The claim that pays is the one filed before its window shuts.
RecoveAR ranks every open denial by how close it sits to a filing or appeal deadline, not by how large the balance is. The accounts about to expire get worked first, so revenue never dies on the calendar instead of on the merits.
Balance size tells you what an account is worth. Deadline proximity tells you whether you can still collect it.
A $12,000 denial with 200 days left on the appeal clock is safer than an $800 denial with 6 days left. Worked by balance, the small one dies first. RecoveAR reads the payer's own filing and appeal rules, calculates each account's true days-to-deadline, and pushes the ones nearest the edge to the top of the queue every morning.
Where aging AR crosses the lines it can never cross back
These are not estimates. They are the filing and appeal windows written into the guidelines RecoveAR sequences against. When an account passes one, the money is gone regardless of how clean the claim was.
The life of a denied claim, from clean to closed
A single Medicare denial can pass three separate deadlines on its way to write-off. RecoveAR tracks each one and flags the account the moment it enters a danger band.
Deadline in, priority out
The engine runs the same five steps on every open account, every day, so the list a caller opens in the morning is already ordered by what is about to expire.
Read the rule
Match each claim to its payer, plan, and claim type, then pull the exact filing and appeal windows that apply.
Anchor the date
Set the clock from the correct trigger: date of service, remit receipt, or negotiation close, not the day someone noticed.
Score proximity
Compute days remaining on the nearest live deadline and weight it against recoverable dollars.
Band the risk
Sort into green, amber, and red bands so expiring accounts surface above fat but comfortable ones.
Route to work
Push red-band accounts to the top of the caller queue with the appeal path and deadline already attached.
Balance-size triage vs. deadline-proximity triage
Real deadlines, cited by name
The engine is only as good as the guideline library behind it. RecoveAR sequences against the same published rules your auditors would check.
CMS Claims Processing Manual
Pub. 100-04, Chapter 1 sets the one-calendar-year timely-filing limit; Chapter 29 governs the five-level appeals process and each level's clock.
365 days to file · 120 to redeterminePayer timely-filing & appeal deadlines
Each commercial provider manual and state Medicaid billing manual sets its own filing and appeal windows. RecoveAR keys them per payer, plan, and claim type.
90–365 days, contract-specificNo Surprises Act IDR timelines
A 30-business-day open negotiation period, then a 4-business-day window to initiate Federal IDR under 45 CFR §149.510. The tightest reflex clock in the stack.
30-day negotiate · 4-day IDR triggerFind out how much of your AR is already against the clock.
ASP-RCM Solutions runs RecoveAR on your open denials to show exactly where accounts sit relative to their filing and appeal windows, and what is recoverable before those windows close. No fabricated projections, just your real AR mapped to real deadlines.
Talk to ASP-RCM about RecoveAR →Deadlines cited reflect CMS and federal rules current for 2026. Payer and state Medicaid windows vary by contract and jurisdiction; RecoveAR keys each account to its governing manual.
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