Medical Claims Recovery
You earned it. They denied it. We recover it.
Claimie combines AI-powered denial analysis with veteran appeals specialists to recover the revenue your practice already earned — the denied, underpaid, and aging claims most billing teams never have time to fight. If we don’t recover, you don’t pay.*
*Contingency pricing available in most states; flat-rate program offered where percentage-based fees are restricted. See Pricing.
DENIED
APPEALED
RECOVERED
$486
CO-197 · Prior auth missing
Illustrative example
Recovered: $0
The Problem
Denials aren’t a billing nuisance. They’re a profit leak.
Do the math on your own practice. If you submit 1,000 claims a month at an average of $150, and 11.8% are denied, that's $17,700 of earned revenue stalled every month. Industry data says up to two-thirds of it is recoverable — but 50–65% of denials are never even worked, because it costs $25–$100+ in staff time to fight each one. That's not a billing problem. That's a profit leak.
Most denied revenue isn’t lost because it’s unrecoverable. It’s lost because nobody has the time, the data, or the payer-specific playbook to go get it. That’s the job we built Claimie to do.
What We Recover
Six ways money leaks. Six ways we get it back.
Denial Management
Every denial triaged, root-caused, and worked within 48 hours.
Aged AR Recovery
The 90+/180+ day claims your team wrote off in their heads.
Appeals Management
Payer-specific appeal letters with clinical documentation, filed on deadline.
Underpayment Recovery
Contract-rate audits that catch the 1–3% of net revenue payers quietly shave.⁵
Denial Prevention Analytics
Monthly root-cause reporting so the same denial never happens twice.
AR Wind-Down
Clean recovery of legacy AR during practice sales, mergers, and system conversions.
How It Works
Four steps. In this order, every time.
01
Audit (Week 1).
We analyze your last 12 months of remits and your open AR. You get a written Recovery Opportunity Report — what's recoverable, what's not, and why.
02
Recover.
Our AI ranks every claim by dollar value, appeal deadline, and overturn probability. Our specialists work them payer by payer.
03
Get paid.
Recovered dollars flow to you exactly as they always do — directly from the payer to your accounts. We never touch your money.
04
Prevent.
Monthly root-cause reports show your team exactly which upstream fixes stop the bleeding — because up to 86–90% of denials are preventable.⁶
Aligned Incentives
The only revenue partner paid the way you are: on results.
Model A — Performance Recovery
A percentage of dollars actually recovered. Nothing recovered, nothing owed. Available in most states.
Model B — Flat-Rate Program
A fixed monthly rate; every recovered dollar is 100% yours. Available in all 50 states.
Why We Exist
Built by people who lived the problem.
Claimie started at a kitchen table, listening to a nurse practitioner describe watching earned revenue come back stamped denied. At the clinics she worked in, the denials pile had a nickname: the someday drawer. We built the recovery unit we wished existed — one that fights like a hospital system’s, priced so a small practice can afford it.
Read our story →Questions
The four things everyone asks first.
Do you replace our billing company?
No. Your billing team keeps doing exactly what they do. We take the exceptions pile — the denials, the underpayments, the aged AR. We are the specialist unit, not a replacement.
What if you recover nothing?
Nothing. The Recovery Audit is free, and under our Performance Recovery model we are paid a percentage of dollars actually recovered — nothing recovered means nothing owed.
Do you touch our money?
Never. All payer payments flow directly to your accounts exactly as they do today. We have no lockbox, no trust account, and no settlement authority without your written approval.
Is our data safe?
We operate as a HIPAA Business Associate and execute a BAA with every client before any PHI moves. PHI is encrypted in transit (TLS 1.2+) and at rest (AES-256), with minimum-necessary access.
Know your number before you sign anything.
The Recovery Audit is a $500 analysis — yours free, in writing, with an honest go/no-go. Limited slots each month.
Sources
- 1.Initial claim denial rates hit 11.8% in 2024, up from ~10.2% a few years earlier. — Industry claims data, 2024
- 2.41% of healthcare providers report denial rates of 10% or higher — a figure that has risen every year since 2022. — Experian Health, State of Claims 2025
- 3.The average cost to rework a single denied claim is $25 — and can run over $100 per appeal; some estimates range up to $118–$181. — MGMA / HFMA / Change Healthcare industry reports
- 4.50–65% of denied claims are NEVER reworked or resubmitted. — MGMA
- 5.Commercial payer underpayments quietly cost providers 1–3% of net revenue annually. — Industry revenue-integrity analyses
- 6.As many as 86–90% of denials are preventable. — Kaiser Family Foundation research