01 · Find
Map every dollar your payers held back
Short payments and denials by payer, reason code and amount, ranked by which filing deadline runs out first.
Payer concentration
Payer A
Payer B
Payer C
Other
Send us the remittance files you already receive. We find the short payments on claims that posted as paid, including downcoded visits, NCCI bundling cuts and unit reductions, and hand your billers a list they can work.
| Claim | Payer | Finding | Amount | Deadline |
|---|---|---|---|---|
| ···1044 | Payer A | DeniedCO-50 · colonoscopy with polyp removal | $657 | 41 days |
| ···2207 | Payer B | Short paid99214 paid as 99213 | $40 | 88 days |
| ···3318 | Payer A | Short paidJoint injection line (20610) bundled | $69 | 102 days |
| ···4102 | Payer C | DeniedCO-197 · upper GI endoscopy no authorization | $498 | 63 days |
The claim pays zero and lands in a queue. Each one has a 90 to 180 day appeal clock, and when the queue is longer than the day, the smaller ones age out.
Shows up in your denial worklist.
The claim posts as paid and closes. Nothing flags it. E/M downcoding, line-item denials inside paid claims, NCCI bundling edits, unit reductions. All of it is in your 835 file, and almost nobody reads for it.
Closed as paid. No worklist, no alert. This is the one we find.
Short payments and denials by payer, reason code and amount, ranked by which filing deadline runs out first.
Each finding comes with the front-end cause behind it, by payer and reason code, so your team can fix it at the source.
No integration project, no new login for your team. We start with a file your clearinghouse or practice management system already produces.
Twelve months of 835 remittance files, sent under a signed BAA.
Every short payment on claims that posted as paid, plus open denials, with deadlines first.
Every finding comes with the claim, the payer, the reason code and the amount.
Dollars identified, by payer and by cause.
Who we work with
High-dollar cases where one missed deadline costs real money.
Administrators
No new budget line, no new software, no new hire.
Billing managers
We surface the short payments your queue never shows. You keep your payers and your process.
Physicians
Downcoding comes out of partner income. We show you where, by payer.
Your data
Most revenue tools start with an integration project and a security review. We start with an 835 export. If you're not sure who receives your remittance files, that's the first thing we'll help you find.
FAQ
Send one file and see for yourself. Here's what usually comes up before that.
Can't find what you're looking for? Our team is here to help.
Contact UsYour clearinghouse or practice management system can export it. We'll walk your team through it.
No. You keep your systems, your billing process and your payer relationships.
No. We find what your team never saw. Your team works it.
Yes. We work with you directly or with your billing company.
Short payments on “paid” claims, top denial reasons in plain English, your costliest payers and open deadlines.
Send one file. We'll show you every short payment and denial in it, and which deadlines are closest.
Contact us