Send us the claims you gave up on.
Prexisio recovers denied, underpaid, and aged claims for medical practices on a no-recovery, no-fee basis. One file starts it. A statement ledger proves every dollar.
Start a recovery conversationThe pile is bigger than most practices think.
Denied and never appealed
Authorization and precertification failures, claims denied for missing information, coding and modifier disputes. Many carry defined correction or reconsideration paths that were never taken because the balance did not justify the labor.
Paid below contract
The payer paid, but less than your contracted rate. Nobody compared the remittance against the fee schedule line, because who has time. We do that comparison for every claim you place with us.
Submitted and forgotten
Claims with an open balance, no denial, and no payment. They aged past the follow-up list. Some just need a status check and a nudge.
Small balances
The claims that were individually never worth a phone call. In aggregate they are real money. Prediction-driven triage is what makes working them economical for the first time.
Full transparency, claim by claim.
When your file arrives, every claim is evaluated before anyone works it. Within days you see three lists. Claims we accepted for work, each with the reason and the planned action. Claims we declined, each with the reason, so you are not paying anyone to chase money that is gone. And claims a person is reviewing because the signals were mixed.
From there, every touch on every claim is logged. Payer calls, portal checks, submitted appeals, document requests. When you ask what is happening with a claim, the answer is a record, not a recollection.
When money comes back
Payments are reconciled against the remittance. The contingency fee is calculated on recovered dollars only. Your statement shows gross recovered, eligible recovery, our fee, and your net, and you can export it whenever you want.
If a payment reverses, it comes out of the ledger. The numbers you see are the numbers that are true.
One export and a signature.
The file is whatever your practice management system produces for aged AR or denials. Claim number, payer, dates, amounts, and denial codes if you have them. Our import was built for real exports with inconsistent headers, so do not spend time cleaning it.
The signature is a business associate agreement, because this is claim data and we treat it that way. See the Security page for exactly how your data is handled.
A percentage of recovered dollars. Nothing else.
The contingency rate is agreed per placement before work begins. There is no setup fee, no monthly fee, no minimum. If we recover nothing, you owe nothing.
We are aware that means we only make money by making you money. That is the point.
What we will not do
- We will not send anything to a payer without human review.
- We will not work claims we believe are unrecoverable just to look busy.
- We will not touch patient clinical records. Recovery works from claim and remittance data.
- We will not lock you in. Your claims, your data, your statement history are yours.
Start with one file. If the pile turns out to be empty, that answer is free.
Start with one file