We work your aged and denied claims against Minnesota's own rules, inside the EHR you already use, and we are paid on what comes back. We have done it for a Minnesota practice.
“I appreciate that you did an audit and found out the root causes of a lot of my problems which are preventable.”
Not sure where your balances stand? Start with a free audit.
Minnesota payers
A Minnesota practice is paid by Medicare through National Government Services, by Minnesota Health Care Programs through fee-for-service and managed care plans, and by commercial plans and third-party administrators that state law holds to one filing and payment standard. Each runs its own clock. Aged AR is recovered by working each balance against the rule that actually governs it.
Part A and Part B claims go to National Government Services, the Jurisdiction 6 contractor for Illinois, Minnesota and Wisconsin. CMS lists the current contract as running to July 2027. The initial claim must be filed within 12 months of the date of service.
Source: CMS, A/B MAC Jurisdiction 6 · 42 CFR 424.44
Most MHCP enrollees must join a health plan, and all MinnesotaCare enrollees do. DHS lists eight plans for 2027: Blue Plus, HealthPartners, Hennepin Health, Itasca Medical Care, Medica, Medica One Health Plan, PrimeWest Health and South Country Health Alliance.
Source: DHS, managed care enrollment · DHS, 2027 health plans · DHS, Dec 2024 · UCare provider FAQ · DHS, MCO providers · DHS, billing policy
Source: Minn. Stat. 62Q.75
Eligibility, claims and remittances must be exchanged electronically, using the Minnesota uniform companion guides, which no plan or provider may add to. Every claim must get an electronic acknowledgment (TA1, 999 or 277CA), and an acknowledgment by email or fax doesn't count.
Keep every acknowledgment. It is your proof of submission, and a rejection means the claim was never filed, which is why a rejected claim doesn't stop the clock.
Source: Minn. Stat. 62J.536
Commercial claims and Blue Plus public-program claims go to different payer IDs. Blue Plus claims submitted since 1 January 2024 use 00726 for any date of service, including replacement and void claims, and older subscriber IDs reject as "subscriber not found".
Source: bluecrossmn.com, MHCP migration
Engagement
The method is the same everywhere; see how AR recovery works. What changes in Minnesota is which window governs each commercial claim, and which plan or payer ID a public-program claim belongs to. We work remotely, inside the EHR you already use.
Each commercial balance is sorted by the filing limit in that plan's contract, not the six-month default, because under 62Q.75 the contract wins.
Clean claims paid after 30 days are checked for the 1.5% monthly interest the plan owes, which should arrive itemized and at least quarterly, without anyone billing for it.
Blue Cross and Blue Plus claims are checked for the right payer ID before anything is resubmitted.
A denied managed care claim is checked against the provider's MHCP enrollment, which in-network providers have needed since July 2023.
UCare claims go to UCare Minnesota or to UCare Community Health Plan, depending on whether the date of service fell before or after 1 January 2026.
Comparison
What changed at one Minnesota practice. Not a promise of outcome.
| Area | Before | After |
|---|---|---|
| Rejection ownership | No one owned the rejection queue. About a year of rejections had piled up, with 75 claims past 180 days. | Every claim in the tracker was reviewed, working from a checklist built on the errors that repeated. |
| Coordination of benefits | Other coverage was never updated with patients, so the same claims denied again and again. | The patient's actual payer was confirmed before each claim was resubmitted. |
| Payer routing | Claims went to the wrong entity inside a payer umbrella. | Corrected claims went to the entity responsible for paying them. |
| Eligibility | Visits went ahead on coverage that had already ended. | The practice now verifies eligibility with software before the patient arrives, checks every patient the night before, and stopped taking walk-ins. |
| Member and group IDs | Member ID and demographic errors sat in the record unnoticed. | Errors were fixed on resubmission, and the practice's biller learned which mistakes to stop making. |
| Lab claim attribution | The group NPI was in the referring provider field, and the CLIA level did not match the code. | Affected claims went back with the physician's NPI in box 17 and a CLIA level that fits the code. |
| Modifiers | CLIA-waived tests went out without the QW modifier. | Missing modifiers were added before the claims were resubmitted. |
| Timely filing | There was no proof of timely submission on file, so claims past UnitedHealthcare's 90-day window could not be appealed. | Payers were called for the real denial reasons. Claims still inside their windows were resubmitted; the rest could not be saved. |
Which of these applies to your claims is a question the audit answers.
Deadlines
A Minnesota claim is recoverable while its window is open, or if you can prove it was filed on time. Because claims must be electronic, that proof is the 999 or 277CA acknowledgment for the claim. A claim past its window, with no proof of timely submission, is a write-off. See which Minnesota claims are still workable.
| Rule | Deadline | Source |
|---|---|---|
| Medicare | 12 months from date of service | 42 CFR 424.44 |
| Commercial, statutory default | 6 months from date of service, or from learning the correct plan, unless the contract or federal law differs | Minn. Stat. 62Q.75 subd. 3(a) |
| Commercial, disruption | Up to 12 months, if substantiated | 62Q.75 subd. 3(c) |
| Commercial, after an adjustment or recoupment | 6 more months from the date of the adjustment or recoupment | 62Q.75 subd. 3(d) |
| Clean claim payment | 30 days; 1.5% per month after | 62Q.75 subd. 2 |
| Recoupment of paid claims | 12 months, with listed exceptions | 62Q.75 subd. 4 |
| MHCP fee-for-service | 12 months from date of service; replacements 6 months from the incorrect payment, if later | MHCP provider manual |
Last checked: 22 Oct 2026
You can run your claims against these deadlines in the browser, with no patient data.
Case study
One AR recovery engagement, at a family medicine practice in Minnesota. Individual results vary. One engagement is not a forecast.
Scope. 245 claims were in scope. Rejections had gone unworked for about a year, and 75 of the claims were in the 180+ day bucket.
Found. Roughly $40,000 to $50,000 in billed charges was sitting unworked in the rejection queue.
Payers. Blue Cross and Blue Shield of Minnesota, Medica and Minnesota Medicare were among the payers on the account, and Blue Cross was the source of nearly all of what was paid.
Recovered. About $5,500 across 50 to 55 paid claims, the bulk within 45 to 50 working days. The single largest item was roughly $700, on a pediatric immunization claim that had been sitting for about a year.
Lost. UnitedHealthcare's 90-day window had closed on most of the affected claims, and there was no proof of timely submission on file, so those appeals could not be won. It was the contract window, not the six-month statute, that decided them: 62Q.75 lets a contract set a shorter limit, and this one did.
Diagnosis. 70% of denials started at the front desk, not in coding and not with the payer. Six causes repeated across the inventory:
What was done. Every claim in the tracker was reviewed against a checklist built from those repeating errors, rather than one claim at a time. Payers were called for the real denial reasons, each patient's actual payer was verified, and corrected claims went back to the right entity.
What changed. The practice kept its in-house biller and changed the front desk. Eligibility is now verified with software before the patient arrives, every patient is checked the night before, and walk-ins stopped. The biller learned directly from the biller on the account which mistakes to stop making; see how keeping the biller worked.
This was an AR recovery engagement and an audit, not an ongoing billing relationship. The practice acted on the diagnosis itself. For what a backlog like this one is usually worth, see how much old AR is still collectible.
In their words
What you have provided for me was a detailed of things that are going wrong that needed to change in our practice.
I appreciate that you did an audit and found out the root causes of a lot of my problems which are preventable.
I appreciate the professionalism, the courtesy, the knowledge.
After the audit the practice changed how it runs: eligibility verified before arrival, no more walk-ins, every patient checked the night before.
Pricing
Same pricing as every Quilven engagement, with nothing Minnesota-specific. See how every Quilven service is priced.
12 to 15%
of the recovered amount
No fee on what is not recovered. Where a practice lands in the range depends on claim volume, age of the inventory, and payer mix.
3 to 5%
of collections by monthly volume
A $500 monthly minimum applies. The rate moves with monthly volume, not with headcount on your side.
$150 to $200
per payer application
$200 per application, or $150 each for 8 or more. Can be included in a custom package for billing clients. Payer and state fees are paid by the practice.
Fit
Recovery work does not require a system swap. We integrate with 30+ EHRs and practice management systems and work inside the one you already have. No data migration, no parallel system, no change to how your staff enters a charge or checks a patient in. If your team is trained on your current software, that training stays valid.
This matters because the usual objection to outside AR help is that it turns into an implementation project. It does not here. Quilven is a managed service, not software. There is no proprietary platform you are asked to adopt and no license to renew, so the engagement can start on your existing inventory rather than after a build-out.
What you do get is visibility. Apex is our client dashboard, and it shows in real time:
Apex reads the work we are doing in your system. It is a window, not a replacement, so if the engagement ends your records and workflows are exactly where they were.
Company
Quilven is a managed revenue cycle service. Not software, not an EHR, and not a proprietary platform you have to adopt. We work inside the system your practice already uses, across 30+ integrations, with no data migration and no workflow change. Our clients are independent practices with 3 to 25+ providers.
Pricing is straightforward. AR recovery is 12 to 15 percent of the recovered amount. Medical billing is 3 to 5 percent of collections by monthly volume, with a $500 monthly minimum. Credentialing is $150 to $200 per payer application.
The entry point is a free RCM audit. It takes 48 hours and returns a line-by-line recoverable revenue estimate by payer, so the first thing you get from us is a diagnosis you can act on with or without us.
We lead with method and evidence rather than tenure. Quilven was founded in 2025 by Raief Shick. QUILVEN, LLC is registered in Wyoming, with its principal office at 1603 Capitol Ave, Cheyenne, WY 82001. Reach us at (202) 490-9406 or info@quilven.com.
Quilven has no Minnesota office. Quilven has completed an AR recovery engagement for a Minnesota family medicine practice, worked remotely inside the practice's own EHR.
Fit
Independent Minnesota practices with 3 to 25+ providers that have rejections, denials or aged AR building up, and no one with the time to work each claim before its window closes.
If the backlog is a one-time problem, you can clear an aged backlog in one project instead of an ongoing engagement.
It is not for hospitals billing facility claims.
At a glance
FAQ
Next step
The audit takes 48 hours and returns a line-by-line recoverable revenue estimate by payer, plus the repeating root causes behind your denials. We only need aging totals to begin. No patient data, no contract, no obligation to work with us afterward. If your aging is healthy we will tell you that.
Answer three questions below and book a line-by-line audit of your Minnesota claims.
Where is the money leaking right now?
Pick the one that hurts most. We start there.
How old is your oldest unpaid claim?
A round number is fine. We verify it in the audit.
How big is the practice?
Just you, or a group. Either is welcome.
Last bit — where do we send the report?
No patient data. We only need aging totals to start.
(202) 490-9406 · info@quilven.com · Book 15 minutes
Your revenue cycle is run by named people with real credentials, not an anonymous queue. Named leads and their certifications are introduced during onboarding, with photos and direct contacts.
Owner
A long-time business owner who has built and run companies in recruitment and e-commerce before Quilven.
Client Partnerships Lead
Leads business development, working with U.S. healthcare providers and medical practices from first conversation to signed agreement.
Head of Growth
Runs Quilven's marketing, SEO and Google Ads. Full-time in SEO since 2022.
Client Solutions Director
Works with medical practices on denials, credentialing and full-cycle revenue cycle work. A registered nurse before moving into revenue cycle.
Behind every account
One person owns your account, knows your practice and is your single point of contact.
Coders holding CPC and COC credentials, with coding experience across the specialties we serve.
Provider enrollment and recredentialing, handled by people who work payers and panels every day.
Analysts who work aged AR and appeals on a set cadence, by code, until each claim resolves.