Workers' Compensation Collections
Recover what payers owe on injured-worker claims
We pursue every dollar owed on workers' compensation claims — negotiating directly with carriers and boards so providers stop absorbing the cost of injured-worker care.
Workers' compensation reimbursement is its own regulatory maze — state fee schedules, utilization review, and carriers that stall as a matter of policy. MedCare Solutions Group's collections team lives in that maze every day.
We audit every open WC receivable, identify why it's stuck, and drive it to resolution — whether that means correcting a coding issue, appealing a denial, or escalating to the state board when a carrier goes silent.
You keep treating injured workers. We keep the reimbursements moving, so cash flow doesn't depend on how cooperative a given adjuster feels that week.
What's included
- Claim-by-claim aging review and prioritization
- Direct carrier and third-party administrator negotiation
- State fee schedule and utilization review compliance checks
- Formal appeals and board escalation when carriers stall
- Weekly recovery reporting so you always know claim status
Common questions about wc collections
Workers' compensation runs on separate fee schedules, separate adjudication rules, and separate escalation paths (state boards instead of standard payer appeals). Our team works exclusively within those rules, which is why stalled WC claims move faster once we take them over.
Yes — aged and previously denied WC claims are a core part of what we recover. We re-audit the claim, correct what's fixable, and re-file or appeal with the documentation carriers actually require.
A claims aging report and access to your billing system or clearinghouse is enough to begin triage. We handle the rest and report back before touching a live claim in a way that could affect the patient relationship.
Stop leaving reimbursement on the table.
Get a free audit of your claims aging, billing workflow, or credentialing status — and see exactly where revenue is stuck before you commit to anything.