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How it works What we recover Data & trust
Claims recovery for independent specialty practices

You did the work. The payer said no. We get you paid.

Get a free denial audit → See how it works

Remend recovers the claims you've already written off. No software to install, no upfront cost — we're paid only a share of what we actually put back in your hands.

835 Works inside your existing clearinghouse $0 If we recover nothing, you pay nothing
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CO-197 prior authorization — most-overturned category CO-22 coordination of benefits — mechanical fix, routinely abandoned CO-16 missing claim information — resubmit & recover CO-11 diagnosis inconsistent with procedure CO-4 modifier missing or invalid CO-97 bundled — often separately billable E/M downcodes paid below documented level of service
The problem

Most denials are never appealed. Not because they'd lose — because no one is paid to fight them.

No. 01

Denials are automated. Appeals aren't.

Payers deny claims in bulk, by algorithm. Fighting back means a person pulling the chart, writing the letter, and tracking the deadline — one claim at a time. No independent practice staffs for that.

No. 02

Billing companies are paid on collections

A biller earning a percentage of collections makes almost nothing chasing hard denials. Writing them off is rational — for them. The loss is yours.

No. 03

The pile compounds quietly

Each write-off is small. Across a year of claims and every payer you bill, they add up to real money that no one is accountable for recovering.

~0%
of denied Medicare Advantage prior-auth requests are never appealed1
0%
of denied Medicare Advantage claims are ultimately overturned2
$0
your upfront cost — we're paid only on dollars that actually post back to you
What we do

We hunt. We file. You collect.

The administrative, winnable denials — not medical-necessity fights. Found in your remittance data, worked through your existing portals.

The codes we hunt
LIVE FROM YOUR 835 REMITTANCES
rRemend

38 recoverable claims found in your last 90 days of remittances. First appeal already repaid: $412.50.

Denied in March. Paid today.
010203

Runs on what you already have.

No new software, no EHR access, no workflow change. We plug into the remittance data and payer portals you already have.

Free 835 remittance audit
Appeals via your existing portals
One line-itemed contingency invoice
How it works

From written off to recovered.

  • The free audit. Send us — or simply show us — your remittance (835) files and aged A/R. We quantify what's recoverable: payer by payer, code by code.
  • We do the work. We draft and file the appeals — reconsiderations, redeterminations, corrected claims — through your existing payer portals. You approve; nothing changes about how you bill.
  • You're paid first. Recovered dollars post to your practice like any other payment. We invoice a share of what actually posted — terms agreed in writing before we start.
REMITTANCE ADVICE · 835ILLUSTRATIVE
CO-197 · PRIOR AUTHORIZATION
Precert absent — service rendered
$412.50
WRITTEN OFF
CO-22 · COORDINATION OF BENEFITS
Covered by another payer
$1,284.00
WRITTEN OFF
CO-16 · MISSING INFORMATION
Claim lacks required element
$655.20
WRITTEN OFF
CO-45 · CONTRACTUAL
Exceeds fee schedule — not workable
$208.10
DEAD
CO-97 · BUNDLED SERVICE
Separately billable — payer error
$390.75
WRITTEN OFF
RECOVERABLE IN THIS FILE$0.00
The math

What's sitting in your pile?

Specialty
Physicians in your group
8MDs
ESTIMATED RECOVERABLE · PER YEAR
$0–$0
MEDICARE FEE-FOR-SERVICE ALONE
Commercial and Medicare Advantage denials come on top of this — they're usually the bigger share, and they only show up in your 835s.
Get your real number — free audit →

Estimate method: CMS Medicare Physician & Other Practitioners data (2024) — the typical range (25th–75th percentile) of Medicare allowed dollars per physician in your specialty, multiplied by the share of denied-then-abandoned dollars that is typically recoverable. It is a screening estimate, not a quote; the audit replaces it with a number computed from your actual remittances.

These are claims you've already written off to zero. If we recover nothing, you pay nothing — and you've lost nothing.

— The whole deal

Data & trust

Your data, handled like it's radioactive.

BAA before anything

No patient-identifiable data moves until a Business Associate Agreement is in place.

De-identified audits

The free audit can run on payer, denial code, amount, and date alone — no patient names required.

Your existing rails

We work inside your current clearinghouse and payer portals. No new software, no EHR access required.

Never sold, never shared

Your claims data is used to recover your money. That's it.

Common questions

Asked by every practice we talk to.

Do I have to leave my billing company?

No. We recover claims that have already been written off — money that's currently going to zero. Your billing company keeps doing what it does; we work the pile they've moved on from.

What do you need from us?

A remittance (835/ERA) export and an aged accounts-receivable report. Most clearinghouses — Availity, Waystar, Office Ally — produce both in minutes, and we'll walk you or your biller through it.

What does it cost?

A share of recovered dollars, agreed in writing before we start. No upfront fee, no subscription, no minimum. If we recover nothing, you owe nothing.

How is this different from my clearinghouse's denial reports?

Reports tell you what was denied. Someone still has to read the codes, find the winnable ones, draft the appeal, file it, and track it to payment. That labor is exactly what doesn't pencil for a busy practice — and it's the entire thing we do.

Find out what you're owed.

The audit is free, takes nothing but a remittance export, and ends with a real number — what's recoverable, what's dead, and what we'd go get.

Get a free denial audit →

Or email directly: zack.spooner@companyventures.com