Most billing teams catch denials. Almost none systematically check whether approved claims were paid at the correct amount. ClaimYield finds the money hiding inside posted payments.
Get Your Free Diagnostic AuditPayers routinely pay less than contracted rates on approved infusion claims and label it as a "contractual adjustment." It looks legitimate. It isn't.
A payer pays $140 instead of the contracted $180 on a J-code infusion. The $40 difference is posted as a routine write-off. Nobody checks. The dispute window closes. The money is gone.
70% of practices audit payer payments only annually or not at all. By then, most dispute windows are already closed and the money is permanently unrecoverable.
The same denial reason hits 40+ claims per quarter for the same payer and procedure. Individual claims get reworked. The systemic pattern is never identified or addressed.
MA denial rates increased 4.8% in a single year. Private insurers administering Medicare have a direct incentive to deny and underpay. The trend is accelerating.
A simple, four-step process. No software to install. No system integration. No disruption to your billing workflow.
Pull a standard claims and remittance export from your billing system. We tell you exactly which fields we need.
Remove patient identifiers before sending. We work exclusively with de-identified billing data. No PHI ever reaches us.
Our engine compares every payment against expected reimbursement rates and detects underpayments, denial patterns, and leakage trends.
You receive a prioritized report with dollar amounts, payer-specific findings, and a clear worklist your team can act on immediately.
A diagnostic report built for action, not just information.
Every approved claim checked against expected rates. Payer-specific, code-specific, dollar-quantified.
Denial spikes by payer, by procedure code, by category. Systemic patterns surfaced, not just individual claims.
Actionable list ranked by dollar impact and dispute deadline. Your team knows exactly what to work first Monday morning.
ClaimYield never receives Protected Health Information. Our architecture is designed so PHI never leaves your environment.
No subscriptions. No percentage of recovery. You keep 100% of what you recover.
Send us 90 days of de-identified billing data. We run the analysis and show you a sample of what we find. No charge, no obligation.
If the diagnostic reveals significant underpayments, we deliver the complete diagnostic report with payer-specific findings and an actionable recovery worklist.
Your team uses the worklist to file appeals and disputes directly with payers. No tracking, no percentage — the recovered money is yours.
Free diagnostic audit on 90 days of de-identified billing data. If we find significant leakage, the full report is $2,500. No percentage, no tracking — you keep everything you recover.
Book Your Free Audit