Keelson · Work

Meadowbrook Health Partners

Moved denied-claim resubmission cycle from 28 days to 9, recovering $2.1M in aged receivables inside one quarter.

SMB healthcare RCM
16-week engagement
Outcome shipped

The challenge

What the operator was carrying.

Meadowbrook runs a 22-clinic RCM operation that was sitting on roughly $4.6M of denied claims older than 90 days. The denial reasons clustered around four recurring payer edit failures, but every resubmission needed a human to re-pull records, re-code, and re-attach — a process that took an average of 28 days per claim.

The approach

Audit. Build. Handoff.

The audit mapped the four denial clusters, ranked each by recoverable dollars, and locked the resubmission metric against the largest cluster first. The 90-day build stood up a denial-aware coding copilot that drafted the resubmission packet for the biller to approve, plus an exception queue that surfaced anything the copilot could not pattern-match to a known edit.

The outcomes

The numbers the quote was locked against.

Every metric below was taken from the customer's own Monday dashboard — not from an internal Keelson chart.

Resubmission cycle

9 days

From intake to payer handoff, measured on Meadowbrook's clearinghouse feed.

Aged receivables recovered

$2.1M

Across the four denial clusters, inside the first 90 days post-build.

Clean-claim rate

94%

Up from 78% on the same payer mix, validated against the clearinghouse report.

From the operator

Our billers are approving packets now instead of compiling them. The copilot handles the work the desk used to dread.

Meadowbrook Health Partners

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