Your clients' write-off pile is growing on every 835 since July 1. The only question is whose name is on the recovery.
Margins are being squeezed from both sides: 54% of billing companies now expect gross margins at or below 10%, 46% saw client denial rates rise this year, and Blue Cross plans began automatically downcoding office visits on July 1, 2026 — a high-volume, appealable pile no shop can work at a 6% fee. We work only that pile, as your subcontractor, with your name on the win. You keep the client, the credit, and your collections percentage on every recovered dollar. We take 20% of what actually posts, and nothing otherwise. And we hand you new clients first, before we ask for anything.
No setup fee, no minimums, no term. We never contact your clients directly, and we never sell billing.
The math every billing owner already knows
Source: Tebra, 2026 Medical Billing Benchmark Report (190 US billing companies surveyed, December 2025).
At a 6% collections fee, a $300 denied claim is worth $18 to you. Working the appeal costs an hour of a biller you can't hire fast enough. So the pile ages out, the client's money is written off, and the client quietly wonders what they're paying for. That is the gap we fill, and only that gap.
Blue Cross plans began automatically downcoding office visits on July 1, 2026
Providers report $60–$110 lost per visit and thousands of reduced claims a month, and say appealing each one is too burdensome at that volume (WBEZ, 2026-08-26; BCBSIL claim-editing notice effective 2026-07-01). That is a high-volume, low-dollar, appealable pile landing in every BCBS 835 your clients receive. It is exactly the work our engine triages and our fee structure is built for. Our brief on the downcoding wave.
What you get, before we ask for anything
A weekly list of practices in your state that just posted a job for a medical biller
A practice advertising for a biller has a billing gap today. We mine the public job boards every week, filter out hospitals, staffing firms and vendors, and send you the independent practices in your states and specialties, with the practice name, city, specialty and the posting. Free, whether or not you ever send us a single denial. Get this week's list.
The instant denial scorecard, white-labelled for your sales calls
Drop any prospect's 835 file into the scorecard and show them, in sixty seconds, what their current biller left unworked. Your company name appears on the report, the file never leaves the browser, and the last line says "ask us about denial recovery," not "ask Claimmender." Use it to win the account, and to show existing clients the pile you're about to recover for them.
A denial-recovery program you can list as your own add-on, with no hire
Your client sees "denial recovery" on your service list and money that everyone else called dead posting to their account. You earn your usual collections percentage on every recovered dollar, with zero staff hours. We invoice 20% of what posts, reconciled monthly against the client's own remittances, and nothing if we recover nothing.
How the pilot works
- Pick one client account.Usually the one with the ugliest aged-AR report. Tell us the PM system; we send the three-click 835 export steps.
- We sign as your subcontractor business associate.A HIPAA BAA between Claimmender and your company, before any file moves. Your client's BAA with you already covers subcontractors who sign one.
- Send the last 90 days of 835s.Upload on one secure page. Within one business day you get a scorecard: what's still winnable in that account's dead pile, what's expired, and what honestly isn't worth chasing.
- You decide, your client hears it from you.If the number is worth it, you present it as your denial-recovery program. We prepare corrected claims and appeals in deadline order and hand you ready-to-submit packets, or file through delegated portal access if you prefer. Payers pay your client directly, always.
- Monthly reconciliation.Our invoice lists every recovered claim against the 835 it posted on. Disputable line by line. 20% of what posted; $0 on anything else.
The rules that protect your client relationship
Questions billing owners ask first
Why would I bring in a third party instead of hiring an appeals person?
Because the appeals person costs you money every month and the pile only pays when it wins. We are paid only on posted recoveries, so the economics of the unprofitable pile become yours to keep instead of yours to fund. Many partners keep working the high-value appeals in-house and send us the long tail.
Doesn't this tell my client I wasn't working their denials?
It tells your client you added a denial-recovery program. Every billing company triages; the pile exists at every one of them. The practice sees a new service line and money posting. What they hear is that you found them revenue, which is the retention story your competitors don't have.
Do you also sell to practices directly?
Yes, to practices that come to us, and that is exactly why the lead list exists: those practices regularly need full billing, which we don't do, and we send them to partners. For any practice you introduce to us, we work only through you. We don't market to your client list, ever.
What does the scorecard actually show?
Total denied dollars in the file, the portion that looks realistically recoverable and why, per-payer appeal deadlines, a prioritized queue scored by dollars, winnability and urgency, and three honest lines: expired windows, excluded federal payers, and not worth chasing. See a sample.
Where are you, and who does the work?
Claimmender is founder-led. The parsing and triage engine is ours; every scorecard is reviewed by a person before it goes out. Appeal packets are prepared from your client's remittance data and payer policy, with citations you can check. We are honest that we are early: the first partners lock the 20% rate permanently and get direct founder access, in exchange for being reference-able once we have recovered real money for their clients.
Add the program to your company
Tell us about your shop. We reply within one business day with the subcontractor BAA and the export steps for your PM system, plus this week's biller-gap list for your states.