Patient balances that get paid without damaging the patient relationship

High deductible plans shifted more revenue onto patients. Most practices collect under 20 percent of what patients owe. We collect over 55 percent on balances under $500, professionally, without the hostile collections playbook.

55%+ patient pay collection rateStatement cycles tuned to pay behaviorPayment plans and pre-collections outreach
55%+collection rate on balances under $500
3xindustry average
100%FDCPA compliant outreach

Why practice-level patient collections fail

Front desk is busy. Statements go out on a generic cycle. Patients ignore the first two because they are confused. The practice sends a third and gives up. Six months later it is a write-off. Our system treats patient collections as a real workflow, not a front-desk afterthought.

What the service covers

  • Statement design, cycle, and delivery (print or digital)
  • Patient portal for self-pay and payment plans
  • Call center outreach on balances over 60 days
  • Payment plan setup and monitoring
  • Pre-collections letter series (typically 3 letters over 90 days)
  • Collections agency handoff with full documentation
  • HIPAA-compliant communication and FDCPA compliance on outreach

Industry average patient-pay collection rate is under 20 percent. That is not because patients will not pay. It is because the workflow is designed to fail.

ASA Management playbook

How we keep the patient relationship intact

Tone matters. Our outreach is respectful, clear, and focused on resolution. We offer payment plans on any balance over $200. We confirm insurance processing before chasing a balance, so patients do not get statements for claims still in payer review.

How soon do you send statements after insurance processing?
First statement goes out within 7 days of insurance posting. Follow-up statements on a 30-day cycle with escalating tone.
Do you offer payment plans?
Yes. Standard plans on balances over $200. Custom plans available for larger balances or financial hardship.
What happens if a patient does not pay?
After 90 days of unsuccessful outreach, we hand off to a collections agency with full documentation. You review and approve every account before handoff.
Start here

See the revenue leak before you sign anything.

A 30-day claim review, written findings, and a number. That is enough to decide.

Call Get a free audit