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Claimie

Physician Practices

Your denials queue is one person's fifth job. That's the whole problem.

In an independent practice, denied revenue isn't an abstraction on a dashboard. It's the physician-owner's income, the second MA you can't hire, the raise you can't give.

You, Specifically

We know who works your denials: Brenda. She's also the front desk, the referral coordinator, the prior-auth chaser, and the person who orders the coffee. Denials get her attention on Friday afternoons — when there's a Friday afternoon left. That's not a Brenda problem. It's an arithmetic problem: at $25–$100+ of staff time per reworked claim, a small practice literally cannot afford to fight everything it's owed.

So the pile grows, deadlines expire, and everyone quietly agrees not to total up what the someday drawer is worth. Meanwhile you're personally guaranteeing the line of credit that smooths over the cash-flow gap the payers created.

The Patterns

The denials we see in your world, over and over.

  • Eligibility and registration denials from a front desk doing five jobs at once
  • Prior-auth denials on services the payer's own portal said were covered
  • Timely-filing write-offs — claims that died waiting in the queue
  • Small-dollar denials individually 'not worth fighting' that sum to five figures a year
  • Underpayments nobody has time to check against the contract

$25–$100+

Staff-time cost to rework a single denied claim1

50–65%

Denied claims never worked at all2

5–10%

Gross revenue often tied up in denied or underpaid claims when denials aren't actively managed3

The Engagement

What working with us looks like.

  1. 01

    The free Recovery Audit ($500 value) maps your denials and open AR in writing — go/no-go included.

  2. 02

    BAA first; read-only access to your PM/EHR; your team's workflow doesn't change.

  3. 03

    We work the exceptions pile — denials, appeals, aged AR, underpayments — payer by payer.

  4. 04

    You see a weekly report and monthly root-cause analysis in plain English.

Pricing

Most independent practices choose Model A (contingency): a percentage of dollars actually recovered, nothing if nothing posts. In restricted states, the flat-rate program starts at $1,450/month — typically less than the in-house labor cost of the denials it replaces.

See both pricing models →

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.

Get Your Free Recovery Audit →
Sources
  1. 1.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
  2. 2.50–65% of denied claims are NEVER reworked or resubmitted. — MGMA
  3. 3.Providers who don't actively manage denials often have 5–10% of gross revenue tied up in denied or underpaid claims at any time. — HFMA-aligned industry analysis