Built by a Provider. For Providers, Patients, & Billers.
Tired of fighting health insurance denials on your own?
We help providers, patients, and billers overturn wrongful insurance denials using proven regulatory protocols.
The Problem
Insurance companies deny over $260 billion annually, often through automated systems with little to no medical review. Appeals and negotiation processes are confusing, time-sensitive, and easy to get wrong, and fewer than 3% of providers even attempt them. But here's the truth: 50-90% of appeals succeed. Most denials should have been approved in the first place. Some claims require formal ERISA appeals, while others fall under the No Surprises Act and begin with a required open negotiation period.
Who we help
Providers
We handle the appeals process, recovering revenue from denied or underpaid claims without the legal maze, so you can focus on patient care.
Billing Companies
Whether you're a solo biller or a billing company in-house or external, we simplify the appeal process so you can recapture revenue and reduce write-offs efficiently so you can keep your focus on billing and coding.
Patients
We guide you through appeals with clarity and support, helping you access the care you need without financial fear.
No Surprises Act
Pre-IDR Negotiation
- Prepare and send the required Open Negotiation Notice (ONN).
- Manage payer responses, counteroffers, and follow-ups.
- Ensure the Open Negotiation process is completed correctly under the No Surprises Act.
Built by Someone Who Beat the System
Founded by a healthcare provider who achieved an 85%+ reversal rate, now helping others do the same.