ASP-RCM Claim Status Surveillance. Always know where every claim is. Always.
Most "claim status" workflows involve a biller calling a payer IVR, getting put on hold, and writing notes. ASP-RCM runs continuous 276/277 surveillance and only routes to a human when human action is needed.
The capabilities, spelled out.
No black boxes. Here’s exactly what this layer does, end to end.
Continuous 276/277 surveillance
Every claim, every payer, every day.
Status change detection
Pending → adjudicated → denied → paid in real time.
Aging-bucket triggers
Auto-escalates claims as they age across thresholds.
Payer behavior baselining
Learns each payer's typical adjudication timeline.
IVR/portal scraping where 276 not supported
Yes, even those payers.
Smart routing to AR specialists
Only human-needed cases hit the queue.
Capabilities, in plain language.
From event to outcome.
A real picture of the workflow. Not a marketing diagram.
Claim submitted
837 transmitted to payer or clearinghouse.
Surveillance starts
276/277 polling begins on payer cadence.
Status changes
Acknowledged, in-process, denied, paid, captured.
Aging trigger fires
Claim past expected adjudication? Escalates.
Specialist works case
Only human-needed work hits the queue.
Regional hospital, Florida.
Pairs well with.
Each layer of the AI stack reinforces the next. Claim Status Surveillance compounds when paired with these.
Ready to see Claim Status Surveillance on your data?
We’ll run a 30-day analysis on a sample of your claims and show you what would have been recovered, denied, or flagged. No obligation.