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.
AI-powered underpayment recovery · contingency only
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. If we find nothing, you owe nothing.
No cost. No software to install. We only get paid when you do.
- HIPAA-compliant by design
- Zero cost unless we recover
- Grounded in MGMA and HFMA research
Built for independent specialty physician groups across the U.S.
The problem no one is working
Underpayments never get denied. They just get written off.
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.
Industry benchmarks put revenue leakage, including underpayments, at 3 to 5% of net revenue a year (HFMA). And it goes unchecked: per an MGMA poll, only about 30% of practices audit their payer payments against contract monthly, and a majority do it less than quarterly, if at all (MGMA, 2025). You cannot recover what you never measure.
What you get
See exactly what you're owed, and let us go get it.
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, minus our contingency, paid only on what we actually recover, never on what we find.
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.
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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.
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See the math
We identify and rank every underpayment, and show you the math behind each one.
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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. Denials and prior auths stay with your billing team, no overlap, no stepped-on toes.
The case for pushing back
When providers appeal a claim, they win far more often than they file.
54%
of appealed claim denials are overturned when providers push back. Yet most are never pursued, and underpayments, which never trigger a denial, are the ones almost no one files.
Premier, via the American Hospital Association, 2024. Underpayments are appealable the same way. 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."
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.
We charge only when we recover.
Who it's for
Built for the groups the big vendors skip.
Independent specialty physician groups
5 to 25 physicians in a specialty like orthopedics, urology, cardiology, GI, or oncology. If your annual net patient revenue is $2M to $15M, 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.
The offer
Start with a free 90-day claims audit.
If we don't find recoverable underpayments, you owe nothing and we part as friends. If we do, you decide whether to proceed, and we're paid only as a percentage of what we actually recover.
- Full transparency. You see everything we find, ranked by recovery value. Nothing is written off silently.
- HIPAA-compliant by design. PHI is de-identified before analysis, and we sign a Business Associate Agreement before any data moves.
- Underpayments only. Denials and prior auths stay with your billing team. We work the lane nobody else is working.
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.
HIPAA-compliant environment
Your data is handled in a secure, access-controlled, HIPAA-compliant 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.
Who you'll work with
Built by someone from your side of the table.
I'm Jeffrey. I have spent over a decade in healthcare revenue cycle, with a background across management consulting and healthcare technology.
For years I did this work inside large health systems, where recovering underpayments still took a team of people. Then I started asking specialty practices why they weren't doing it. They knew the money was there, and it was never that they didn't want to. They just had nobody to spare to chase a $300 underpayment. Multiply that across a year of claims, and it is real money. RemitIQ is the company I wished existed back then. When you start an audit, you work directly with me, from first claim to first recovery.
FAQ
Questions administrators ask first.
What does it cost?
Nothing to start. The audit is free. We are paid only a percentage of what we actually recover for you. If we find nothing worth recovering, you owe nothing.
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, your data is handled in a secure HIPAA-compliant 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
- OB/GYN
- Pulmonology
- Rheumatology
- Neurology
- Other specialties
We also work with:
- Multi-specialty groups
- Ambulatory surgery centers
- Community hospitals (outpatient professional claims)
- Billing companies and RCM partners
For billing companies & RCM partners
Add underpayment recovery to your book, without building it.
You already run denials, AR, and prior auth for your practices. Underpayments, the claims paid below contract, are a different lane, and one most billing teams aren't staffed to work. RemitIQ becomes your underpayment-recovery arm across your entire book, on the same no-risk contingency.
One partnership, all your practices
One relationship covers your whole book, not a sale per office. You bring the practices, we bring the recovery.
We stay in our lane
Denials, AR, and prior auth stay yours. We only work the paid-but-underpaid claims. No overlap, and no re-papering your client relationships.
Same contingency, no risk
No cost to you or your clients unless we recover. Aligned with how you already price, not another vendor invoice.
How we show up to your practices, behind the scenes or side by side, is a conversation we have together.
Find out what your payers owe you.
It costs nothing to look.
Pick a time below, or send us your details and we'll reach out within one business day.
Book your free audit call
30 minutes. No prep needed, bring questions and we'll bring the process.
Book your free audit call ↗- No cost, and no obligation to proceed.
- A signed BAA before any data changes hands.
- You talk directly with the founder.
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