Insurance Claim Recovery Services
Most practices are losing money they have already earned. Not on the claims that get denied outright, those at least get noticed, but on the claims that get paid at the wrong amount, or paid late, or written off because no one had the time to chase them. One shortfall looks trivial. Multiplied across a year of claims, it becomes one of the largest sources of lost revenue a practice never sees. ORI recovers it.
Since 1998, Outsource Receivables Inc. has helped healthcare practices find and collect the revenue sitting inside their own receivables. We do not simply confirm that claims were paid. We confirm they were paid correctly, and we work the ones that were not. That distinction, between a billing operation that closes claims and one that protects every dollar, is the entire point of recovery.
The Revenue You Cannot See
A denied claim creates an obvious problem. Someone has to follow up, so it gets attention. An underpaid claim is different. The payment posts, the claim looks resolved, and the shortfall disappears into your books. Because nothing is flagged, no one investigates, and the practice quietly accepts less than it earned. Multiply one small underpayment across hundreds or thousands of claims and the number stops being small.
The same thing happens with aged accounts. Balances that sit past 90 days get harder to collect every week, and understaffed billing offices tend to write them off rather than work them. Some slip past timely filing deadlines and become permanent, unrecoverable write-offs. That is revenue you earned, walking out the door because no one had the time to chase it. The practices that hold onto that money are simply the ones that built a process to catch it.
We wrote more about how these losses hide in your data in our guide on how to identify and recover medical billing underpayments.
How ORI Recovers Lost Revenue
Denial resolution and appeals. We work denied claims to resolution and fix the underlying cause so the same denial stops recurring month after month.
Why Our Model Works in Your Favor
ORI is paid on a percentage of what we actually collect for you. When you recover more, we do better, so chasing the hard dollars is not a favor we do occasionally, it is the core of how we work. That incentive is the structural difference between a billing operation that submits claims and moves on and one that treats every underpaid or aging claim as money worth recovering.
We back that alignment with results: less than 1% of receivables lost across our client base, charges and payments processed within 48 hours, and aging accounts over 90 days kept below 10%. You can read more about the standards we hold ourselves to on our Why Choose ORI page. Recovery is also only one part of the picture; it connects to coding, denial management, and reporting across your full revenue cycle, all of which we handle as one coordinated team rather than isolated tasks.
Could Underpayments Be Affecting Your Practice?
If your reimbursement feels inconsistent, your adjustments are unexplained, or your accounts receivable keeps climbing without a clear reason, there is a strong chance revenue is leaking somewhere you cannot see it. A claim can look complete on the surface while an underlying reimbursement problem quietly reduces what you take home. A closer look at your receivables usually finds the money.
ORI offers a FREE Financial Health Assessment that reviews your revenue cycle, identifies where payments are falling short, and shows you exactly where the money is going. There is no cost and no obligation, and you keep the findings regardless of what you decide to do next.