The Medical Group Management Association (MGMA) estimates 7-11% of all claims are underpaid.
How does it work?
Underpayment resolution starts with recognizing where you're being underpaid.
With only your claim and remittance data, we utilize machine learning to identify discrepancies in your payments to determine the charges you're likely being underpaid on. Then, we can validate these findings against your contracts and fee schedules.
How do we solve it?
Once we've identified underpaid charges, we assist
you with navigating payer processes for appealing unwarranted underpayments. We then create extracts to your payers' appeal specifications, saving you time and resources otherwise spent recovering a lost revenue stream.