Free first review: 20 claim lines, priced step by step

What you send

Up to 20 claim lines, with names, member IDs and all dates removed. If you need one, we sign a mutual NDA first.

Send what was allowed and what was paid for each line. Paid is net of the patient’s share, so we need both to tell a pricing difference from a cost-sharing one.

What comes back

Each line comes back priced, with every step shown, next to what was allowed and paid. Where the payment ran over or under, the line is flagged and the step that explains it is named.

You get a spreadsheet plus a one-page summary, within 5 business days, by encrypted email.

Who it’s for

• Providers and billing companies checking paid claims.
• Health plans checking claim pricing. Test claims are ideal.
• Anyone checking a rate exhibit or fee schedule before it is signed or loaded.

Limits, and what happens after

We take three reviews a week, first come first served.

If the sample finds a pattern, the next step is a full-file audit, quoted in writing. Audits start at $2,500, tiered by line count. That step is yours to take or not. The free review commits you to nothing.