Billing recovery for surgery centers
Get paid for every case.
Denials appealed. Underpaid out-of-network claims disputed. Patient balances followed up.
Built on the same claims platform we run for out-of-network arbitration.
- 01Denial inClaim •••• 2291, knee arthroscopyDenied: authorization documentation missing
- 02Appeal builtOp note, auth record and payer policy attachedFiled inside the appeal window
- 03Payer responseReviewed on appealDenial overturned
- 04PaidPayment posted to the accountLogged in your recovery report
Three places the money leaks.
- 1
Denied claims
Authorization, medical necessity, coding and timely filing denials. Sorted by value and deadline, appealed with the documentation the payer asked for, and tracked until paid or truly closed.
- 2
Underpaid out-of-network claims
When a plan pays an out-of-network claim short, many can be disputed through federal independent dispute resolution (IDR) under the No Surprises Act. It runs on strict deadlines, so each claim is screened and worked on that calendar.
- 3
Patient balances
Clear statements and friendly reminder calls and texts in English and Spanish, with payment options, before balances age out.
Put in your own numbers.
Denied claims only. A rough estimate of what could be recoverable, not a promise.
How it works.
- Claims review under a BAA. Your biller sends an export. We sort what is still inside its window.
- We work it. Appeals, IDR filings and patient follow-up, on each deadline.
- You see the report. What was filed, what paid, what closed.
Talk it through with Danny.
Or tell us about your center and we'll reach out.
Questions
Can you promise how much we'll recover?
No. The claims review shows what we find and what is realistic for your payers and deadlines. The estimator on this page is a rough guide, not a promise.
What is IDR under the No Surprises Act?
It is the federal process for disputing what a plan paid on certain out-of-network claims. After a negotiation period, either side can start IDR, and an independent entity reviews both offers. Some plans follow a state process instead.
Does this disrupt our biller?
No. It works the claims your biller has already moved past. They keep submitting and posting as usual.
How is patient information protected?
Nothing on this page collects patient information. A BAA is signed before any claims data moves, and access is limited and logged.