Free claims audit
Free 90-day claims audit
We review the last 90 days of your claims and show you, in dollars, what is unpaid, underpaid or denied and could still be recovered. You get a written report, a review call and a price quote. It costs nothing and there is no obligation to hire us.
- Written report on your last 90 days of claims
- Dollar estimate of recoverable revenue
- Review call and a written price quote
- No obligation, no contract
What you get
Four things you keep, whether you hire us or not
The audit gives you a clear picture of where money is getting stuck. The report is yours to keep and use.
Written report
Denials, rejections, unpaid and underpaid claims from the last 90 days, grouped by cause and payer.
Dollar estimate
An estimate of how much of that revenue can still be recovered, based on filing limits and appeal windows.
Review call
A call to walk through the findings, answer questions and point out the fixes you can make yourself.
Price quote
A written quote for billing, credentialing or both. Billing starts at 2.5% of collections.
What we look at
Where the audit looks for lost revenue
We check the problems that most often cost practices money. Rules vary by payer; we check each payer’s current policy.
- Denials that were never corrected or appealed
- Claims with no response from the payer
- Payments below the contracted or expected rate
- Coding issues such as add-on codes, modifiers and place of service
- Eligibility and authorization problems at the front desk
- Claims close to their timely filing limit
- Credentialing gaps where a provider is not in-network with a payer
What we need from you
What we need to run the audit
We need read-only access to your billing system or a set of standard reports. Never send patient information by plain email.
- Read-only access to your EHR or clearinghouse (we work in SimplePractice, TherapyNotes, Tebra (Kareo), AdvancedMD, Valant, Osmind and others), or
- Standard reports: claims or A/R aging, denial report and payment or ERA summary for the last 90 days
- A list of the payers you bill and your providers
- Your fee schedule or contracted rates, if you have them
Please do not email reports that contain patient information. We will set up read-only access or a secure way to share files. We sign a BAA before we look at any protected health information.
Who it is for
Who gets the most from an audit
The audit is most useful when you suspect money is slipping through but cannot see where.
You bill in-house
Your front desk or a part-time biller handles claims alongside other work, and denials pile up when things get busy.
You use another billing company
You want an independent second look at what is being collected, what is being written off and why.
Your A/R is growing
Unpaid claims older than 60 or 90 days keep increasing, or payments feel slower than they used to.
You added providers or states
New clinicians, new payers or telehealth in new states often bring enrollment gaps that show up as denials.
If you are just opening a practice and have no claims yet, start with credentialing instead.
How it works
From request to quote
- 01
Request the audit
Fill in the form or call us. A real person replies within 1 hour during business hours.
- 02
Sign a BAA and share access
We sign a business associate agreement, then you give us read-only access or secure reports.
- 03
We review 90 days of claims
We sort every open, denied and underpaid claim by cause, payer and dollar value.
- 04
Review call
We walk you through the written report and the recoverable-revenue estimate.
- 05
You decide
You get a written price quote. Hire us, fix things yourself, or do nothing. There is no obligation.
After the audit
If you hire us, here is what changes
We start by working the recoverable claims from your audit. New claims go out within 24 hours of receiving charges, and denials are worked within 5 business days.
- Company-wide averages across active clients: 98% clean claim rate, 21 days average A/R, 89% recovery rate
- 5 commercial payers credentialed free with billing
- No long-term contract required
Common questions
Is the claims audit really free?
Yes. The audit, written report, review call and price quote cost nothing, and you are under no obligation to hire us.
What do I need to send you?
Read-only access to your EHR or clearinghouse, or standard reports for the last 90 days: A/R aging, denials and payments. Please do not send patient information by plain email; we will set up a secure way to share it.
Do you sign a BAA before the audit?
Yes. We sign a business associate agreement before we access any protected health information.
Why 90 days?
Ninety days shows your recent patterns and still leaves time to fix many claims before payer filing and appeal deadlines. Deadlines vary by payer, so older claims are reviewed case by case.
Will the audit disrupt my current biller?
No. We only need read-only access or reports. Nothing changes in your system and no claims are touched during the audit.
What happens after the review call?
You get a written price quote. You can hire us, use the report to fix issues yourself or with your current biller, or do nothing.
Guides from our team
Learn more before you decide
Claim Denial Codes Explained: What CO-16, CO-50, CO-197, PR-1 and Others Mean and How to Fix Them
What common denial codes mean (CO-16, CO-18, CO-50, CO-97, CO-197, PR-1 and more) and how to fix each, for mental health and medical practices.
Read the guide →Accounts Receivable Management in Medical Billing: How to Reduce Days in A/R
Learn how accounts receivable management reduces days in A/R, recovers aged claims, and keeps your medical practice’s revenue cycle healthy.
Read the guide →Timely Filing Limits for Medical and Mental Health Claims: How They Work and How to Never Miss One
How timely filing limits work for Medicare, Medicaid and commercial payers, the separate deadlines for appeals, and how to prove a claim was on time.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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