Laboratory AR Management Services That Actually Recover What's Owed

Old claims don’t disappear on their own. Left alone, they age past 90 days, then 120, then they get written off as a cost of doing business. TransLabs Laboratory AR Management Services exist to stop that slide. We work every aged claim in your accounts receivable, from the 30-day bucket through the accounts your team has already given up on, until each one is paid, appealed, or closed for a documented reason.

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Client Retention Rate

First-Pass Claim Rate

Avg. Revenue Growth

Avg. Denial Reduction

The Hidden Cost of Neglected Laboratory AR

Once a lab claim crosses the 90-day mark, the odds of full recovery fall off sharply, and by 120 days most in-house billing teams have quietly stopped chasing it. TransLabs takes the opposite position. Our AR recovery specialists treat every aged claim as collectible until proven otherwise, and in practice, most of them still are. Clients regularly recover six and seven figures in balances their previous billing process had effectively abandoned.

Where Laboratory AR Typically Breaks Down

Aged Claims Backlog

Balances past 90 days that in-house staff no longer have bandwidth to work individually.

Underpayment Blind Spots

Payments posted and closed out without ever being checked against the contracted rate

Expired Appeal Windows

Denials that were reversible, missed because no one was tracking the payer’s appeal deadline.

Legacy System AR

Balances left behind after a LIS, billing platform, or EHR conversion that nobody wants to touch.

Elite Lab Specialists

We bypass generalist failures with certified coders focused exclusively on molecular, genetic, and high-complexity RCM.

LIS Integration

Our cloud-based platform syncs with your LIS to provide real-time visibility and workflows generic software misses.

Performance-Based Pricing

We get paid when you do. Our transparent, collection-based model perfectly aligns our incentives with your profitability.

Scalable Infrastructure

From boutique specialty facilities to high-volume reference labs, our RCM engine scales without compromising service quality.

Dedicated Ac. Management

Eliminate the call center runaround with a single, expert point of contact managing your entire revenue cycle.

Critical AR Challenges We Solve

Aged Claims Recovery

Claims sitting past 90 or 120 days rarely fix themselves, and most in-house teams simply run out of hours to work them individually. We segment aged AR by payer, dollar amount, and denial reason, then assign each bucket to a specialist who works it until it’s paid, appealed, or documented as closed.

Denial Follow-Up and Appeals Management

A denial isn’t the end of a claim, it’s the start of a decision: appeal, correct, or write off. Our team reviews the denial reason against payer policy, gathers the supporting documentation, and files appeals within the payer’s window rather than letting the deadline pass by default.

Payer Follow-Up and Escalation

Some claims simply stall in a payer’s system with no denial and no payment. We call, re-submit, and escalate through provider-relations channels until we get a definitive answer, instead of letting a claim sit indefinitely in limbo.

Underpayment Identification

Every payment we touch is checked against your contracted rate. When a payer reimburses below the agreed amount, we open a formal underpayment claim and follow it through to resolution rather than letting the difference disappear into a closed account.

Coordination of Benefits Cleanup

Claims stuck on incorrect COB determinations are a common source of aged AR. We identify the correct payer sequence, correct the billing order, and refile so the claim moves instead of sitting in denial-appeal-denial cycles.

Patient AR and Self-Pay Follow-Up

High-deductible and self-pay balances age quickly once insurance has paid its share. Our patient follow-up sequence combines statements, calls, and flexible payment options to recover balances without damaging the patient relationship.

Legacy AR and System Conversion Cleanup

A LIS, PM system, or billing platform migration almost always leaves behind a pool of unworked claims in the old system. We reconcile that legacy AR against current records, work every recoverable balance, and provide a documented disposition for anything that isn’t.

AR Reporting and Aging Transparency

You should never have to ask what happened to a claim. Our AR aging reports break balances down by payer, age bucket, and status, so you can see exactly what’s being worked, what’s been recovered, and what’s been closed and why.

Client Retention Rate

First-Pass Claim Rate

Avg. Revenue Growth

Avg. Denial Reduction

Serving Labs Across The United States

TransLabs provides expert RCM services to clinical laboratories in all 50 states, delivering the same exceptional results whether you’re a community hospital lab or a large reference facility. We bring specialized lab billing expertise to facilities nationwide, combining remote efficiency with hands-on partnership.

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Our Certifications

Our labs billing services adhere strictly to CMS Laws and HIPAA guidelines

Proficient Across Multiple LIS & EHRs to Simplify Your
Laboratory Management

Compliance in AR Recovery

Medicare AR Compliance

Coding-Related AR Compliance

Commercial Payer AR Compliance

Privacy and Security

Frequently Asked Questions

What's included in laboratory AR management services?

AR management covers everything that happens after a claim is submitted: tracking, follow-up calls, denial review, appeals, underpayment recovery, coordination of benefits corrections, and patient balance follow-up. TransLabs works claims across every aging bucket, not just the fresh ones, and provides documented status on every account we touch.

How old does a claim need to be before you'll work it?

We work AR at any age, including balances your current team may have already written off internally. In practice, our recovery rate is highest on claims between 60 and 180 days old, but we regularly recover payments on accounts well past a year, particularly where a payer never issued a formal denial.

Will you take over my entire AR, including current claims?

That’s up to you. Many labs bring us in specifically for aged AR cleanup while keeping current claims in-house or with their existing billing vendor. Others prefer a single team managing both fresh claims and aged follow-up. We scope the engagement around your existing setup rather than requiring a full replacement.

How do you decide which aged claims are worth pursuing?

We segment your AR by payer, dollar value, denial reason, and remaining timely-filing or appeal window. Every account gets reviewed, but higher-value and higher-probability claims are worked first. Low-dollar claims aren’t ignored, they’re worked in batches so nothing sits untouched.

What happens to accounts you determine are truly uncollectible?

Every account we close gets a documented reason, whether that’s an expired filing deadline, a confirmed patient bankruptcy, or a payer denial with no viable appeal path. You receive that documentation, so write-offs are a decision your team makes with full information rather than an assumption made by default.

How does AR management pricing work?

TransLabs charges a percentage of what we actually recover on aged AR, typically higher than standard RCM rates because the work is harder and the claims are older. There’s no flat fee for accounts we can’t collect, which keeps our incentives aligned with getting your money back rather than logging activity.

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What Our Clients Say?

Our NGS panel denials dropped from 32% to under 6% within three months. TransLabs' expertise with molecular tier codes, prior authorization management, and LCD compliance has been invaluable. They understand the nuances of genetic testing billing that our previous vendor completely missed.

We've worked with three other billing companies over the years. TransLabs is the only one that truly understands complex surgical pathology coding, immunohistochemistry billing, and the nuances of TC/PC modifiers. Clean claims rate improved to 99%, and our dermatopathology reimbursement increased 27%.

Before TransLabs, our FISH and karyotype claims were a constant struggle with denials and underpayments. Their coders actually understand probe configurations, complexity levels, and when to use 88271 versus 88275. Our cytogenetics revenue increased 34% in the first year.

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Laboratory AR Management Services That Actually Recover What's Owed