Denied-claims recovery · Commercial payers · US

The claims you wrote off aren’t dead.

Every practice abandons denials too small to be worth a person’s hour. Overturn’s AI works them for dollars — filed under your name, verified line-by-line. You pay only a share of what comes back. No recovery, no fee.

Get a free recovery audit See how it works ↓

One de-identified report in. A dollar figure out. No commitment.

CLAIM #2026-04471CPT 72148 · $850.00

DENIEDCO-197 · authorization absent

→ records searchedAUTH #A-2026-0310 FOUND

→ corrected claim refiled14 DAYS

PAID+ $850.00 → your account

Staff cost to do this: $40–120 · Ours: under $10

A game you win — that almost no one plays.

50–83%of disputed denials are overturned on appeal.

1–10%are ever actually appealed. The rest age into write-offs.

$114Bin US commercial claims denied every year.

Overturned on appeal 50–83% [HHS OIG / JAMA] · actually appealed 1–10% [AMA 2023] · $114B = 430K independent physicians × $266K denial pool each. Your numbers will differ — that’s what the free audit measures.

Why this money exists

Denial queues are sorted by dollar amount. They have to be: reworking any claim costs $40–120 of staff time, win or lose. So the $12,000 claim gets fought, the $300 claim waits — and quietly ages into a write-off.

A $300 denial, reworked by staff−$40 labor · 50% odds

Expected valuenegative — rational to abandon

The same claim, worked by Overturnunder $10 — profitable at scale

Multiply by every payer, every month: a mid-size practice leaves tens of thousands of winnable dollars on the table each year. Not because anyone failed — because the math said so. We changed the math.

How it works

STEP 1

Send one report

A de-identified denial extract from your billing system — payers, codes, amounts, dates. No patient data, no BAA needed yet. Thirty minutes, once.

STEP 2

Get your number

Within five business days: how many dollars are still inside appeal windows, what’s winnable, and what we’d expect to recover. If it’s small, we part friends.

STEP 3

We work the claims

Corrected resubmissions and evidence-backed appeals — drafted by AI, verified line-by-line against your records, filed under your name. Humans review every exception.

STEP 4

You get paid first

Payers remit directly to your account. We invoice 25% of what actually arrived — monthly, with a claim-level evidence report your accountant can audit.

AI drafts. Rules verify. Humans own exceptions.

Nothing leaves without a source.

85%outcome-prediction accuracy on 60 sealed real cases (baseline 50%).

57/60matched the actual physician reviewer’s primary rationale.

100%citation traceability required before anything is filed.

Built to be safe to try

$0 upfront. Nothing to install.

We replace work nobody was doing. No software to learn, no workflow to change, no staff to retrain.

Your money never touches us.

Insurer payments flow straight to you. We bill our fee separately — after you’ve been paid.

HIPAA-first.

A BAA before any patient data moves. US-hosted processing. Every statement in every appeal is citation-checked against source records before filing.

Commercial claims only.

Medicare and Medicaid are excluded at launch — by design, for fee-compliance reasons. We stay where contingency pricing is clean.

For billing companies

You write off small denials more aggressively than anyone — at a 6% fee, touching a $300 claim loses money. We work them under your brand, and your write-off column becomes a margin line.

Your client keeps75%

You take — for zero added headcount10%

Overturn15%

White-label, claim-level reporting, exclusive only to the inventory you assign. [email protected]

Send one report. See the number.

[email protected]

Free recovery audit · 5 business days · no commitment