Our Results

Our average recovery is 22% and the highest case has been 41.8%

Example: For every $1,000,000 billed out to the insurance company

we have on average recovered $220,000 that has been underpaid to

the hospital. For every $100,000,000 we have recovered $22,000,000.

Industry Leaders

We have analyzed billions of dollars in reimbursements and remittances against 1,000s of unique and often complex commercial contracts and have found noncompliance and underpayments for 100% of our clients. The typical result is 10%-20% of collections from payers.

Sample Case Studies :

• 123-bed Texas hospital: $6 million in underpayments through Blue Cross Blue Shield (BCBS) alone.

• 142-bed Louisiana hospital: $10 million+ in underpayments for top 4 payors.

• Large Pennsylvania Private Hospital: $1.2 million in underpayments from their 4th largest payer. Represents 18% of their collections for the payer.

• A hospital network: $30 million in underpayments from just three facilities.

• A large Ohio physician group: $7 million in underpayments in BCBS professional alone.

• A Tennessee clinic: $1 to $1.5 million in underpayments per payer contract

• Small Texas Community Hospital: $4,048,555.44 in underpayments from BCBS alone.

• A Missouri hospital: Over $20 million in underpayments