Digitize payer contracts into machine-priceable rules
Every contract clause — fee schedules, carve-outs, case rates, multiple-procedure reductions, implant pass-throughs — is extracted and encoded into deterministic pricing rules.
The most rigorous underpayment recovery service for mid-market physician groups and ASCs.
Payer Contract Underpayment Recovery Engine recovers the money commercial and government payers quietly underpay — using an internal AI engine to model payer contracts, reprice every claim, and generate winning recovery appeals. You pay only a share of dollars actually collected.
Every payer contract modeled deterministicallyRepriced claims against expected reimbursementDHSMV · USCG · UCC · judgment lien searchesSpecialist release on every pack5-business-day SLA
Why underpayments go unnoticed
A single missing contract term can cost thousands.
Commercial payers underpay providers against their own executed contracts on roughly 1–3% (and by some estimates up to 7–11%) of net patient revenue every year — money that is earned and contractually owed but silently lost to short-pays, misapplied adjustments, carve-out errors, and prematurely zero-balanced accounts.
Most providers post whatever the payer pays, adjust the balance to zero, and move on — so underpayments hide inside closed, zero-balance accounts that internal teams never revisit. Manually comparing each EOB against the contract is labor-intensive and rarely done at scale.
Payer Contract Underpayment Recovery Engine exists to close that gap with a single, exhaustive standard applied identically to every file.
1–3%
of net patient revenue lost to underpayments annually
The benchmark
Measured against the letter of the contract — clause by clause.
We do not summarize the contract and hope. Every claim is scored against a versioned rule pack tied to the exact text of your payer contracts. These are the provisions each recovery is held to.
Reprice every claim against expected reimbursement
Each paid claim is repriced using the modeled contract rules. Variances between expected and paid amounts are flagged and quantified.
Generate winning recovery appeals
For each underpaid claim, an evidence packet is assembled: the contract clause, the EOB, the repricing calculation, and a formal appeal letter drafted to payer requirements.
Review zero-balance accounts for hidden underpayments
Accounts that were adjusted to zero are systematically reviewed. Underpayments that were never identified are surfaced and included in the recovery.
Provide root-cause pattern summary
A monthly report identifies recurring underpayment patterns — specific payers, procedure codes, or contract terms — so the provider can prevent future leakage.
Adhere to prompt-pay statutes and appeal deadlines
All appeals are filed within statutory and contractual deadlines. Escalation to attorney review is available for high-value or legally complex claims.
How a recovery is built
Intake to specialist release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
01
Free Underpayment Scan
Upload your payer contracts and a sample of paid claims. We return a free completeness read: which underpayments are recoverable and which are not.
02
Contract ingestion & modeling
As your authorized clerical agent, we digitize your payer contracts into machine-priceable rules. Every clause is extracted and encoded.
03
Claim repricing
All paid claims for the selected payers are repriced against the modeled contracts. Variances are calculated and ranked by recoverable amount.
04
Deterministic completeness gates
Amounts reconcile to the EOB to the penny; the contract clause is cited; the appeal deadline is verified; SCRA is screened. Any failure blocks release.
05
Specialist release
A revenue-integrity specialist reviews the exception queue and signs the release. High-value or legally complex claims route to attorney review first.
06
Delivery
You receive the recovery: a monthly recovered-and-in-flight report, evidence packets for each underpaid claim, and a root-cause pattern summary to stop repeat leakage.
The bar we hold
Rigor you can measure.
100%
Specialist-released
No recovery ships without a human signature.
5 days
Standard SLA
From complete intake to released recovery.
<1%
Critical-defect target
Tracked against a gold-standard recovery library.
4
Lien-search sources
DHSMV · USCG · UCC · judgment, every applicable file.
Why Payer Contract Underpayment Recovery Engine
Built to be the most thorough option a provider has.
Documentation-complete, by design
The deliverable is completeness itself — every contract clause modeled, every claim repriced, every variance accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a contractual requirement.
In its lane, on purpose
We prepare documentation and run searches as your clerical agent. We never contact the payer, give legal advice, or conduct the negotiation.
Engagement
Flat fee, per released recovery. No contingency, ever.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
- A free Underpayment Scan before you commit — see exactly what is recoverable.
- One flat fee per released Underpayment Recovery; disclosed pass-through search fees.
- Optional fixed-fee attorney review for high-value or legally complex claims.
- Optional Monitoring Add-on for ongoing claim repricing and monthly recovery reports.
FAQ
Questions, answered precisely.
Is Payer Contract Underpayment Recovery Engine a law firm?
No. Payer Contract Underpayment Recovery Engine, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Attorney review is available and recommended for high-value or legally complex claims.
Do you contact the payer or collect the debt?
Never. Payer Contract Underpayment Recovery Engine is not a debt collector and does not contact payers or debtors. The provider remains the claimant and the party responsible for submitting all appeals and collecting any recovery.
What makes a recovery 'complete'?
Completeness is defined by the contract: every clause modeled, every claim repriced, every variance accounted for, and every appeal filed within statutory deadlines. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a specialist-released recovery. The free Underpayment Scan is returned much sooner and tells you exactly what is recoverable.
How are you priced?
A flat fee per released recovery, plus disclosed pass-through search costs. No contingency and no percentage of any recovered amount or sale proceeds.
See what's missing before it costs you revenue.
Start with a free Underpayment Scan. Send your payer contracts and a sample of paid claims and we'll return a completeness read against every clause.
Documentation-completeness service · not legal advice · the provider submits every appeal.