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Case Studies | Proven Success With U.S. Healthcare Practices

Real Results. Real Revenue. Real Improvement.

At Claims Esquire, we don’t just promise better collections—we deliver measurable, consistent, and practice-transforming results.

Explore how we’ve helped primary care providers, specialists, dental practices, surgical centers, and therapy groups strengthen cash flow, reduce denials, and streamline operations.

42% Increase in Monthly Collections for a Primary Care Practice

Practice Type: Family Medicine, Ohio

Challenge

  • High claim denials
  • Slow payment posting
  • Incorrect insurance verification
  • Cash flow instability

Solution

  • Full-service RCM takeover
  • Automated eligibility verification
  • Coding audit + CPT/ICD revision
  • Weekly AR follow-up

Results (within 90 days)

  • 42% increase in collections
  • 68% reduction in denials
  • 100% clean claim rate
  • AR over 90 days dropped from 38% → 12

Multi-Specialty Clinic Reduced AR Days From 62 to 28

Practice Type: Multi-specialty (Cardiology, Neurology, Orthopedics), Texas

Challenge

  • Payers delaying claims
  • Complex procedural coding
  • No systematic denial tracking

Solution

  • Dedicated specialty-trained team
  • Daily claim scrubbing
  • Denial categorization + root-cause analysis
  • Continuous payer follow-up

Results

  • AR days cut in half
  • 93% coding accuracy improvement
  • 32% increase in first-pass acceptance
  • 19% higher monthly revenue

Dental Practice Increased Insurance Collections by 51%

Practice Type: General Dentistry, Florida

Challenge

  • Under-coded treatment entries
  • Frequent eligibility mistakes
  • Unsubmitted claims backlog

Solution

  • Dental coding review
  • PPO eligibility verification
  • Clearing 800+ old claims
  • Real-time patient responsibility reporting

Results

  • 51% increase in insurance collections
  • Cleared entire old AR within 6 weeks
  • 40% improvement in patient collections

ASC Achieved 96% Clean Claim Rate Within 60 Days

Practice Type: Ambulatory Surgical Center, California

Challenge

  • High-volume procedures
  • Payer-specific authorization issues
  • Manual claim creation

Solution

  • Electronic claim scrubbing
  • Pre-authorization validation
  • Dedicated per-surgery billing

Results

  • 96% clean claim rate
  • Reduced denials from 29% → 7%
  • 34% faster reimbursements

Behavioral Health Practice Recovered $128,000 in Aged AR

Practice Type: Psychiatry + Therapy Group, New York

Challenge

  • Old unpaid claims (120–180 days)
  • Modifier errors
  • Underpayment from payers

Solution

  • AR cleanup team
  • Modifier correction (59, 25, H codes)
  • Appeal letters + payer escalation

Results

  • Recovered $128,000 in 45 days
  • Cut AR aging by 70%
  • 22% increase in approved claims

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