Maximize Claim Realization. Minimize Revenue Leakage.

By Alpha Healthcare Solutions

Delayed or denied insurance payments can significantly impact a hospital’s revenue and operational efficiency. That’s why Alpha Healthcare Solutions (AHS) offers specialized Insurance Recovery Management services to help hospitals and healthcare providers streamline claim settlements and recover pending dues effectively.

With our deep expertise in hospital revenue cycle management, we ensure that approved claims are recovered faster, discrepancies are resolved, and revenue losses are minimized — all while maintaining full compliance with industry and insurer standards.

Our Insurance Recovery Services Include:

  • Outstanding Claims Audit
    • Systematic review of all pending claims
    • Identification of reasons for delays or rejections
    • Classification of claims by TPA, insurer, and aging status
  • Resubmission & Dispute Resolution
    • Reconciliation of partially paid or denied claims
    • Resubmission with updated medical and billing documentation
    • Handling insurer/TPA queries and escalations professionally
  • Coordination with TPAs & Insurers
    • Follow-ups via email, phone, and official channels
    • Liaison with field officers and backend teams
    • Claim escalation for aged receivables and stuck payments
  • Real-Time Reporting & Analytics
    • Weekly and monthly MIS reports on recovered amounts
    • TPA-wise recovery dashboards and cash flow tracking
    • Claim aging analysis and action plans for critical cases
  • Staff Training & Process Improvement
    • Empowering hospital billing and insurance staff with SOPs
    • Identifying and fixing internal claim submission issues
    • Implementing preventive controls for future claims

Why Choose AHS for Recovery Management?

  • Proven track record in unlocking stuck insurance revenue
  • Strong networks with leading TPAs and insurance companies
  • Dedicated recovery team with follow-up accountability
  • Customized strategies for different hospitals and regions
  • Fully compliant and audit-ready processes
“Alpha Healthcare Solutions helps your hospital recover what it rightfully earns — efficiently, ethically, and transparently.”
Would You Like To Start A Project With Us?
Just relax, Alpha Healthcare Solutions is ready to manage your Hospitals/Occupational Health Services!
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