Who it's for
Small Pennsylvania practices with commercial denials piling up.
We're deliberately narrow. A recovery service is only as good as its knowledge of the specific payers you bill, so we'd rather know a few markets properly than all of them vaguely.
A good fit
- Outpatient behavioral health — psychology, counseling, clinical social work, marriage and family therapy, psychiatry
- Roughly 2 to 15 providers billing under the practice
- Located in Pennsylvania
- A meaningful share of revenue from commercial insurance
- Denials that get written off because nobody has time to chase them
- Billing handled in‑house, or by a service that submits claims but doesn't work denials
Not a fit today
- Medicaid, Medicare, Medicare Advantage, Tricare and workers' compensation claims — each has its own appeal regime, and we've scoped them out for now
- Patient balances. We never pursue money from your patients, only from payers
- Substance use disorder treatment program records governed by 42 CFR Part 2
- Hospitals and health systems — different problem, well served already
- Practices outside Pennsylvania. We expect to add states; we won't work one before we know its rules
If you're close to the line — a bit larger, a different specialty, just over the border — say so when you request the report and we'll tell you honestly whether we can help.
The usual questions
Before you ask
We already have a billing company. Does this replace them?
No, and you shouldn't want it to. Billing services are built to get claims out the door accurately and at volume, which is a different job from working a denial back through an appeal. Most don't work denials past a quick resubmission, because the economics don't support it. We sit behind whoever you use.
Couldn't we just do this ourselves?
Some of it, yes — and if your team has the hours, you should. The reason it doesn't happen is arithmetic: at half an hour of skilled time per claim, a $150 denial isn't worth the labor, so it gets written off. Our whole proposition is that we've made that work cheap enough to be worth doing.
What if our denials turn out to be small?
Then the report says so and we tell you not to bother. That outcome costs you one export and costs us a few days, which we think is a fair trade for both of us knowing.
What does it cost?
The Denial Leakage Report is free. If you engage us after that, we're paid out of what we recover — if we recover nothing, you owe nothing. Exact terms are in the services agreement, which you see in full before signing anything.
Are you making clinical or coding decisions for us?
No. We provide administrative claim‑recovery support only. We don't decide whether care was medically necessary, whether documentation meets a clinical standard, or which code should have been used. On medical‑necessity appeals your clinician reviews and attests the clinical statements before anything is filed. That judgment stays with you.
See what's actually there.
The report is the fastest way to find out whether this is worth your time — and it's free either way.