Underpayment Audits

We specialize in helping health care organizations recover underpayments from payors. We are leaders in precision-driven underpayment audit services. Our team reviews your billing data to uncover discrepancies between received payments and contractual terms.

Using proprietary technology, we perform a root cause analysis and forensic audit to determine discrepancies between payor payments and contractual terms. We digitize contracts, submit appeals, negotiate with payors, and recover funds all with no up front costs. We ensure that even the smallest underpayments are detected and addressed.

We submit appeals, negotiate with payors, and recover the funds you are owed - all seamlessly integrated into your current workflows. Unlike most vendors, we have direct access to appeals and compliance departments at these payors which puts them in a position where they are legally obligated to respond to our submissions. 

Typical recovery is between 5%-15% of net patient revenue.