Send Us the Claims
Nobody Else Could Collect

Fill out the form or call Desiree. We sign a Business Associate Agreement before you share anything with patient information in it, then you send your aging AR report and a sample of the denials your team has already worked over a secure channel, never regular email. Within 48 hours of receiving them you get a written read on what is realistically recoverable, what is not worth chasing, and the exact contingency rate for the claims we would take. There is no cost and no obligation to proceed.

Denials, underpayments, and aging insurance AR — specifically the ones that did not resolve the first time. That includes claims denied more than once, balances paid below your contracted rate, AR sitting past 90, 180 or 365 days, and claims running up against a timely-filing or appeal deadline. If a claim is clean and simply hasn’t been paid yet, that is ordinary AR work rather than recovery — we will say so, and either leave it with your team or pick it up under the flat-rate AR service instead of charging a recovery percentage on it.

Recovery work is pure contingency: 20–40% of amounts we actually recover, and nothing if we recover nothing. The rate depends on how old and how difficult the claims are — roughly 20–25% on straightforward denials 30–90 days old, 30% at 90–180 days or where direct carrier intervention is needed, and 35–40% on claims past 180 days, repeatedly denied, or already written off. Larger batches lower the rate. Whatever we agree is fixed in writing before we touch a claim.

Separately from recovery, and never at recovery rates. Insurance verification is $2.30–$11.50 per check with no monthly commitment. Hybrid AR support — claims submission, payment posting and EOB reconciliation, ongoing AR follow-up at 30/60/90 days, verification and monthly reporting — is 3.2% of insurance collections with a $1,280 monthly minimum, stepping down to 2.75% on collections between $100K and $150K a month and 2.3% above that. Full-service billing adds credentialing and medical-dental cross-coding at 3.3% with a $1,320 minimum, stepping down to 2.85% and 2.35%. Both run 5–10% under the published rates of the largest national dental billing services, with no setup fee. If we are already running your submissions and posting, claims that pay through the normal cycle are covered by that fee — there is no contingency charged on top.

Only the incremental dollars we cause to be paid. If a $1,000 claim was paid $600 and closed, and we challenge the underpayment and get another $300 released, our fee applies to that $300 — not to the $600 you already had, and not to the $900 total. We never charge a percentage of your overall collections.

Only if you want it to. The default is that it doesn’t: your biller keeps running the normal revenue cycle and you send us the denials, underpayments and stuck AR nobody could resolve. But we also do the day-to-day — claims submission, payment posting and EOB reconciliation, ongoing AR follow-up at 30/60/90 days — and you can hand us some or all of it. That work is priced flat or per item, never at recovery rates.

No. Letters are the smallest part of it. We communicate directly with the carrier: calling, challenging the payment decision, requesting reconsideration and reprocessing, escalating past the first-line representative when required, and following up until the claim is resolved one way or the other. By the time a claim reaches us, a paper appeal has usually already failed.

Older claims are harder and carry a higher rate, but they are frequently not hopeless — especially underpayments and claims denied on payer policy grounds rather than filing timelines. The real cliff is timely filing and appeal deadlines, which vary by carrier and contract. Send us the aging report; part of the free audit is telling you honestly which claims are past saving so you stop carrying them on your books.

It depends on the carrier and how many times the claim has already been refused. Straightforward underpayments tend to move fastest; claims requiring formal appeal or repeated escalation take longer. We tell you which bucket yours are in up front.

We sign a Business Associate Agreement with every practice before receiving any protected health information. It moves only over encrypted channels, and access is limited to what is required to work your claims.

No. We work with Dentrix, Eaglesoft, Open Dental and the other major systems, and we fit into whatever workflow you already have. In most engagements we need read access and your AR and EOB data — nothing about your front desk changes.

No. There is no minimum term and no cancellation penalty — either side can end it on 30 days’ notice. Recovery work is paid only out of recoveries, so an engagement that stops producing simply stops costing you anything. Ongoing billing plans run month to month.

You get a running record of every claim we hold: its current stage, who at the carrier has been contacted, what they said, and dollars recovered to date. You also have one direct point of contact — no call centre, no ticket queue.