An aging BCBS billing backlog
Outstanding Horizon BCBSNJ claims represented thousands of dollars in delayed revenue for the practice.
Customer story
$3.7K recovered. Then 0% denials among adjudicated claims.
How Taiga converted an aging Horizon BCBSNJ billing backlog into more than $3,700 in May payments, maintained a 0% denial rate among adjudicated claims, and brought average submission-to-payment time down to 8.3 days.
01 · Meet the practice
One provider, one practice, no billing department
Neal Cheskis, LCSW, is the sole provider and owner of Cheskis Family Therapy. He handles the clinical work and runs the practice himself, so unresolved claims compete directly with time for patients.
Cheskis Family Therapy
Neal is both the clinician delivering care and the owner responsible for getting every claim paid.
- Specialty
- Family therapy
- Location
- Moorestown, New Jersey
- Practice model
- Independent solo practice
02 · Billing pain points
Thousands in BCBS revenue were still unpaid
The core problem was an aging Horizon BCBSNJ backlog complicated by payer enrollment and provider-record mismatches — not a lack of care delivered or revenue earned.
Enrollment and payer-data mismatches
Rejected enrollment records pointed to NPI, tax ID, credentialing, and payer provider-record issues that could block clean adjudication.
No billing department to absorb the work
As a solo provider, Neal needed the billing backlog resolved without adding more payer follow-up to his clinical workload.
03 · The Taiga intervention
Reconcile the data, clear the blockers, submit clean claims
Taiga reconciled claim-status and remittance data, resolved payer-side issues, and monitored the resulting adjudications.
Reconcile claims with ERA evidence
Taiga reconciled Horizon claim activity against remittance records to identify unpaid revenue and confirm successful adjudication.
Resolve payer and enrollment blockers
The team worked through the NPI, credentialing, and payer-record issues behind the backlog instead of leaving the practice to coordinate each exception.
Submit clean claims and monitor outcomes
Taiga carried claims through submission and follow-through, then monitored the latest 30-day cohort to confirm that every adjudicated claim was paid.
04 · Quantifiable outcomes
Recovered revenue, followed by clean adjudication
For a solo provider, the result is direct: more than $3,700 recovered, zero denials among adjudicated claims, and payment arriving an average of 8.3 days after submission. With claims typically submitted 1–2 days after service, the full service-to-payment cycle stays short.
$3.7K+
previously unpaid Horizon BCBSNJ revenue recovered
Verified from payment records
0%
denial rate among adjudicated claims
Latest 30-day period · July 16–August 15
8.3 days
average time from submission to payment
Claims typically submitted 1–2 days after service
“Taiga has been exceptionally easy to work with, with a responsive team always available to provide support. They've successfully secured payments on several previously rejected claims by resolving complex issues that had persisted for months.”
Neal Cheskis, LCSWSolo provider and owner, Cheskis Family Therapy
Have claims that should have been paid months ago?
We’ll review your billing workflow and tell you where claims are getting stuck — and whether Taiga can help recover them.