How it works
From one export to filed appeals.
The free report comes first, so you can see the size of the problem before you decide anything.
You send 90 days of denials
A denial or remittance export from your practice management system or clearinghouse. We sign a short data agreement first and send you a secure upload link. It's a few minutes of work, and there's no call to sit through.
We return your Denial Leakage Report
Free, within five business days. It's the same analysis we'd run as your recovery service — we just stop and show you the results instead of acting on them.
You decide whether we go get it
If yes, we handle the appeals and the follow‑up from there. If no, you keep the report and we've cost you an export. There's no obligation attached to it.
The report
What the Denial Leakage Report tells you
- Total denied. What the payers turned down over the period, in dollars.
- Estimated recoverable, as a range. Built from the volume in each denial category and a conservative view of how often that category is overturned. The methodology is footnoted in the report. It is an estimate, not a promise, and we would rather it be too low than too high.
- Where it's concentrated. Which denial reasons and which payers are producing the leakage.
- What's about to expire. Appeal windows close between roughly 60 and 365 days depending on the payer, and once one closes the money is gone permanently. The report lists the claims nearest the edge first.
- The effort split. How much of the recoverable money needs nothing from you, and how much needs documentation you already have. You see the ask before you commit to anything.
The work
What happens to a denial once we have it
Denials are not one problem. They're several, and they need different responses — which is most of why blanket resubmission doesn't work.
First, the ones that aren't really appeals
A large share of denied behavioral‑health claims were denied for correctable reasons: a duplicate or a corrected‑claim chain handled wrong, a time‑based code that doesn't match the documented session length, a telehealth modifier or place‑of‑service mismatch, or a claim sent to the medical carrier when that plan carves behavioral health out to a separate administrator. These need a corrected claim, not an appeal letter. They need nothing from you, and they resolve in weeks rather than months. We work them first.
Then the ones that need an argument
Medical‑necessity denials are the heavier lift. These need documentation from the chart that connects diagnosis to treatment plan to session notes to progress — the thread that shows the care was warranted. We tell you exactly which claims are worth pulling records for and what each one is plausibly worth, in one batch rather than a stream of requests. Then we build the appeal around what your documentation actually supports.
Getting it to the right desk
Every payer has its own filing window, its own clock‑start rule, its own submission channel and its own forms. Several Pennsylvania plans route clinical appeals and billing disputes through entirely separate tracks, and an appeal filed into the wrong one can be denied on process without anyone reading the argument. We maintain the current rules for each payer we work, cited to that payer's own published materials.
The deadline never slips
A missed appeal window cannot be reopened. That part of our system is deliberately simple, deterministic, calendar arithmetic — the same answer every time, with escalating alerts as a window approaches. There is no judgment call and no automation guessing anywhere in that path.
Getting paid
How the money moves
When an appeal succeeds, the payer pays you. The recovery lands in your account through your normal remittance, exactly as any other payment would. Paritas never receives, holds, or routes your funds — it's a structural rule, not a preference, and it's part of why the arrangement stays clean.
We invoice after the recovery reaches you, and we're paid only out of what we recover. If we recover nothing, you owe nothing. Appeals typically take 30 to 90 days for a payer to adjudicate, so the first recoveries take a few months to appear.
Fee terms are set out in the services agreement before anything is signed. Nothing about the free report obligates you to engage us.
Start with the report.
One export, five business days, no cost and no call. You'll know the size of the problem before you decide anything.