Is Your Facility Losing Up to 22% of Revenue to Underpaid Claims?

We help recover missed insurance reimbursements—securely, compliantly, and with zero upfront cost.

Why This Matters

$0
Billion in Underpaid Claims

The healthcare industry loses over $300 billion annually to underpaid insurance claims, representing a massive drain on facility resources.

0
Hospitals at Risk

Up to 800 hospitals may close by 2030 due to financial pressures, making revenue recovery not just beneficial but essential for survival.

0%
Current Recovery Rate

Most facilities recover only a tiny fraction of what they’re rightfully owed, leaving millions in legitimate revenue unclaimed forever.

This isn’t about new billing or aggressive tactics. It’s about recovering the rightful revenue that belongs to your facility—money already earned but systematically underpaid.

The Problem: Systemic Underpayment

Hidden Underpayments

Insurance companies routinely underpay claims, burying these discrepancies in complex Explanation of Benefits documents that overwhelm even experienced billing staff.

Limited Detection Capabilities

Standard billing systems and third-party vendors typically lack the sophisticated technology needed to identify complex underpayment patterns across thousands of claims.

Ineffective Manual Audits

Traditional manual review processes are expensive, slow, and capture only the most obvious discrepancies, missing the majority of recoverable revenue.

The Solution: Intelligent Claims Recovery

Proprietary AI + Software

Our advanced artificial intelligence system analyzes historical claims data at scale, identifying complex patterns of underpayment that human reviewers and standard systems consistently miss.

Expert Verification

Experienced human auditors validate every flagged claim, ensuring accuracy and compliance before any action is taken, creating a double-layer verification system.

Strategic Submission

Claims are submitted gradually using a proven approach that establishes legal precedent and maximizes recovery while preventing payer pushback or retaliation.

HIPAA-Compliant & Secure

Our entire process maintains rigorous security standards with zero disruption to your existing billing operations or patient experience.

Why We’re Different

Feature Standard Firm Our Approach
Claims Targeted Denied or new claims Underpaid claims
Technology Used Manual or outdated systems Proprietary AI software
Average Recovery Rate 3-5% Up to 22% of net revenue
Legal Risk Moderate Zero
Payment Model Retainers or fixed fees Contingency only—no win, no fee

While others focus on denied claims or require upfront fees, our solution targets the far more lucrative category of already-paid-but-underpaid claims—with zero financial risk to your facility.

How It Works

Secure Data Review

  • We analyze 2–3 years of historical claims using our proprietary AI system
  • Your existing billing systems remain untouched and operational
  • All data transfer uses HIPAA-compliant encryption protocols

Recovery Process Begins

  • Claims are strategically submitted over a 6–9-month period.
  • Our legal team ensures complete protection against payer pushback
  • You receive detailed progress reports throughout the process

You Get Paid

  • Your facility keeps 70% of all recovered revenue
  • No upfront fees or hidden costs at any stage
  • Transparent reporting tracks every dollar recovered

The entire process is designed to maximize recovery while minimizing administrative burden on your team. We handle the complexity; you receive the results.

Real Results

22 %

Revenue Increase

Average boost from net patient revenue across all facility types

1.5 M

Recovery Example

Amount recovered for a mid-sized surgical center in just 9 months

70%

Client Retention

Percentage of recovered funds that stay with your facility

Full Compliance & Zero Disruption

Full Compliance & Zero Disruption

Our entire process maintains rigorous data protection standards from initial analysis through final recovery, exceeding regulatory requirements.

No Patient Contact

The recovery process is entirely back-end, with zero patient interaction or billing changes that might affect your patient experience.

Audit-Proof

Our specialized legal team ensures complete protection from payer clawbacks or retaliation through careful documentation and precedent-setting approaches.

Zero Disruption

Your existing billing systems and workflows remain unchanged—we work in parallel without requiring modifications to your current processes.

Why Act Now

Time-Limited Filing Windows

Insurance companies maintain strict timelines for claim adjustments. Every day of delay means legitimate revenue is permanently lost as claims age beyond recovery windows.

Increasing Payer Resistance

Insurers are actively developing new tactics to prevent recovery. Early action gives you advantage before these defensive measures become more sophisticated.

Early Adopter Advantage

Facilities that implement recovery systems sooner experience significantly higher recovery rates than those who delay, as insurers prioritize paying facilities with proven recovery systems.

Inflation & Policy Changes

Rising costs and evolving healthcare policies make previously tolerable revenue leakage increasingly damaging to your facility’s financial health.

Every month of delay costs the average facility hundreds of thousands in recoverable revenue that will never be reclaimed.

Get Started in 4 Weeks

Week 1: Initial Assessment

A quick pre-qualification process evaluates your facility’s recovery potential with no cost and no commitment. This 30-minute call determines if our solution is right for you.

Week 2: Secure Data Exchange

Upload your claims data via our encrypted portal, designed specifically for healthcare compliance. Our team provides technical support throughout this process.

Week 3: Recovery Potential Analysis

Receive a preliminary report showing projected recovery value based on our AI analysis of your specific claims history and payer mix.

Week 4: Launch Recovery

Sign the agreement and begin the submission and recovery process. Our team handles everything while you continue normal operations.