Two ways to get your money back
Recovery Share
Pure performance. Best for plans testing the water, or auditing a defined book of high-cost claims.
- Claims triage and outlier detection
- Disputes filed with providers and the TPA
- Quarterly recovery report
- $0 upfront. No recovery, no fee.
Annual Membership
A full year of auditing plus the intelligence layer. Best for plans committed to year-round claims integrity.
- Everything in Recovery Share
- Unlimited auditing. Every claim, all year.
- Keep 100% of what we recover
- TPA adjudication audits
- Provider clean-claim scores and watchlist flags
- Continuous monitoring. Nothing ages out of the recovery window.
Every engagement starts the same way: a signed agreement, a HIPAA BAA, and your letter of authorization. No plan changes, no member disruption.
Asked by every CFO we meet
What is the difference between the two models?
Recovery Share is pay-per-result: a flat 25% of what we return to the plan, nothing else. The Annual Membership is a flat fee paid up front for unlimited year-round auditing, and the plan keeps 100% of every recovery.
How is the annual fee set?
We set it by plan size and claims volume. It's a flat number for the year, with no per-recovery cut on top.
Can we switch models?
Yes. Many plans start on Recovery Share to see the results, then move to the membership once the value is proven.
What is the provider intelligence layer?
We give membership plans clean-claim scores on every hospital and physician in their claims, watchlist flags on known bad billers, and continuous monitoring so we catch new errors inside the recovery window.