Payer Delta Arizona works the commercial denials your team hasn't had time to appeal. We prepare the appeal, you sign and send it, and you pay 22% only on money that actually comes in. If nothing is recovered, you pay nothing.
The delta is the gap between what you billed and what you were paid. We work to close it.
22%Commercial recovery feeAfter confirmed collections, under agreed terms.Specialty groups
Ambulatory surgery centers
In-house and outside billing teams
Tell us about your unworked commercial denials. Send a short note with your practice specialty and estimated backlog, and we'll evaluate your accounts for 22% contingency recovery.
A 1-page denial snapshot shows the reviewable items, missing information, and priorities for follow-up within 48 hours.
Denials grouped by payer and reason, with available balances and record context.
Applicable filing windows and the information needed to review them.
Priorities for follow-up, supporting records, and practice review.
Illustrative example, not a client result. This sample follows a commercial spine denial using the applicable commercial plan policy; it does not represent an actual payment or recovery.
A useful inventory makes both the opportunity and the missing information visible.
Facts, source context, and supporting documents come together in a reviewable packet.
A delivered draft, an overturned decision, and collected cash are different milestones.
Review the denial, prepare the appeal, and track any payment.
In this sample, a spine practice receives a commercial-plan denial. Review the remittance, the denial notice, and the plan requirements before the payer’s appeal deadline. Missing facts stay visible while the next action is assessed.
A prioritized denial inventory with source and deadline questions visible.
Match the applicable commercial plan policy to the service, date, and supporting records your team authorizes. Resolve gaps before preparing ready-to-sign appeal packets for your practice’s final review.
Ready-to-sign appeal packets after supporting-record and review checks are complete.
Your practice reviews, signs, and submits. Track the payer’s response, then reconcile any later remittance before calling money recovered. This illustrative example claims no successful appeal or collected payment.
A decision trail, recovery status, and a clear basis for any invoice.
Start with your Free Denial Snapshot. Recovery and any optional follow-up services are agreed separately.
22%
Your practice receives payer payments directly. We invoice 22% of recovered money under the agreed terms. If nothing is recovered, you pay no commercial recovery fee.
Discuss recovery scopeA separate flat-fee scope, confirmed before work begins. Commercial contingency terms do not apply to this offer.
Ongoing RCM support is $1,500–$3,500 per month, depending on the agreed work. Payer intelligence and cash forecasting can be included in a separate proposal.
Service availability, responsibilities, inputs, and fees are confirmed in writing. Outcomes and payment timing depend on the underlying claims and payer decisions.
Help your billing team
prevent repeat denials.
Once the backlog is worked, you can choose ongoing help with recurring denials, payer changes, and cash reporting. These services are separate from commercial recovery.
Review repeat denial reasons, missing documents, and billing-team handoffs. Assign the next action to the right person in your existing workflow.
Follow relevant payer policy and reimbursement changes, with source links and regular briefs. Bring updates to the team before the same issue affects more claims.
Review aging receivables and appeal progress in a 30-, 60-, or 90-day cash outlook. Keep assumptions separate from actual collections and compare the forecast with what gets paid.
Review the current A/R position, time-sensitive items, and expected collection timing. Keep unknown dates and incomplete records visible.
Connect appeal milestones and aging balances to a broader planning horizon. Review whether timing assumptions still match the latest evidence.
Compare earlier expectations with actual collections, explain variance, and refresh the assumptions behind the next outlook.
This view explains reporting scope; it contains no practice data or projected returns. Forecasts depend on agreed inputs and assumptions.
No. The recovery, RCM support, intelligence, and forecasting scopes are designed to work with your practice or billing team. Your agreement defines the work each party owns.
Your authorized practice team reviews the prepared materials and owns signing and submission. Missing sources, supporting records, or authority need to be resolved before that handoff is ready.
Start with your practice name, your role, and an estimate of your unworked commercial denial backlog (approximate dollar amount and primary payers). Please do not send patient records, Social Security Numbers, or raw claim exports through the web form. Data-handling requirements, any necessary agreements, and a suitable secure transfer process are confirmed before remittance files are requested.
No. Filing requirements depend on the payer, plan or product, type of action, review stage, and applicable dates. For Original Medicare fee-for-service, a first-level redetermination generally must be requested within 120 days after receipt of the initial claim determination. Commercial plan requirements must be checked for the specific claim. Review the applicable notice before the payer’s appeal deadline. CMS first-level appeal guidance ↗
The 22% fee applies to commercial denial recovery. Medicare packet preparation and optional ongoing RCM, payer intelligence, or forecasting services are priced separately and agreed before work begins.
If you have commercial denials sitting unappealed in your aging queue, send us a quick note below. We take on the research and packet preparation, your team signs and submits, and you pay 22% only when money comes in. If nothing is recovered, you pay zero.
We'll reply within 24 hours to review your specialty, confirm eligibility, and arrange a secure transfer process.
Prefer a quick phone consultation first? Schedule 15 minutes ↗