Get paid for the care you already gave.

Rightful works your denied claims and prior authorizations. Our AI does the first pass; a trained billing specialist checks every case. You pay only a share of what we recover.

Get a free denial review → See the 90-second demo

For independent clinics and medical billing companies in the US.

Case #A-1042Sample data
✓ Approved by reviewer
PayerSample Health Plan
ProcedureCPT 97110 · Ther. exercise
Denial codeCARC 119

In plain English: the plan’s yearly visit limit was reached. Visits 21–24 need an approved extension. Fix: appeal with progress notes showing medical necessity.

  1. Denial read
  2. Root cause found
  3. Appeal drafted
  4. Specialist approved
  5. Submitted

The problem

Most denied money is never fought for.

Clinics treat first and bill later. A changed plan, a missing auth or a code mismatch gets the claim denied, and small teams don’t have the hours to fight back.

1 in 9

claims denied on first submission (11.8% in 2024; private insurers closer to 15%).

Source: TSI
60–70%

of denied claims are never reworked. The money is written off.

Source: ASP-RCM

More than half of appeals win, yet fewer than 15% of denials are ever appealed. Small teams just don’t have the hours.

What we do

Two jobs your team never has time for.

Rightful works your denied claims and prior authorizations. Our AI does the first pass; a trained billing specialist checks every case.

Denial Recovery

Denials, worked.

We find why each claim was denied, fix it or appeal it, and follow up with the insurer until it’s paid, including the small claims nobody has time for.

  1. Denied claim
  2. Investigated
  3. Appeal prepared
  4. Follow-up

Prior Authorization

Prior auths, handled.

We assemble the request, flag missing evidence before it gets denied, submit it, and chase the insurer until it’s approved.

  1. Request received
  2. Evidence checked
  3. Request submitted
  4. Follow-up

How it works

From denied to paid, in four steps.

See it in action →
01

Share your denials.

Start with a summary report and no patient data. We sign a BAA before handling any patient information.

Share your denials
02

AI reads every denial.

AI reads the denial, names the root cause and drafts the fix or the appeal.

AI reads every denial
03

A specialist finishes the job.

A trained billing specialist reviews every case, submits it and follows up with the insurer.

A specialist finishes it
04

You get paid.

You pay a share only of money we actually recover, plus a monthly report on why claims get denied.

You get paid

The offer

Start with a free denial review.

  • Send a summary of your last 90 days of denials, with totals only and no patient data.
  • Within a few days, get a one-page report: how much was denied, how much is still appealable, and your top 3 causes.
  • If you want us to work the claims, you pay only on what we recover. No recovery, no fee.
Physical therapyPain managementImagingOrthopedicsSpeech & OTBilling companies

Request your free denial review

Need help with

Takes 20 seconds. Please don’t include any patient information.

FAQ

Questions clinics ask first.

Do you need patient data to start?

No. The free review uses totals only. We sign a BAA before handling any patient information.

Do I need to switch software?

No. We work with your current EHR and billing system.

Will this replace my biller?

No. We take the denials and auths your team doesn’t have time for. Billing companies use us as extra capacity.

Who does the work?

AI does the first pass. Trained billing specialists, based in India, review, submit and follow up on every case.