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Workers' Compensation Billing

Workers' Compensation Billing Services

WC claims tracked like the high-value AR they are — not buried in commercial queues.

Workers' comp doesn't fail because the rules are unknowable. It fails because WC claims get worked like commercial insurance and quietly age past 120 days. We run WC as its own discipline — carrier-specific, state-compliant, and visible end to end.

On your dashboard Live
Workers' Comp AR (AFC)120 → 79 days
Clean Claim Rate99%
Client Retention100%
The dashboards we work from are the dashboards you see. No black box.
The Stakes

Where WC Revenue Disappears

On most AR reports, workers’ comp is a single aging line. Underneath it, the failure modes are specific:

WC claims handled like commercial insurance
Claims stall at 90–120+ days with no path to resolution
Employer and carrier requirements unmatched at submission
Claims sit in “Pending” indefinitely — clinical work done, revenue frozen
No WC-specific AR view
Aging that’s invisible until it’s a write-off
State timelines and filing rules missed
Forfeited revenue and compliance exposure
The Operation

How We Run It — In the Open

WC billing is a separate operation with its own queues, its own rules, and its own dashboard:

1

Case verification & carrier setup

Every claim verified against the employer, carrier, and adjuster before submission — the step most vendors skip and most denials trace back to.

2

WC-specific coding & documentation

CMS-compliant coding with the documentation each carrier actually requires, so claims don’t bounce on technicalities.

3

Carrier-specific submission & electronic filing

Claims filed the way each carrier processes them — electronic where supported — instead of one generic workflow for every payer.

4

Follow-up on statutory clocks

Carriers are obligated to respond on state-mandated timelines (e.g. 15 working days under SB1175). We follow up on that clock, every claim, and you can watch the queue.

No Black Box

The Numbers We Put in Front of You

Your WC book stops being a single mystery line on the AR report. You see:

Reported live, not monthly
  • WC AR aging, separated from commercial — by carrier
  • Days from date of service to carrier acceptance
  • Pending claims with reason and next action
  • Carrier response-time compliance vs. state mandates
  • WC denial and dispute outcomes, trending
Proof

WC AR, Down 41 Days

The same 14-location AFC network arrived with workers’ comp claims aging past 120 days. Carrier-specific workflows and statutory follow-up brought it under 80 — visibly, month by month.

12079 days
Workers' Comp AR
AFC network, year one
99%
Clean Claim Rate
company-wide
100%
Client Retention
TBD
WC Net Collection Rate
Pending sign-off
Unpublished figures stay TBD until they clear sign-off — we don't project.Read the AFC case study
Outcomes

What Changes When We Run WC Billing

WC revenue you can see and control
Claims that stop stalling in “Pending”
Statutory follow-up on every open claim
Carrier-level performance visibility
State compliance without the administrative drag
Relevant Specialties

Where Workers' Compensation Billing Moves the Needle Most

Specialties where this is the difference between a clean claim and a write-off.

Related Solutions

What Runs Alongside It

These work as one operation — most engagements combine several rather than running them in isolation.

No Claim Left Behind.

Find out how much of your WC book is recoverable — starting with the 90+ day bucket.