Workers' compensation billing, collections and litigation support
Workers' comp claims follow their own rules: state fee schedules, adjuster approvals, required reports and long payment timelines. ClaimEdgeSolutions handles the full process, from first report of injury through payment, liens and litigation support.
Common problems we fix
If any of these are happening in your practice, revenue is slipping away every week.
- Claims stuck waiting on adjuster approval
- State fee schedule and form requirements that vary by state
- Missing reports and attachments that delay payment
- Liens and litigated cases that drag on for months
How ClaimEdgeSolutions handles workers' comp billing
Claim setup
Employer, carrier, adjuster and claim number verified before treatment.
State-compliant billing
Correct forms, fee schedules and required reports for each state.
Adjuster follow-up
Regular contact with adjusters and carriers until payment.
Bill review disputes
Reconsiderations and second reviews for reduced payments.
Lien filing & tracking
Liens filed and managed where state law allows.
Litigation support
Records, billing histories and documentation for attorneys and hearings.
Specialists who own your workers' comp billing
You get named people who learn your providers, payers and workflows, not a rotating queue. Every open item has an owner and a deadline.
- Claim setup
- State-compliant billing
- Adjuster follow-up
The metrics we report on
Your monthly report tracks these numbers for this service, alongside your overall revenue cycle KPIs.
Workers' comp claims
Payments corrected
Tracked to resolution
From audit to results in four steps
Free revenue audit
We review your A/R aging, denial history, payer mix and coding patterns, then show you what is recoverable.
Onboarding
BAA signed, secure system access set up, workflows mapped and your dedicated team assigned.
Daily operations
Claims, payments, denials, A/R and patient billing are worked every business day.
Monthly review
A KPI report and a call with your account manager covering results and next steps.
Often paired with Workers' Comp Billing
Virtual Medical Scribe
Trained remote scribes who document in real time so providers can focus on patients.
Explore service
CCM & RPM Programs
Launch and bill Chronic Care Management and Remote Patient Monitoring correctly.
Explore service
Transcription & Document Indexing
Accurate transcription and organized, searchable patient records.
Explore serviceAvailable for every specialty, including
Frequently asked questions
Straight answers about how ClaimEdgeSolutions works with your practice.
Ask us anything01Do you handle personal injury and auto claims too?
Yes. We handle workers' compensation, personal injury and no-fault auto claims.
02Which states do you support?
We bill workers' comp claims nationwide and follow each state's fee schedule and form rules.
03Can you take over claims already in progress?
Yes. We audit open claims and pick up follow-up where it stopped.
04Do you work with attorneys?
We coordinate records and billing documentation with applicant and defense attorneys as needed.
05Do you sign a Business Associate Agreement?
Yes. A BAA is signed with every client before we access any protected health information.
See where your revenue is leaking
Get a free, no-obligation revenue audit. We review your A/R, denials and coding patterns and show you exactly what is recoverable.