Read the remittances against the contract
Every service line priced against what you're actually owed. Rates are used only after a human verifies them — an unverified contract produces no dollar figure at all.
Product / Overview
One engine for everything after a denial. Detect, evidence, draft, file, track, recover — with your staff approving every send.
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Separate the four things that look alike
A denial, a partial denial, an underpayment, and a legitimate write-off arrive carrying the same codes. The arithmetic tells them apart — and every finding carries its trace.
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Pull the evidence the argument needs
The payer's policy at the version in force on the date of service, the contract clause, and only the chart excerpts the stated criteria require.
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Draft it, and check the draft
A separate pass verifies every factual sentence against the evidence. A draft with an unsourced claim cannot be approved — enforced in the database, not by memory.
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File it, and keep the receipt
Portal, fax, certified mail, or a rebill through your clearinghouse. The confirmation is archived, because “we never received it” is a real payer response.
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Track the deadline with its citation
Medicare Advantage, ERISA, and Marketplace plans run on different clocks under different law. When the plan type is ambiguous we take the shorter window — and say so.