Reclaim OS
Live · Scanning paid claims continuously

Recover what you’re already owed.

We scan every paid claim against the contracted rate. Every dollar underpaid, we find. Every dollar recoverable, we fight.

Start recovering See how it works
22%
of paid claims are underpaid
Industry avg, MGMA + AHIP commercial data
$14–58
average shortfall per claim
Real practice data, PT/Chiro/Behavioral
$11K–48K
recoverable per practice / quarter
SMB-practice modeled, 1.5K–4K claim volume
The pipeline

Three sisters. One recovery.

Reclaim sits between the rate database and the appeal engine. It’s the bridge.

01

ReimburseOS

Predicts the rate

TiC MRF data → contracted rate per NPI × CPT × payer × state. The source of truth Reclaim scans against.

02

Reclaim OS

Finds the underpayment

Continuous diff. Every paid claim vs. contracted rate. Below contract → flagged → queued.

YOU ARE HERE
03

Denial OS

Recovers the dollar

Letter generated with the contracted-rate paragraph + state prompt-pay statute. Faxed. Tracked. Won.

Real data demo

47 underpayments. $985.78 at stake.

One mid-size PT practice. Twelve-week scan. Live data shape.

CPT 97162
Anthem Blue Cross of California
2026-03-20
+$50.75
$91.85 / $142.60
CPT 97162
Cigna
2026-03-31
+$48.43
$84.37 / $132.80
CPT 97162
Blue Shield of California
2026-04-01
+$46.59
$91.81 / $138.40
CPT 97161
Aetna
2026-04-24
+$40.15
$70.35 / $110.50
CPT 97161
Cigna
2026-04-23
+$39.25
$69.95 / $109.20
CPT 97110
Anthem Blue Cross of California
2026-04-10
+$36.12
$58.08 / $94.20
41 more in this scanOpen the live dashboard
Why now

The TiC MRF era made underpayment provable.

Since CMS’s Transparency in Coverage rule went live, every commercial payer publishes their negotiated rates publicly. For the first time, every practice can prove — with the payer’s own data — exactly how much they’re owed.

Reclaim turns that data into a continuous audit. We don’t wait for a billing manager to spot a discrepancy. We scan every payment, every day.

Continuous scan
Every paid claim, every day. Nothing slips by quarterly review.
Payer-data evidence
The contracted-rate paragraph cites the payer's own TiC MRF effective date.
Auto-queue to Denial OS
Flagged underpayments queue to the appeal engine. Letters fly automatically.
HIPAA append-only audit
Every flag, every recovery, every dispute — logged. Forever.

Stop leaving money on the table.

Connect your PMS or upload a CSV of paid claims. See your underpayments in under 90 seconds.

Start your first scan Read the engine spec