A system for tracking billing escalation records includes a processing device configured to provide for creating, tracking and forwarding escalation records, and databases adapted to communicate with the processing device. The databases are configured to provide data on the escalation records. In one embodiment, the databases include tables that are configured to provide data on escalation records such as current escalations, priority codes, investigators, department codes, investigation center department codes, case status, archives, among others. Other systems and methods are also provided.