Payers We Recover From
Medicare
Part A & B, Advantage
Medicaid
Direct & managed care
Commercial
BCBS, Aetna, UHC & more
Workers' Comp
State & federal programs
Why Claims Are Underpaid
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$Contracted Rate DiscrepanciesPayers pay below contracted rates — often by design, counting on providers not to audit.
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%Bundling & DowncodingPayers improperly bundle separate services or downcode procedures to lower-reimbursed codes.
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!Coordination of Benefits ErrorsCOB calculation errors leave money on the table when multiple payers are involved.
Our Recovery Process
1
Claims Data Analysis
We receive your adjudicated remittances and cross-reference against contracted rates to identify every underpayment.
2
Underpayment Quantification
We build a complete picture of the gap between what you billed, what you should have received, and what was actually paid.
3
Dispute & Appeal Filing
Our team files formal disputes and secondary appeals with each payer, backed by contract language and adjudication data.
4
Recovery & Reporting
You receive full payment reconciliation reports and recovered funds — minus our contingency fee only upon collection.