The free diagnostic
A free, line-item audit of what each payer paid against your contracted rates — built from records you already have. It ends in a number, and the number decides everything: whether there's a case, and whether you want us to pursue it.
A contract-versus-payment audit. Your payer contracts specify a rate for every code. Your remittances record what was actually paid. We compare the two, line by line, across a sample period — underpaid codes, downcoded procedures, and bundled or denied line items your fee schedule says are payable.
Built from records you already have. A business associate agreement is signed before any data moves. Then your administrator sets up read-only access to payment reports and shares your payer contracts — we walk through it together. Your team's part takes about an hour, once.
Free, with no obligation. The diagnostic costs nothing whether or not you engage us afterward. If it finds nothing, you've verified — from your own payment records — that your payers are paying your contracts correctly.
Your report is a line-item accounting: which payer, which codes, which claims, how much, and what's still inside the dispute window — each finding traced to the payer behavior behind it. You decide what we pursue; nothing is filed without your sign-off.
Figures above are from a synthetic seven-physician orthopedic sample — they show the report's shape, not a projection for your practice.
One constraint is real: payer dispute windows typically run 90 to 180 days, so older claims age out permanently.
Nothing upfront, ever. The diagnostic is free, and our fee is a percentage of dollars actually recovered. If we recover nothing, you owe nothing.
No — it's arithmetic. Your payer contracts specify a rate for every code. Your remittances record what was actually paid. We compare the two, line by line — and because underpayment follows payer-specific patterns, one confirmed shortfall usually points to hundreds more like it. We pursue them through each payer's own reconsideration process. The money exists because, in most practices, nobody has ever looked.
Every engagement starts with a signed business associate agreement before any data moves. Access is read-only, limited to payment records, and data travels only through HIPAA-covered channels.
About an hour, once. Your administrator sets up read-only access to payment reports and shares your payer contracts — we walk through it together. After that we work independently.
No. Underpayment reconsiderations are a routine, contractual process that payers handle every day. We use the dispute mechanisms your contracts already provide, professionally and by the book.
No. We never touch claim submission, posting, or your billing workflow. Underpayment sits on the payer's side of the ledger — finding it is a different job from billing, and we only do that job. If anything, work moves off your team's plate: the underpayment appeals and payer follow-up your staff currently handles between everything else become ours to prepare, manage, and see through.
Then you've verified — from your own payment records — that your payers are paying your contracts correctly, and it cost you nothing. That answer has value too.
The diagnostic takes weeks, not months, once we have access to your remittances and contracts. Recoveries then follow each payer's reconsideration timelines. One constraint is real: payer dispute windows typically run 90 to 180 days, so older claims age out permanently.
The diagnostic answers the only question that matters — in dollars, from your own payment records.
Three fields, and we take it from there.
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