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30 day denial recovery pilot

Try us on unpaid claims that may still be eligible

For 30 days we work a set of eligible unpaid claims alongside your current billing arrangement. You get to see the work, and any results so far, before you decide anything bigger.

A sample remittance advice with one claim highlighted, denied with code CO-16 and remark code N285, and a handwritten note to send a corrected claim before the appeal window closes.

Ask about the pilot

Tell us about your practice and we'll explain what's eligible.

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What happens

The 30 days, in four parts

  1. 1

    Agree on what is in scope

    We sign the agreements, including a BAA, and write down which unpaid claims are eligible.

  2. 2

    Sort the list

    We group eligible claims by value, payer, reason and how close the deadline is.

  3. 3

    Work the claims

    Our billers correct, resubmit and appeal. A biller reviews everything before it goes to a payer.

  4. 4

    Show you where it stands

    You'll see what was worked, what's been paid so far, what's still open and what we'd do next.

Questions

Questions about the pilot

Do we have to replace our current biller?

No. The pilot runs alongside whatever you have now, and you choose which claims go in.

How is the pilot priced?

We charge an agreed percentage of qualifying recovered revenue, where that's legally permitted. The percentage and what qualifies get written down before we start. We submit only what the record supports, and nobody here is paid to change codes.

What happens after 30 days?

You look at where things stand and decide whether to continue, expand or stop. Some claims will still be in progress, because payers take their time, and your agreement says how those get handled.

Do you guarantee a recovery amount?

No. It depends on the claims, their deadlines and the payers.

A doctor writing on a chart on a clipboard across the desk from a patient