Paid isn't the same as paid correctly.
According to Crowe RCA, healthcare providers lose over $48 billion annually to uncollected balances and silent underpayments. RecoupOps models your fee schedules to detect when a payer underpays your contracted rate.
Contracted Rate Modeling
Upload your commercial payer fee schedules, surgical carve-out rates, and implant invoice agreements. RecoupOps verifies every 835 line item against expected reimbursement.
CO-45 Disguised Underpayments
Payers often adjust claims down using standard CO-45 “contractual adjustment” codes when their internal adjudication tables are loaded incorrectly. RecoupOps flags the exact dollar variance.
Systemic Variance Dispute Letters
When a payer systematically underpays a CPT code across 50 patient encounters, RecoupOps generates a single consolidated Contract Dispute Brief demanding bulk retroactive adjustment.
See what your denials are actually worth.
Send us one month of 835 remittances under a signed BAA. We'll show you exactly how many dollars are recoverable — before you pay anything.