For independent medical billing companies
Denied isn't final.
It's collectible.
More than half of appealed denials get overturned. The small-balance ones almost never get appealed, because the labor to fight a claim costs more than the claim pays. We run those appeals start to finish. You pay a share of what we recover. If nothing comes back, you owe nothing.
That email doesn't look right. Check it and try again.
Send us a month of the denials you'd normally write off. We appeal them and show you, claim by claim, what came back.
HIPAA compliant · BAA before any data moves · encrypted, per-tenant, fully audited · security →
| Claim | Code | Reason | Status | Amount |
|---|---|---|---|---|
| CLM-50871 | CO-197 | No prior auth | OVERTURNED | +$486 |
| CLM-50914 | CO-50 | Med. necessity | OVERTURNED | +$1,240 |
| CLM-51002 | CO-97 | Bundled service | APPEAL FILED | $312 |
| CLM-51036 | PR-204 | Not covered | OVERTURNED | +$1,392 |
| CLM-51118 | CO-29 | Timely filing | APPEAL FILED | $178 |
| CLM-51190 | CO-16 | Missing info | DENIED | $864 |
Sources: 1, 3 — industry RCM surveys incl. Premier Inc. (2023). 2 — appeal overturn studies incl. KFF analysis of Medicare Advantage data. Ask us for the full list.
The process
How it works
No new software for your staff to learn and no change to how they work. You hand off the pile you were going to write off. Money comes back or it doesn't, and you only pay on what comes back.
Send us your denied claims
Forward the 835/ERA files you already receive, plus a way to reach the supporting documentation. We sign a BAA before a single record moves. Setup is a day, not a quarter.
We fight the winnable ones
Every denial is scored for merit and expected value, so we don't burn effort on losers. For each one we take, we pull the documentation, cite the payer's own written coverage policy back at them, and file a complete appeal. A separate verification pass checks every factual statement in the letter against the record before anything ships.
You collect, we take a cut
Recovered dollars land in your client's account the way they always have. We read the result straight from the next 835, so a win is confirmed by the payer's own remittance, not our say-so. You pay a fixed percentage of what actually came back. Nothing else, ever.
Back-of-the-envelope
What's your write-off pile worth?
Put in your numbers. The math uses the industry baselines above: a 12% denial rate, 60% of denials worth fighting, and a conservative 50% overturn rate.
Directional math, not a quote. Your payer mix, specialty, and documentation quality push these numbers in both directions. Finding out what they are for your book is the whole point of the first month.
Who it's for
Built for the claims nobody else will touch
Most denial software promises to prevent denials. Prevention always leaks, and the claims that slip through still get written off. We're the recovery layer for those. Contingency firms only chase big inpatient balances and enterprise software only sells to hospital systems, so we built for the high-volume, small-balance specialties in between, where write-offs quietly eat your collection rate.
Behavioral health & ABA
Recurring visits, aggressive medical-necessity denials, balances too small for anyone to fight by hand.
Physical & occupational therapy
Plan-limit and documentation denials across hundreds of dates of service per patient.
DME suppliers
Proof-of-delivery and medical-necessity paperwork denials with clear, winnable payer criteria.
Ambulance & EMS
Level-of-service and necessity denials where the run report usually already holds the winning argument.
Run a billing company in another specialty with a denial pile you'd rather forget about? Reach out anyway and tell us. We follow the pain.
Questions
Straight answers
The questions billing-company owners actually ask us, answered the way we'd want them answered.
What does it cost?
Nothing upfront. No subscription, no per-claim fee. We keep a fixed percentage of dollars actually recovered on appeals we filed, agreed in writing before we start. Recover nothing and you owe nothing. We only make money when you collect money you'd already written off.
Is this just ChatGPT writing appeal letters?
No, and you shouldn't trust anyone for whom it is. Drafting is the easy 10%. The work is triage (knowing which denials are winnable), payer-policy research (citing the payer's own coverage criteria), and verification: a separate review step checks every clinical statement in a letter against the actual documentation before it goes out. A letter with one unsupported claim does more damage than no letter at all.
Can other billing companies see my clients' data?
No. Every account is walled off in its own tenant, enforced in the application and in the database, so your cases, clients, recoveries, and numbers are visible only to you. You also get a benchmark of your own book: overturn rates by payer and by denial code, built from your real outcomes.
What about PHI and compliance?
We sign a BAA before any data is exchanged. Records are processed and stored on US-hosted, access-controlled infrastructure and used only for the appeals you've engaged us on. You get the full audit trail: every document touched, every appeal filed, every response received.
What do you need from my team?
To start: a month of denied claims with their documentation, and the outcomes if your team appealed any of them, so you can judge our results against a baseline you already trust. Ongoing: the 835/ERA denial data you receive anyway, and a way to pull supporting docs. Your staff's workload goes down, not up.
Why work on contingency? What's the catch?
Because the economics finally allow it. A human appeal runs $25–120 in labor, so contingency only ever penciled out on big-balance hospital claims. Our cost per appeal is a fraction of that, which makes the $150 therapy claim worth fighting for the first time. The catch is ours: we eat the cost of every appeal we lose. That's why we triage hard, and why your incentives and ours point the same way.
Put your write-off pile to work.
Hand us a month of denials, judged against your own team's results. Leave your email and we'll set up a 20-minute walkthrough on your real numbers.
That email doesn't look right. Check it and try again.
No spam, no drip campaign. You'll hear from a founder, once, with a specific question about your denials.