Helping Independent Practices Remain 'Independent'

Our Prices

Consulting

 

Written Reimbursement Consulting.  Have a reimbursement question or payer issue, but don't need a full appeal drafted, or just need clarity first? Send the details below and receive a professional written assessment with strategy guidance and recommended next steps. Consultations are handled entirely by email, so there is no need to schedule a call.  Once your question and all required documents have been reviewed, you will receive an invoice by email with a secure link for credit card payment.  After payment is received, your written reimbursement consultation will be prepared and sent to you by email. 

If you need to send us files, you can use our HIPAA-compliant file transfer on our "Contact Us" page.

Basic Written Consultation: $50 - $125  For a focused question that requires limited review.

Detailed Reimbursement Consultation: $150 - $325  For issues requiring review of EOBs/ERAs, payer correspondence, plan language, policies, or multiple documents.

Complex Strategy Consultation: $350+  For complicated reimbursement disputes requiring significant analysis, research, or a written strategic roadmap.

Appeal Drafting

 

Every case is different. Pricing is based on the complexity, scope, value, and strategic level required for each appeal/dispute letter. You're not paying for a template or a generic appeal — you're paying for a tactically driven strategy built around your specific claim dispute.

Assessment Fee — $99. Appeal cases requiring review and analysis are subject to a $99 Assessment Fee. This allows us to evaluate the reimbursement dispute and determine the best course of action before proceeding.

The assessment may include review of EOBs/ERAs, payer letters, provider-payer correspondence, prior appeal submissions and responses, plan documents, and any other relevant materials needed to identify the payer's logic and any underlying tactic. As a result of this process, we will let you know if you have a case or if the issue is not worth pursuing.

 

Standard Cases

$150 – $350

For straightforward denials, underpayments, or refund demands involving a clearly defined problem. Includes dispute analysis, identification of the payer's tactic, strategy development, and a targeted appeal draft.

Complex Cases

$350 – $750

For multi-issue or recurring denials, underpayments, or refund demands requiring deeper review of plan terms, policies, or payment methodology. Includes expanded case analysis, strategy built around applicable rules, a targeted appeal draft with supporting arguments, and next-step guidance.

High-Value / Advanced

$350 – $1,000+

For high-dollar claims or refund demands, multiple claims, or situations involving complex payer tactics and escalation. Includes in-depth strategy development, advanced appeal drafting based on regulatory positioning, and escalation and follow-up strategy.

Follow-Up & Additional Letters

Not all follow-up letters are the same. Some involve simple continuation, while others require analysis and strategy based on new information obtained during the dispute process.

Simple Follow-Up

$75 – $150

Brief responses, clarifications, procedural and administrative replies, and light continuation of an existing strategy.

Strategic Follow-Up / Escalation

$150 – $350+

Where plan documents or new information are obtained, reframing the dispute based on the payer's position, applying regulatory or plan-based leverage, and escalation or advanced dispute strategy.

What You're Getting

  • A targeted strategy built around your specific claim dispute

  • The right arguments with real leverage based on coverage terms and governing rules
  • The ability to adjust strategy as new information emerges
  • A clear path forward, not guesswork
  • A finished appeal, dispute letter, or regulatory complaint you can submit with confidence

What this is not: not template-based appeals, not generic arguments, not billing or coding corrections, and not a one-size-fits-all approach.

 

Not Sure Where Your Case Fits?

That's normal. Submit a brief overview of your situation with all relevant material, and we'll let you know if it's worth pursuing, what level of strategy is required, and what the cost will be before any work begins.