AI Audit for Healthcare

Parrish & Associates

Unparalleled Results

Our average recovery rate is 22%. This is in addition to
what you’ve already collected from the payer. The
lowest recovery rate we’ve seen in over 15 years is
10%.

This is NOT an indictment of your revenue team or
processes. It’s an indictment of the complexity of the
processes of insurance companies.

So What Do We Do?

We are the platform that comes behind your successful billing processes.

Give us your remittances headed for the shredder.

835s and 837s

Outside Current Revenue Cycle

If your current revenue management cycle is 90 days, then we start with remittances 91 days old.

Data Sets by Date of Service

and a copy of the top-payer contracts are needed to determine if you were paid correctly.

Stand Alone System

We do not need to integrate into current software and we do not replace any current processes.

Our Software

Designed Industry Leading Software

House Thousands of Commercial Contracts

Customized Integrated Tracking Systems

Our Experts

Contract Specialists

10 years minimum experience

Our team of Insurance Payer Contract Specialists all have a minimum of 10 years experience working for insurance companies and writing the payer contracts.

Software Engineers

Our Software Engineers provide an initial analysis utilizing proprietary software to identify noncompliance. Once completed, custom software is built, specific to your organization.

Contract Specialists

Software Engineers

Collecting Underpayments

The last thing we want is a protracted legal battle. Our process is designed to quickly settle all outstanding underpaid remittances.

Categorize

Once we’ve identified Underpayments, we categorize according to procedure codes.

Outbound Calls

Outbound callers contact a payer to settle a small sample of underpaid claims.

Negotiated Settlement

Establishing legal precedent leads directly to a negotiated settlement of underpayments.

WE TAKE ALL THE RISK

No risk on your part. We are only compensated if we identify underpayments by the carrier. You receive 70% and we receive 30%.