Now Accepting New Clients — Hospitals, Practices & Clinics

Your Denied Claims Are
Recoverable Money.
We Get It Back.

Hospitals, private practices, specialty clinics, surgical centers, urgent care facilities, and billing companies all lose millions annually to insurance denials — not because the claims are invalid, but because there's no bandwidth to fight back. We handle every appeal on pure contingency. No recovery, no fee. Ever.

Get Your Free Denial Audit → See How It Works ↓

HIPAA Compliant

BAA Provided

48-Hour First Delivery

All Payers Covered

DENIAL RECOVERY DASHBOARD

LIVE DATA

Your current appeal rate35%

With Integrity Medical Recovery80%+

Industry average overturn rate65%

$780K

Written off monthly
by avg organization

$390K+

Recoverable with
our service

64×

ROI on $5K
monthly retainer

48hr

First appeals
delivered

🔍 Get My Free Denial Audit

The Real Problem

Payers Deny. Your Team
Doesn't Have Time to Fight Back.

Whether you run a hospital, a private practice, or a specialty clinic — insurance companies have entire departments dedicated to denying and delaying your payments. You are outnumbered, overloaded, and the clock is always ticking.

Where Denied Revenue Goes Across All Practice Types

Denials currently appealed (avg practice) 35%

Denials written off — never fought 65%

With us: denials appealed 80%+

Industry overturn rate on proper appeals 68%

$8.6M

Average annual loss per hospital system

$300K+

Average annual loss per private practice

Your team is already doing everything they can. The math just doesn't work.

A hospital receives 5,000–8,000 denied claims per month. A busy private practice receives hundreds. A specialty clinic gets buried in prior auth denials. In every case, the billing team is overwhelmed processing new claims — they simply cannot also fight every denial.

So the denials pile up. Deadlines pass. The money is written off as bad debt — for care you already delivered, to patients you already treated.

💡 The hardest part isn't the appeal itself. It's knowing which denials to prioritize, which clinical guidelines to cite, and how each payer's medical directors think. That expertise — tailored to your practice type — is exactly what we bring.

✓Medicare denies differently than Aetna — we write to each payer's specific review criteria

✓Appeals cite MCG, InterQual, and CMS guidelines — written at physician level

✓We handle hospitals, practices, clinics, and billing companies — same precision, scaled to your volume

✓Monthly recovery reports so every decision maker sees the ROI in black and white

Your Money. Right Now.

You Are Owed Hundreds of
Thousands. Every Single Month.

This isn't projection. This is what's already happening in your organization today — money you earned, care you delivered, revenue that payers are keeping because nobody is fighting hard enough to take it back.

💸 What You're Losing Monthly

$772,500

Denied claims written off as bad debt. Every month. Without us.

💰 What You Collect With Us

+$292,500

Net new revenue deposited into your account — money you already earned

⏱ Lost While You Read This

At $772,500/month your organization loses $1.47/second in denied claims

What your recovery looks like over time

Period

Lost (no us)

Recovered

Our Fee

Net Gain

Month 1

-$772,500

+$292,500

-$5,000

+$287,500

Month 3

-$2.3M

+$877,500

-$15,000

+$862,500

Month 6

-$4.6M

+$1,755,000

-$30,000

+$1,725,000

Year 1 Total
-$9.3M
+$3,510,000
-$60,000
+$3,450,000

Every month you delay starting is $292,500 in recovered revenue permanently gone. That's money that was already yours — for care you already delivered. There is no way to recapture months you've already waited.

$292K

Lost if you wait one more month

"Our $5,000 retainer returns $292,500 every month — a 58× return. You break even in 3 weeks. There is no investment in healthcare that comes close to this."

Show Me My Numbers →

How We Make You More Money

The Exact Moment We Turn
Your Losses Into Revenue.

Here is every step a claim takes from the moment it gets denied to the moment that money lands in your account. We intercept at the critical point where your team runs out of bandwidth — and turn abandoned revenue into collected payments.

🏥

Step 1

You Deliver Care & Submit a Claim

Your team provides medical services, documents the encounter, codes it (CPT + ICD), and submits a claim to the patient's insurer through your clearinghouse. This process works perfectly — and then the payer responds.

🚫

The Problem

Payer Issues a Denial

The insurer denies the claim — "not medically necessary," "no prior authorization," "insufficient documentation." Most of the time the denial is incorrect or contestable. But the clock starts ticking on your appeal window the moment this letter arrives. Most organizations let this deadline pass.

📋

Without Us

Your Team Writes It Off

Your billing team is already handling hundreds of new claims. They prioritize submission over appeals. The denial gets added to a backlog that grows every week. Eventually — 65% of the time — the deadline passes and the claim is written off permanently. Gone. No recourse.

⚡

Our Intervention

We Build a Precision Appeal — Within 48 Hours

This is where we earn your money. Our system analyzes the denial reason, the payer's specific review criteria, the treating physician's clinical notes, and the applicable MCG/InterQual guidelines. We build a medically precise, guideline-cited appeal letter written to the specific language the payer's Medical Director is trained to approve. Not a template — a targeted clinical argument.

📬

Submission & Tracking

Appeal Submitted. Every Response Tracked.

The appeal goes to the payer's internal review team. We track every submission through your billing system, monitor response deadlines, and escalate to external review or state insurance commissioners when necessary. Nothing slips through. Every dollar is pursued to its final resolution.

💰

The Outcome

Payer Overturns. You Collect.

68% of properly written appeals are overturned. The payer pays. The money — your money — is deposited directly into your accounts. We invoice only our agreed percentage of what we actually recovered. You never pay for appeals that don't win.

💵 Your money. Back where it belongs.

📊

Monthly Reporting

Your CFO Gets a Report Showing Every Dollar.

Every month you receive a full recovery report: denials received, appeals filed, overturn rate, dollars recovered, and your exact ROI. Your leadership team can see precisely what we've recovered — and exactly what it's worth. This report typically becomes one of the most anticipated documents in your revenue cycle meeting.

Our Edge

Why Our Appeals Win When
Everyone Else's Don't.

Most appeal letters get denied again for a simple reason — they're generic. They don't speak the payer's language, they don't cite the right guidelines, and they don't address the specific reason the Medical Director denied the claim. Ours do. Here's why.

🧠

Payer Intelligence Database

We maintain a continuously updated database of how every major payer — Aetna, BCBS, UnitedHealth, Cigna, Humana — structures its denial decisions, what language its Medical Directors respond to, and which guideline citations trigger overturn. This isn't public knowledge. It's built from thousands of real appeal outcomes.

8 Major Payers

Payer-specific appeal strategies

📖

Clinical Guideline Precision

Every appeal we generate cites the specific MCG guideline, InterQual criteria, or CMS coverage policy that directly contradicts the denial reason. We don't just argue — we cite. Payer Medical Directors are trained to approve claims when the clinical evidence is undeniable. We make it undeniable.

MCG + InterQual

Clinical guidelines cited in every appeal

⚡

48-Hour Turnaround

Speed matters in appeals — most payers have strict windows and volume-based review queues. We deliver completed appeal letters within 48 hours of receiving a denial. Your internal team typically takes 2-3 weeks. That speed advantage directly translates to higher overturn rates and faster payment cycles.

48 Hours

From denial to completed appeal letter

🎯

Denial-Type Specialization

Medical necessity denials require a completely different approach than prior auth denials, which require a different approach than coding disputes. We route every denial to the right appeal strategy automatically. Generic firms send one letter. We send the right letter.

6 Denial Types

Each with a dedicated appeal strategy

📈

Outcome Learning Loop

Every appeal outcome — win or loss — feeds back into our system. When a specific argument wins against a specific payer for a specific denial type, we learn from it and replicate it. Our win rate improves continuously. Your internal team writes the same letters year after year.

68%+

Appeal overturn rate — vs 38% industry average

🔍

Priority Triage by Dollar Value

Not all denied claims are worth the same effort. We automatically sort your denial backlog by recovery value, appeal deadline urgency, and win probability. You capture the highest-value recoveries first — maximizing your ROI before touching lower-value claims.

$0 Wasted

Every appeal prioritized by recovery value

Capability

Internal Team

Integrity Medical Recovery

Appeals per month

20–50

200–500+ 10× more

Turnaround time

2–3 weeks

48 hours 10× faster

Payer-specific targeting

Generic templates

Precision per payer Win advantage

Overturn rate

~38% avg

68%+ ~2× higher

Cost to you

$60–80K salary/yr per specialist

$5K/mo or 10% of recovered only 90% cheaper

Who We Serve

If You Bill Insurance,
We Recover Your Denials.

We work with every type of healthcare organization that submits claims to insurance — from 500-bed hospital systems down to solo physician practices. If payers are denying your claims, we fight back.

🏥

Hospitals &
Health Systems

Community hospitals, regional health systems, and academic medical centers with high denial volumes across multiple departments and service lines.

💸 Your Pain: Revenue cycle team buried in new claims. Millions in denials written off monthly. No bandwidth to appeal.

✅ Your Win: We become your overflow appeals department. Recover 40–60% more denied revenue with zero new headcount.

🩺

Private Physician
Practices

Solo and group physician practices across primary care, internal medicine, family medicine, and general practice — where the owner often wears every hat.

💸 Your Pain: You have no dedicated billing team for denials. $50K–$300K walks out the door every year without you knowing.

✅ Your Win: We handle every denial appeal. You focus on patients. Collections improve in the first 30 days.

🔬

Specialty Clinics
& Centers

Cardiology, oncology, orthopedics, neurology, dermatology, and all other specialty practices where high-cost procedures get aggressively denied.

💸 Your Pain: High-value procedures denied as "not medically necessary." Your staff lacks time to write the clinical justifications needed.

✅ Your Win: We cite specialty-specific guidelines and clinical literature. Specialty denials have the highest overturn rates when properly appealed.

🏨

Surgical Centers
& ASCs

Ambulatory surgical centers and outpatient surgery facilities where prior authorization denials and post-service denials represent enormous revenue leakage.

💸 Your Pain: Prior auth denials and "not covered" decisions on completed procedures. Surgery already done — payer says no.

✅ Your Win: We appeal every post-service denial with surgical documentation and guideline citations. High recovery rate on completed procedures.

🚑

Urgent Care &
Emergency Groups

Urgent care networks, freestanding emergency departments, and emergency physician groups where claim volume is high and denial management is often ignored.

💸 Your Pain: High volume, thin margins, constant payer audits. Denials pile up faster than anyone can process them.

✅ Your Win: We scale to your volume. High-throughput appeal generation means no denial sits unanswered regardless of volume.

📊

Billing Companies
& RCM Firms

Medical billing companies and revenue cycle management firms who serve multiple practices and want to add denial recovery as a premium service offering.

💸 Your Pain: Clients churning because you cannot demonstrate measurable denial recovery improvement. Competitors are eating your accounts.

✅ Your Win: White-label or partner with us. Add proven denial recovery to your service menu with zero new hires or infrastructure.

Getting Started

From Zero to Collecting
in Under Two Weeks.

No software to install. No staff to retrain. No workflow changes. You share your denied claims — we turn them into revenue. Here's the exact sequence.

Free Audit — We Show You Exactly What You're Losing

We analyze your last 90 days of denials and calculate your exact monthly recovery opportunity. You see the number before you commit to anything. Most clients are shocked by how much is sitting there.

Day 1-3 — Free, No Commitment

We Triage & Prioritize by Dollar Value

You share your denied claims. We sort them by recovery value and appeal deadline urgency — highest dollars, tightest windows first. You start collecting on the most valuable claims immediately.

Day 4-5 — 48 Hours

Precision Appeals Delivered — You Submit

We deliver payer-specific, clinically precise appeal letters. You review and submit — or we submit directly. Every appeal is tracked from submission to resolution. Nothing expires unanswered.

Day 5+ — Ongoing

Payer Pays. Money Hits Your Account.

Overturned claims pay directly to your organization. We invoice only our fee on what actually recovered — never on losses. Your CFO gets a monthly report showing every dollar, every win, every ROI figure.

30-45 Days — You Collect

Pricing

Two Models. Both
Zero Risk to You.

Whether your CFO prefers predictable costs or pure contingency, we have a structure that works. Either way — you pay nothing if we don't recover.

Option A

Monthly Retainer

$5,000

per month — fixed, predictable, unlimited appeals

✓ Unlimited appeal letters every month

✓ All payers — Medicare, Medicaid, all commercial

✓ First appeals within 48 hours of onboarding

✓ Monthly recovery performance report

✓ Dedicated account manager, direct access

✓ BAA provided — HIPAA fully covered

✓ Cancel with 30 days notice — no penalty

Start With Retainer →

The Zero-Risk Guarantee

We are so confident in our results that on the revenue share model, you literally cannot lose. If we generate zero recoveries in your first 60 days, you owe us zero dollars — and you keep every sample appeal letter we've written. We put our work where our words are.

What You Get

Every Advantage Stacked
In Your Favor.

You're not buying a service. You're activating a revenue channel that's been sitting dormant in your organization — money you've already earned, finally getting collected.

Free Denial Audit — Know Your Number Before You Commit

We calculate your exact monthly recovery opportunity from your last 90 days of denials. Most clients discover they're leaving $200K–$800K/month on the table. You see the number first, then decide.

Payer-Specific Appeals That Actually Win

Every appeal is built for the specific payer, denial type, and clinical scenario. We know what Aetna's Medical Directors respond to. We know what BCBS reviewers approve. Generic letters get denied again. Ours don't.

Your Backlog Cleared — Deadlines Never Missed

We attack your existing denial backlog immediately. Appeals with the closest deadlines and highest dollar values are processed first. Revenue that was about to disappear permanently gets a second chance.

Monthly ROI Report Your CFO Will Love

Every month: total denials received, appeals filed, overturn rate, dollars recovered, and your exact ROI on our fee. Not vague metrics — real dollars your leadership can point to and be proud of.

The math makes this
impossible to say no to.

✗ You pay $5,000. You collect $292,500. Every month.

✗ Or pay nothing upfront — 10% of what we recover only

✗ If we recover nothing, you owe us nothing. Ever.

✗ No new staff. No software. No workflow changes.

✗ Works for hospitals, practices, clinics, billing companies

✗ First appeals delivered within 48 hours of onboarding

Start Collecting What's Yours →

Free audit · No commitment · Response within 1 business day

Common Questions

Everything CFOs and
RCDs Ask Us First.

Do you work with small practices, not just hospitals?

Yes — this is one of the most common questions we get. We work with hospitals, private physician practices, specialty clinics, surgical centers, urgent care groups, and medical billing companies. The appeal process is the same regardless of your size. A 3-physician dermatology practice losing $150K/year to denials is just as important to us as a 300-bed hospital. The retainer and revenue share models both scale to your denial volume.

How do you verify which claims you recovered?

We assign a unique tracking ID to every appeal we generate. You match those IDs against payments received in your billing system. We also request read-only access to your billing platform (Epic, Cerner, Meditech, or your practice management system) so both parties can verify independently. Full audit trail provided monthly.

Are you HIPAA compliant? Do you provide a BAA?

Yes, fully HIPAA compliant. We provide a signed Business Associate Agreement (BAA) at contract signing — required for hospitals and practices alike. All PHI is handled under strict data security protocols. We never store, share, or transmit patient data outside the scope of your engagement.

How quickly will we see results?

First appeal letters are delivered within 48 hours of onboarding regardless of your practice type. Most clients begin seeing recovered payments within 30–45 days as payers process appeals. Measurable ROI is typically visible in your first 60–90 days. Smaller practices often see results faster because their denial volume is more manageable to work through quickly.

What types of denials do you handle?

We handle all major denial types across all practice settings: medical necessity denials, prior authorization denials, level-of-care disputes, coding-related denials, and insufficient documentation denials. We work across hospitals, specialty practices, surgical centers, and urgent care. We do not handle eligibility rejections or duplicate claim errors — those are correction-based, not appeal-based.

Do we need to change our existing workflow?

No. Whether you use Epic, Cerner, Meditech, or a small practice management system like Kareo, AdvancedMD, or athenahealth — your team continues exactly as normal. You share denied claims with us via secure file transfer or system access, and we layer our appeal service on top. No training, no software purchases, no disruption.

What's the difference between the retainer and revenue share?

The $5,000 retainer is a fixed monthly fee for unlimited appeals — better unit economics at high volume, ideal for hospitals and large practices. Revenue share at 10% means zero upfront cost and payment only on recovered amounts — ideal for smaller practices or organizations who want to prove results before committing. We'll recommend the right model after your free audit based on your denial volume.

Is there any legal risk with percentage-based recovery fees?

Our service is structured as a flat administrative and professional services fee — not as a percentage of Medicare/Medicaid-specific claims, which would implicate anti-kickback statutes. This applies to hospitals and practices alike. We strongly recommend consulting your healthcare attorney before signing any agreement, and we welcome that review. Compliance is non-negotiable for us.

Claim What's Yours

$3,450,000 Is Waiting
For You This Year. Claim It.

That's the net new revenue the average community hospital collects in Year 1 with Integrity Medical Recovery Group. For a specialty practice it's $400K–$1.2M. For a billing company it's the service that makes clients never leave. Schedule your free denial audit and we'll calculate your exact number — before you commit to anything.

Request Your Free Denial Audit

Works for hospitals, practices, clinics, surgical centers, urgent care groups, and billing companies. Our team responds within one business day to schedule your 30-minute audit call.

📧 Request Free Denial Audit — [email protected]

Response within 1 business day · No commitment required · 100% confidential

🔒 HIPAA Compliant

📋 BAA Provided

✅ Zero Upfront Cost

⚡ 48-Hour Delivery

🛡️ Zero-Risk Guarantee

Your Denied Claims AreRecoverable Money.We Get It Back.

Payers Deny. Your TeamDoesn't Have Time to Fight Back.