Capline Healthcare Targets Revenue Leakage with New AR Recovery Model

The methodology relies on an internal analysis of 30 medical practices over a 12-month period ending in July 2026. Data shows that Capline recovered 28% of eligible insurance accounts older than 90 days within one month of engagement, with top-performing offices reaching 35%. This recovery helped these practices push net collection rates above 95% within their first quarter of service.

Founder Abhinav Rastogi attributes revenue loss not to outright denials, but to the administrative failure to track pending claims. "Most practices don't lose revenue because claims are denied outright," Rastogi said. "They lose it because no one goes back to check on what's still pending." Capline’s model addresses this by assigning dedicated ownership to every claim, ensuring consistent follow-up before filing deadlines expire.

Industry benchmarks from the Healthcare Financial Management Association suggest that providers should keep AR older than 90 days under 10% of total balances. However, many practices currently struggle with significantly higher ratios, often exceeding 13% for multispecialty groups. Capline’s process shifts the focus from passive waiting to active escalation, categorizing unpaid items by root cause—such as coding errors or authorization delays—to resolve bottlenecks before they become permanent write-offs.