and correcting the root causes behind them. Our advanced proprietary denial management software categorizes claims by payer, aging, and balance, allowing us to identify patterns and trends with specific payers.
Managed through payment
The full claim lifecycle, not follow-up alone
Root causes identified and corrected
Denials prevented, not only recovered
Reimbursement missed the first time
Zero balance review of previously closed accounts