Skip to content
PrexisioRecover. Prevent.

For medical practices

Recover lost
payer revenue.
Keep more of
what comes next.

Get help pursuing denied and underpaid claims, and addressing the problems that keep costing your practice money.

Focused on procedural practices

  • Pain management
  • Gastroenterology
  • Orthopedics
  • Spine

Start with the problem you need solved

Unresolved revenue.
Recurring losses.
A different job for each.

RECOVER

Work through the revenue
already left behind.

Your team has current billing to manage. Older denials, payment shortfalls, and written-off balances can remain unresolved. Prexisio reviews eligible payer losses and handles the agreed recovery work with your team.

An agreed percentage of verified recovery.
No recovery, no recovery fee.

Explore Recover
PREVENT

Address the issues
that keep coming back.

Repeated corrections take time. Prexisio helps your practice identify issues that need attention before submission and address recurring causes of lost reimbursement.

A recurring retainer based on volume.
Recovery included within the agreed scope.

Explore Prevent

Familiar situations

Paid does not always
mean resolved.

Some losses are obvious. Others sit inside payments that look complete. Both deserve a clear answer.

See where we can help

A payment looks lower than expected.

You need to establish whether it is a valid shortfall and what can be pursued.

Older denials keep moving down the list.

You need help working eligible claims alongside the demands of current billing.

The same problems keep returning.

You need a practical way to address them before they create another round of rework.

Working with your practice

Clear responsibilities.
Room for your team
to keep moving.

We agree on the work, the information needed, and the decisions that remain with your practice. Your billing team stays part of the conversation.

What working together involves
01

Agree on the scope

Define the payer revenue issues to address, responsibilities, and commercial terms.

02

Keep you informed

Make progress, outstanding information, and required approvals clear.

03

Account for the outcome

Distinguish work in progress from money received and fees due.

Financial clarity

Know what came back.
And what you keep.

An opportunity is not a recovery. Recover reporting connects confirmed additional payer money with the fee agreed for that recovery.

Understand recovery reporting
PREXISIO / RECOVERIllustrative example

A recovery you can account for.

Example of how a recovery is reported. These are fictional amounts, not client results.

Additional payer payment received by the practice
$1,000
Recovery eligible under the agreement
$1,000
Example agreed contingency rate
20%
Prexisio recovery fee
$200
Practice retains after the recovery fee
$800

A payer approval alone is not recovered cash. Actual fees depend on your agreement and verified recovery. The example rate is not a price quote.

Before you decide

A few practical
questions.

Do we need to replace our billing team?

Prexisio can work alongside your existing billing operation. We agree on responsibilities and coordination before work begins, including who handles each payer action.

Can we use Recover without Prevent?

Yes. Recover is available on its own under an agreed contingency arrangement. Prevent is an ongoing, volume-based retainer that includes recovery within the agreed scope.

Do you collect money from patients?

No. Prexisio focuses on insurance and payer reimbursement. Patient responsibility is outside our recovery scope.

Do we need to send claims to start the conversation?

No. Start by telling us about the practice and the problem. We arrange secure onboarding and information requirements after discussing fit and scope.

A practical next step

Let us talk about your practice.

Tell us where payer revenue is getting held up or lost. We will discuss whether Recover, Prevent, or both fit your needs.

Talk with us