Payers paid less than the contract? We find it
We compare every payment to your contracted rates and fee schedules, flag short payments and appeal them with the payer.
What’s included
- Contract and fee schedule loading
- Expected versus paid comparison on every line
- Underpayment reports by payer and code
- Payment disputes and appeals
- Multiple procedure and modifier reduction checks
- Contract rate review support
How we handle it
Load
Fee schedules and contract terms loaded.
Compare
Each payment compared to the expected amount.
Dispute
Short pays appealed with contract references.
Report
Recovered amounts and payer patterns reported.
Details that matter
Underpayments are hard to see because the claim looks paid. Common causes include outdated fee schedules at the payer, wrong multiple-procedure reductions, modifiers applied incorrectly and payers paying an old year’s rates. A small short pay on a common code adds up quickly across a year.
Questions about underpayment recovery
We do not have our contracts. Can you still help?
Yes. We can request fee schedules from payers and estimate expected rates from payment history.
See where your revenue is going.
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.