What happens to underpaid and denied claims after the payer adjudicates?
We're Redress, a small, early company. We're talking with the people who run revenue cycle at independent physician groups, roughly 15 to 100 clinicians in any specialty, about the back end of the revenue cycle: claims paid below contract or denied, and what happens to them next.
What we want to learn
- How you find out that a payer paid less than your contract or fee schedule, and who checks.
- What gets appealed and what gets written off, and why.
- Who does that work, and how much of their week it takes.
- What you've tried: an outside recovery firm, contract-management software, a dedicated person.
- Whether workers' comp, auto or other claim types behave differently from health plans.
Why we're asking
Most of what's written about revenue leaking out of practices is about the front office: missed calls, unfilled schedules, eligibility checks, patient balances. Much less is written about what happens after a payer pays less than it should. We want to hear how that actually works in groups your size, including if the answer is that it isn't worth chasing.
What we're asking for
Twenty minutes by phone or video. No pitch, nothing to buy, and no claims or patient information. You get the anonymized write-up of what other groups told us.
Questions
Are you selling something?
No. We're early and haven't built anything for this. We want to understand how revenue-cycle teams handle underpayments and denials before we decide what, if anything, to build.
Do I need to share claims, remits or patient information?
No. Describe how your team works; don't show us claims. We won't ask for a remit, an EOB or any patient information in a conversation.
What happens to what I tell you?
It goes into an anonymized write-up of what we heard. Nothing is attributed to you or your group without your permission, and everyone we talk to gets the write-up.
Do you run revenue cycle for a physician group?
We'd like twenty minutes to hear how underpayments and denials get handled where you work. You get the anonymized write-up of what everyone told us.
Talk to usLast updated October 19, 2026. Redress is not a law firm, and this page is not legal or financial advice.