Workers' Compensation Recovery
Revecore delivers specialized end-to-end Workers' Comp recovery — navigating state fee schedules, complex carrier requirements, and payer identification challenges that standard billing workflows aren't built to handle.
Every Workers' Comp Dollar Starts With Finding the Right Payer
Revecore's proprietary Accident Payer Search (APS) links 6,000+ employers to their correct WC carrier within seconds of intake, while occurrence-based logic in ReClaim flags misclassified commercial claims before they age — stopping revenue leakage at the source.
Performance by the Numbers
Revecore's dedicated WC teams, purpose-built technology, and contingency-based model deliver recovery outcomes that internal teams and traditional billing vendors can't replicate.
85%
Claims closed with payment
57
Avg. days to payment
14
Avg. days to bill submission
From Intake to Payment: Nothing Falls Through
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Discovery & Identification
Rules-based intake automatically classifies and routes WC claims to the right payer from the start.
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Compliant Billing & Submission
State-specific WC billing rules and fee schedules are encoded directly in ReClaim™ for clean, compliant first-pass submission.
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Follow-Up, Validation & Recovery
Every payment is validated against line-level fee schedules — and contested or underpaid claims are escalated until closed with accurate payment.
What Sets Revecore Apart
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Dedicated WC teams averaging 5–15 years in specialty reimbursement
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6,000+ employer-to-carrier mappings in our proprietary APS database
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80,000+ client and payer workflow rules embedded in ReClaim
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Attorney-informed compliance safeguards built into every submission
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Contingency-based model — fees earned only when your WC revenue is recovered
Case Study: Great River Health
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Challenge
Great River Health was managing complex claims across auto, Workers' Comp, and VA — internally and with other vendors. The team was committed to maximizing reimbursements but recognized that the specialized demands of these claim types warranted a more focused approach than a generalist program could deliver.
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Solution
After evaluating options, Great River Health selected Revecore based on their implementation track record and auto claims expertise — starting with hospital technical billing and expanding the partnership to Workers' Comp, professional billing, and VA service lines as results confirmed the value. The Great River team drove the expansion decisively, moving quickly when each phase performed.
Results
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$51M recovered across auto, Workers' Comp, and VA service lines
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WC recovery rate increased from 40% to 69%
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Billing staff refocused on higher-value work as complex claims moved to a dedicated specialist
"We see Revecore as a true partner and we have peace of mind knowing that someone is on the backend fighting for every penny."
— Kerrie L. Hall, Director of Patient Financial Services, Great River Health
Frequently Asked Questions
How is Workers Comp billing different from standard commercial billing?
Each state has its own WC fee schedule and carrier requirements. Identifying the correct employer and payer requires investigative work standard billing can't support — and errors at intake cause claims to age or get written off.
Why do internal teams struggle to manage claims?
WC requires state-specific expertise, employer and TPA discovery, and fee schedule validation that most revenue cycle teams don't have. These aren't capabilities you can add to a standard commercial billing workflow.
How does Revecore identify the correct employer and WC payer?
Revecore's Accident Payer Search links 6,000+ employers to their correct WC carrier within seconds. When coverage isn't confirmed at intake, our teams contact employers and TPAs directly to verify the claim.
What technology does Revecore use for WC claims?
Revecore's purpose-built ReClaim platform encodes nationwide WC billing rules, state fee schedules, and 80,000+ client and payer workflow rules. WC-specific EDI and attachment handling supports clean first-pass acceptance, and line-level fee schedule validation automatically identifies underpayments on every claim.
What happens when a WC claim is contested or underpaid?
Attorney escalation is built into Revecore's workflow for contested and underpaid claims. Validation runs on every remittance - anything that doesn't close at the correct reimbursement level is actively pursued.
Does Revecore handle hospital and professional WC billing?
Yes. Revecore manages WC claims for both hospital and professional billing, and can support the full scope of complex claims — including auto accident and VA - under a single partnership.
How is Revecore compensated for WC recovery?
Revecore operates on a contingency-based model. Fees are earned only when WC revenue is successfully recovered, which means our incentives are directly aligned with your recovery outcomes.
Ready to See What Your Workers' Comp A/R Should Look Like?
Connect with Revecore to benchmark your current WC performance and see what's possible with the right partner.