Claims At Risk — Insurance Follow-Up Before Revenue Slips Away
Not every unpaid claim is denied — many are simply abandoned.
Claims At Risk is RVNU EMS’s insurance follow-up program designed to prevent ambulance claims from quietly aging out, falling through workflow gaps, or being written off before all reasonable follow-up has occurred.​ This program focuses on claims that are still recoverable, but at risk of becoming lost revenue due to time, volume, or system limitations.
The Problem Claims At Risk Solves
In EMS billing, claims rarely fail all at once. Instead, they:
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Sit unpaid for weeks or months
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Bounce between statuses
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Stall after initial follow-up
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Miss payer timeframes
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Age past practical recovery windows
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By the time a claim is officially written off, the opportunity to recover it may already be gone.
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Claims At Risk exists to intervene before that happens.
What Makes a Claim “At Risk”
Claims At Risk focuses on insurance claims that show warning signs such as:
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Aging beyond expected payment timelines
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Incomplete or unresolved payer responses
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Repeated status checks without resolution
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Claims deprioritized due to staff capacity or volume
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Accounts approaching payer or internal follow-up limits
These claims are often not denied — they’re simply not being actively resolved.
What Claims At Risk Does
Claims At Risk is not billing replacement and not recovery after write-off.
It is targeted insurance follow-up designed to keep claims moving while recovery is still feasible.
The program includes:
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Focused insurance follow-up
Targeted outreach to payers to obtain status, documentation needs, and resolution paths -
Issue identification
Surfacing why claims are stalled — missing information, payer requests, or workflow gaps -
Escalation where appropriate
Applying additional follow-up attention before claims age out -
Workflow reinforcement
Supporting existing billing teams or vendors during high-volume or constrained periods
Claims At Risk works within the active life of a claim, not after it has been closed.
How Claims At Risk Is Different From Other RVNU Programs
Each RVNU program addresses a different failure point:
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Billing & Revenue Cycle
Handles claim submission, standard follow-up, and appeals -
Claims At Risk
Prevents active insurance claims from stalling or aging out -
SwiftPay®
Prevents premature write-off once a balance moves to patient responsibility -
Found Money®
Recovers insurance underpayments after billing and appeals are exhausted
Claims At Risk is about protecting in-flight claims, not revisiting closed ones.
Who Claims At Risk Is Typically a Fit For
Claims At Risk is most often a fit for:
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Private EMS agencies with growing AR backlogs
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Organizations experiencing staffing constraints or high claim volume
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Agencies seeing claims age without clear resolution
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Leadership teams looking to protect revenue before write-off becomes inevitable
If you’re unsure whether Claims At Risk or another RVNU program is the right starting point, we can determine that quickly.
What to Expect
Agencies exploring Claims At Risk can expect:
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Review of aging and stalled claim patterns
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Identification of claims most vulnerable to loss
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Clear recommendation on scope and fit
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Rapid deployment alongside existing workflows
If Claims At Risk isn’t the right tool, we’ll say so.
Next Steps
If your agency has insurance claims that are unpaid, unresolved, and aging toward write-off, Claims At Risk can help keep them from slipping away.
Claims At Risk focuses on keeping recoverable insurance claims from becoming write-offs.