Auditing your health care billing from beginning to end.
We audit your paid claims line by line, dispute the billing errors, and return the money to your plan.
| Line item | Billed | Status |
|---|---|---|
| IV infusion, first hour | $438 | ReviewDuplicate ×2 |
| Chest X-ray, two views | $305 | ReviewClear |
| ER visit, billed level 5 | $2,730 | ReviewUpcoded |
| Metabolic panel, comprehensive | $212 | ReviewUnbundled |
Audit in progress
Three billing errors on one claim, disputed and recovered. Figures are illustrative.
We work with claims from plans administered by
What our team does to recover your money.
Our team works step by step to ensure we recover as much of your money as possible.
Our advisors read through every line
Our team reviews every paid claim against EOB, the plan contract, and clinical standards.
DisputeWe put every error in writing
We turn each finding into a formal dispute that cites the exact line, the exact code, and the exact reason.
RecoverWe put the money back in your fund
We return recovered dollars to the plan that paid the bill and send you a complete report.
How accurate is our audit?
We update our rule sets continuously, and verify every flag twice before we file a dispute.
- We run automated screens across every line ensuring we don't miss anything
- Our certified team confirm each flag before it becomes a finding
- We always run a second pass to confirm our findings
- We refresh fee schedules and CPT/ICD rule sets continuously
- We encode your plan documents and network contracts into the audit
- We re-verify every finding before we file a dispute
One live view
We turn findings into disputes and disputes into recovered dollars, all on one live dashboard your team can check any day of the quarter.
- Duplicates34%
- Upcoding27%
- Unbundling22%
- Other17%