Validate Payments and Recover Lost Revenue

We help healthcare organizations with their revenue recovery by validating payments, identifying underpayments, and strengthening healthcare revenue integrity through data-driven oversight.

The Revenue You Don’t See Is the Revenue You Lose

Underpayments and denials often slip through because payments are accepted without full validation. Without systematic medical claims audit processes, revenue loss becomes normalized and invisible.

The Difference a Strong Recovery Process Makes

Effective revenue recovery creates confidence by ensuring payments align with contracts and services delivered.

  • Payments validated against contracts
  • Underpayments identified automatically
  • Denials prioritized by impact
  • Appeals driven by data, not guesswork
  • Payer behavior tracked over time

Where Our Recovery Efforts Focus

Our recovery capabilities focus on accuracy, efficiency, and accountability across the payment lifecycle.

Payment Validation & Underpayment Detection

Included Services:

  • Matching of ANSI 835 / 837 Data to Validate Payments
  • Fee Schedule Underpayment Recovery

Ensures services are reimbursed correctly and consistently.

Denials & Dispute Management

Included Services:

  • Effective Denial Management
  • Effortless Dispute Generation
  • Payer Contract Modeling for Negotiations

Streamlines appeals using data-driven workflows and denial management software.

Intelligence & Reporting

Included Services:

  • Dashboard Reports with Payer Report Cards
  • Extensive Business Intelligence

Makes payer behavior visible, measurable, and actionable.

How Our Revenue Recovery Works

Our process combines automation, analytics, and expertise to identify recoverable revenue.

Validate

We match claims, payments, and contracts through automated medical claims audit processes, while your team provides access to existing data.

Identify

We surface underpayments, denials, and payer discrepancies using analytics and denial management software to prioritize the highest-impact opportunities.

Recover

We generate disputes, track outcomes, and report results so leadership can see recovered revenue and payer performance clearly.

Who Revenue Recovery Is Designed For

This service is best suited for organizations seeking stronger healthcare revenue integrity and confidence in payer reimbursement.

Best Fit Includes:

Bring Accuracy to Your Revenue Recovery

Schedule a call to see how structured recovery can protect healthcare revenue integrity and uncover revenue you may be missing.