Revenue Cycle Management &
Medical Record Retrieval.
HIPAA-aligned, US-hours teams supporting healthcare providers, law firms and insurance carriers. We help you collect more, recover records faster, and close cases sooner.
Who we serve
Built for the three teams that depend on accurate records and clean revenue.
From provider billing offices to litigation support and insurance claims operations.
US Healthcare Organizations
Hospitals, multi-site clinics, MSOs, DSOs and specialty practices that need to recover more, faster — without expanding US headcount.
- Revenue Cycle Management
- Coding & charge capture
- Patient access & support
Law Firms
Personal injury, mass tort, medical malpractice and disability firms that depend on complete, court-ready medical records to settle and litigate.
- Medical record retrieval & summaries
- Subpoena & HIPAA-compliant requests
- Chronologies and Bates-stamped indexing
Insurance Companies
Health, life, disability and P&C carriers needing fast, defensible records for underwriting, claims review and SIU investigations.
- Underwriting record pulls
- Claims & APS retrieval
- Chart audits and overpayment recovery
Revenue Cycle Management
Every step of the revenue cycle — owned.
Pick a single service or hand us the entire RCM stack. Either way, you get a senior US-hours pod and measurable lift from month one.
Patient Access & Eligibility
Insurance verification, demographic capture, benefits checks and registration QA before the patient ever walks in.
Prior Authorization
Dedicated payer-side specialists chasing approvals across commercial, Medicare and Medicaid lines.
Medical Coding (ICD-10 / CPT / HCC)
AAPC and AHIMA certified coders across 30+ specialties — inpatient, outpatient, surgical, E/M, risk adjustment.
Charge Entry & Claims Submission
Clean-claim scrubbing, EDI submission, and rejection rework — paid on first pass at 96%+.
Payment Posting & Reconciliation
ERA/EOB posting, contractual adjustments, secondary billing and patient balance transfers — same-day.
Denials & AR Management
Root-cause analysis, appeals, payer follow-up and aging cleanup that compounds collections month over month.
Patient Billing & Support
Inbound and outbound patient balance calls, statements, payment plans and self-pay collections.
Clinical Documentation Improvement
CDI specialists driving completeness, specificity and compliance — measurable lift in DRG and HCC capture.
Credentialing & Enrollment
Provider enrollment, CAQH maintenance, payer credentialing and re-credentialing without missed deadlines.
Medical Record Retrieval
Court-ready records.
Underwriter-grade summaries.
A specialist Medical Record Retrieval (MRR) team built for law firms and insurance carriers — and for provider groups that need clean charts for audits, peer review or risk adjustment. We handle the paperwork, the phone tag, the portal logins and the follow-up so your attorneys, adjusters and clinicians work only from complete files.
Every request is logged in a single dashboard: provider contacted, method, date, fee, custodian response, and next action. You see status in real time — no more chasing your own team for updates.
Record Retrieval & Chasing
Nationwide outreach to providers, hospitals, imaging centers, pharmacies and EHRs — with relentless, logged follow-up until records arrive.
HIPAA-Compliant Authorizations
Authorization drafting, validation and tracking aligned with HIPAA, 42 CFR Part 2, state-specific and federal disclosure rules.
Medical Record Summaries
Concise, attorney-ready narratives — diagnoses, treatments, providers, gaps and key entries flagged with page cites.
Chronologies & Indexing
Bates-stamped, hyperlinked chronologies with timeline visualizations for depositions, mediations and trial.
Bill & Lien Compilation
Itemized bill consolidation, CPT-level pricing, ICD mapping and lien tracking across all treating providers.
APS & Underwriting Pulls
Attending Physician Statements and APS-equivalent record sets delivered for life, disability and health underwriting.
Deposition & Trial Prep Kits
Exhibit-ready binders — indexed, tabbed and cross-linked to chronology entries — mapped to your case theory.
Missing Record Investigation
Gap analysis, provider triangulation and secondary requests to close blind spots before opposing counsel finds them.
Inside Medical Record Retrieval
Every record type. Every custodian.
One accountable team.
We retrieve, organize and summarize records from every US provider and facility type — then deliver them in the format your case, claim or audit actually needs.
Record types we retrieve
50 states · 100k+ custodiansUse cases
Purpose-built for the way you actually use records.
Litigation, underwriting, claims and provider operations each need records in a different shape. We match the deliverable to the workflow.
Personal Injury & Mass Tort
Complete treatment records, itemized bills, and chronologies for demand packages, settlement negotiations and trial exhibits.
Medical Malpractice
Full-episode charts with peer-review-ready summaries — every provider, every encounter, cross-referenced with standard of care.
Life & Disability Underwriting
APS pulls, lab and Rx histories delivered in underwriter-friendly formats with risk-relevant findings surfaced up top.
Claims Review & SIU
Chart audits, overpayment recovery and special-investigations packets for suspected fraud, waste and abuse cases.
Social Security & Long-Term Disability
Longitudinal records and functional-capacity documentation aligned to SSA listings and LTD policy definitions.
Provider Audits & Risk Adjustment
Chart pulls for RADV, HEDIS, and payer audits with coder-verified extractions and compliant redaction workflows.
Turnaround & SLAs
SLAs measured from receipt of a valid HIPAA authorization. Custodian delays and state-specific waiting periods (e.g. mental health, HIV, substance use) tracked and reported transparently.
Delivery formats
- Bates-stamped, OCR'd, hyperlinked PDF sets
- Chronology spreadsheets (Excel / CSV)
- Narrative summaries with page-cite footnotes
- Direct upload to Filevine, Litify, SmartAdvocate, CASEpeer, Needles
- Secure SFTP, encrypted portal or client's DMS of choice
- Custom cover letters, indices and exhibit tabs
EHR & system fluency
Trained on every major US healthcare platform
How we engage
A predictable path from kickoff to KPIs.
Discovery & Audit
We map your specialties, payer mix, EHR stack and current AR. For law and insurance clients, we audit volume, SLAs and turnaround needs.
Workflow Design
Custom SOPs, QA scorecards, BAA execution, security review and integration with your EHR, billing platform, case management or claims system.
Pod Deployment
A dedicated pod goes live in 2–4 weeks with a senior US-hours delivery lead, shadow-training and dual-running for safety.
Optimize & Scale
Weekly QBRs, transparent dashboards, monthly executive reviews and continuous improvement on cash, accuracy and turnaround.
FAQ
Common questions from healthcare, legal and insurance teams.
Are you HIPAA compliant?
Yes. Every Arrowshine engagement operates under signed Business Associate Agreements, with HIPAA, HITECH, SOC 2 Type II controls, encrypted workflows, role-based access and full audit trails.
Which EHRs and case management systems do you support?
Our teams are trained on every major US EHR — Epic, Cerner, Athena, eClinicalWorks, NextGen, AdvancedMD, Kareo and more — plus law-firm case management systems like Filevine, Litify, SmartAdvocate, CASEpeer and Needles.
How fast can a pod go live?
Most clients are live in 2 to 4 weeks. We dual-run with your team for the first 2–3 weeks before fully transitioning ownership.
What is your typical record-retrieval turnaround?
Standard turnaround is 7–14 calendar days from authorization, with rush handling available. Summaries and chronologies are typically delivered within 48–72 hours of records being complete.
How are engagements priced?
We offer FTE, transactional (per claim / per chart) and performance-based commercial models — chosen to align with your KPIs and volume curve.
Ready to extend your team — without the overhead?
Book a 30-minute discovery call. We'll map your workflow, propose a delivery model, and quote you in under 48 hours.