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AI-powered underpayment recovery

Your billing team is chasing denials. Your payers are quietly underpaying you.

RemitIQ audits your already-paid claims against your payer contracts, finds the systematic underpayments, and recovers them. You pay only a share of what we actually recover.

Start your claims review

No software to install. Recovery is purely contingency.

Underpaid claims resolving to recovered A stylized illustration: rows of claims move from underpaid to recovered, and a bar chart shows payment restored up to the contracted rate, with a delta symbol marking the recovered difference. Illustrative only, not real data. You keep the difference Recovered Recovered Underpaid Your contracted rate Paid below contract The difference Recovered After RemitIQ
  • BAA-first · PHI de-identified before analysis
  • Recovery is purely contingency
  • Grounded in MGMA and HFMA research

Built for independent specialty physician groups across the U.S.

The problem no one is working on

Underpayments never get denied. They just get written off.

When a payer overpays you, how fast do they notice? A recoupment letter, an offset on the next remittance, usually inside a few weeks.

Now the other direction. When did you last call a payer to tell them they underpaid you? The correction only runs one way.

Your billing company is paid a percentage of what they bring in, so they rightly chase high-dollar denials and prior auths. The $150 to $500 underpayments, claims marked "paid" but below your contracted rate, fall below their threshold and get written off to close the account. It isn't negligence. It's how the incentives are built.

And your own reporting will not flag it. Net collection rate, the number most practices are judged on, is payments divided by charges minus contractual adjustments. That adjustment is the payer's own write-off line, posted automatically off the remittance. When a payer underpays, it widens that write-off by exactly what it shorted you, and the percentage never moves.

The same claim paid correctly and paid twenty dollars short, showing an identical net collection rate.
One claim At contract $20 short
Charge $200 $200
Payer's write-off $80 $100
Paid to you $120 $100
Net collection rate 100% 100%

Twenty dollars short, and the metric still reads perfect. You can hit your benchmark, report a clean month, and be losing money on every claim in the batch.

And they expire. Payers cap how long you have to dispute a payment, and that clock usually runs from the remittance date, not the date of service. On some plans the window is only a few months. Once it closes, the money is gone for good.

What you get

See exactly what you're owed, and let us go get it.

Underpayments identified

Every claim paid below your contracted rate, surfaced and ranked by recovery value. You see the full list, and the math behind each one.

Appeals filed for you

We build and file the appeals with the contract evidence attached, each one reviewed by a specialist before it goes out.

Money recovered

You keep the difference we recover. Purely contingency.

At 3 to 5% of net revenue, that can add up to a six-figure range every year for a 10-physician specialty group, not a rounding error.

How it works

Three steps. None of them are an IT project.

  1. Share your files

    You share your paid claims and payer contracts, securely and under a signed BAA. Your billed claims (837P) are optional, and help us go deeper when you have them.

  2. See the math

    We identify and rank every underpayment, and show you the math behind each one.

  3. We recover the money

    We file the appeals and recover the difference, each one human-reviewed before it goes out.

Human-reviewed, always. A recovery specialist checks every appeal before it is filed. Nothing goes out on autopilot.

One lane, worked completely. We handle paid-but-underpaid claims. Today, denials and prior auths stay with your billing team. We start where no one is looking. No overlap, no stepped-on toes.

The case for pushing back

Payers reverse more than half of what they deny.

54%

of denied claims are ultimately overturned, though typically only after multiple rounds of costly appeals. And a denial is the harder argument to win: you are contesting clinical judgment, medical necessity, documentation.

Premier, via the American Hospital Association, 2024. An underpayment is the simpler case, arithmetic against a rate both sides already agreed to. If the harder argument succeeds more than half the time, this one is worth filing. RemitIQ finds them and files them, with your contract as the evidence.

3-5%

of net revenue is lost every year to revenue leakage, including inefficiencies, missed billing opportunities, and underpayments.

HFMA industry benchmark

~30%

of practices audit their payer payments against contracted rates monthly. A majority do it less than quarterly, if at all, as discrepancies grow more common.

MGMA Stat poll, February 2025

Only what's real

We count what your contract actually owes you, minus patient responsibility, against what the payer paid. Never an inflated billed-versus-paid gap.

How RemitIQ measures

"It's ridiculous how often [payer] payments are incorrect."
A medical group leader, via MGMA Stat, February 2025

Why RemitIQ

Built for practices your size, not 1,000-bed hospitals.

vs. enterprise platforms

Enterprise tools need six-figure contracts and IT projects.

We need your claims data and your payer contracts. That's it.

vs. audit firms

Audit firms take months of manual work.

Our AI surfaces underpayments in days.

vs. subscription software

SaaS tools charge a subscription whether or not they find anything.

Recovery with us stays purely contingent: on the recovery itself, you never pay unless we collect.

Who it's for

Built for the groups the big vendors skip.

Independent specialty physician groups

5 to 25 physicians doing complex outpatient procedures, the kind of billing with multiple CPT codes, modifiers, and bundling rules per claim. If that's your practice, you're exactly who we built this for.

Community hospitals

100 to 300 beds, without an enterprise revenue-integrity team. We focus on your outpatient professional billing, the same underpayments at a scale worth recovering.

A billing company or RCM partner managing many practices? See how a partnership works.

Bigger than either range above? Let's talk anyway.

Hiring providers? Enrollment is the other half of getting paid. See credentialing.

Data security

Your data is protected before it is ever analyzed.

Healthcare data security has never mattered more, and you are right to ask where your claims data goes before you share it. We use modern technology to do the finding, and strict controls to protect your data at every step.

Signed BAA first

We sign a Business Associate Agreement before any data changes hands. Nothing moves until it is in place.

De-identified before analysis

Protected health information is removed before your claims are analyzed. We work from the numbers, not your patients' identities.

Safeguarded, access-controlled environment

Your data is handled in a secure, access-controlled environment, encrypted in transit and at rest.

We will never sell your data, and we will never name you as a client without your written permission.

FAQ

Questions administrators ask first.

What does it cost?

Recovery is purely contingency, you only pay a share of what we actually recover, nothing if we don't. We'll walk you through exactly how the audit works on your claims review call.

Is this the same as denial management?

No. Denials are claims the payer refused. We focus on claims that were paid, just paid below your contract. Different money, and usually missed.

How is my data protected?

We sign a Business Associate Agreement before any data changes hands. From there, your data stays in a secure, access-controlled environment, and protected health information is de-identified before analysis.

How long does the audit take?

A first look-back is quick. We give you a clear timeline up front, before you commit to anything.

What kinds of practices do you work with?

Independent specialty physician groups, including:

  • Orthopedics
  • Urology
  • Cardiology
  • Gastroenterology
  • Oncology
  • Ophthalmology
  • ENT (Otolaryngology)
  • Dermatology
  • Pain management
  • General surgery
  • Neurosurgery
  • Vascular surgery
  • OB/GYN
  • Pulmonology
  • Rheumatology
  • Neurology

We also work with:

  • Multi-specialty groups
  • Ambulatory surgery centers
  • Community hospitals (outpatient professional claims)
  • Billing companies and RCM partners

Find out what your payers owe you.
No obligation to proceed.

Send us your details and we'll reach out within one business day.

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  • On the recovery itself, you never pay unless we collect.
  • You see everything we find, ranked by recovery value. Nothing is written off silently.
  • Underpayments only. Denials and prior auths stay with your billing team.
  • A signed BAA before any data changes hands, and PHI is de-identified before analysis.
  • You talk directly with the founder.