Healthcare billing professional reviewing claim discrepancies and denial patterns on a secure audit dashboard

Three-Step Forensic Process to Recover Lost Revenue

Claim scrubbing, ironclad refiling, and real-time tracking. We recover denied, underpaid, and expired claims. No recovery, no fee.

Claim Scrubbing

Find what others miss in denied claims

We hash your Days Drops against ICD-10 and CPT codes to uncover billing discrepancies that cost you money.

Code verification audit process

Code verification

We verify ICD-10 and CPT codes against billing records to catch coding errors. Account payable and receivable matrix adapted to your industry. 

Days Drop timeline analysis

Days Drop and process analysis

We analyze your Days Drops timeline to identify claims stuck in payer queues before expiration.

Discrepancy mapping report

Discrepancy industry based mapping

We create a detailed report of every mismatch between what you billed and what payers rejected. In addition mismanaged revenue against industry standards. 

Recovery strategy consultation

Recovery recommendations

We outline exactly which claims are eligible for refiling and the best payer to target first.

The Deadbolt Refile

Ironclad refiling letters before expiration

We generate refiling letters for Aetna, United, and federal payers within the 120-day window. No guesswork, no delays.

Aetna refiling strategy dashboard and analysis

Aetna refiling strategy

We craft carrier-specific refiling letters that bypass standard denials. Proven language that works with Aetna's appeal process.

United payer refiling letter preparation

United payer refiling

United denials follow predictable patterns. We identify the pattern, write the rebuttal, and hit submit before the clock expires.

Federal payer claims analysis and refiling process

Federal payer recovery

Medicare and Medicaid appeals require precise documentation. Our letters address each denial reason point-by-point with clinical and billing evidence.

Real-time expiration date tracking dashboard

120-day expiration tracking

We monitor every claim's expiration date. Our system flags approaching deadlines so nothing slips through before we file.

Precision appeal letter with specific denial code responses

Appeal letter precision

Every refiling letter references the specific denial code, clinical justification, and billing correction. Generic letters fail. Ours don't.

Partnership handshake and performance-based recovery agreement

Performance-based filing

We don't charge unless we recover. Your success is our only metric. No upfront fees, no hidden costs, no exceptions.

Client results

Healthcare providers trust Pillar Resolve

Denied claims recovered. Underpaid claims refunded. Expired deadlines extended. Real outcomes from real clients.

Pillar Resolve found coding errors we completely missed. They recovered $87,000 in denied claims using their forensic scrubbing process. No fee until recovery happened.

Jennifer Martinez

Jennifer Martinez

Billing Manager, Regional Orthopedic Clinic

We had three claims stuck past the 120-day window. Pillar Resolve's Deadbolt Refile got all three reinstated and paid within 30 days. Game changer.

David Thompson

David Thompson

Practice Administrator, Physical Therapy Group

Their dashboard showed us exactly where money was getting lost in our claim process. The real-time tracking eliminated guesswork. We recovered $143,000 in six months.

Lisa Park

Lisa Park

Operations Director, Multi-Specialty Medical Group

Pillar Resolve caught underpayments from Aetna and United that our staff had flagged but didn't know how to challenge. They recovered $62,500 we thought was gone forever.

Marcus Webb

Marcus Webb

Revenue Cycle Manager, Urgent Care Center

Our track record

Real results from forensic claim recovery

Pillar Resolve has recovered denied and underpaid claims for healthcare providers across multiple states. Our forensic process delivers measurable outcomes.

50+

Claims recovered

Healthcare providers trust us to identify and recover denied, underpaid, and expired claims.

$2M+

Revenue recovered

Our forensic scrubbing and Deadbolt Refile process has unlocked significant revenue for our clients.

30d

Average recovery time

We move fast. Most recoveries happen within 30 days of engaging with Pillar Resolve.

100%

Performance-based

No recovery, no fee. You only pay when we succeed in recovering your claims. Nothing beats a failure, but a try.

Healthcare professional reviewing medical claim documents and denial letters on a desk

Don't leave denied claims on the table. Start your forensic audit today.

We recover your lost revenue. No recovery, no fee. Schedule your free claim review with Pillar Resolve now.