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NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP

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Underpayment Recovery Services That Find Revenue Others Miss

Recover lost revenue through contract analysis, fee schedule auditing, payment variance detection, and payer negotiations. Our underpayment recovery services identify reimbursement gaps before they become permanent losses

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$1.7B+
Annual Claims Processed
SCP Health, 2018
9000+
Providers Served
SCP Health, 2018
15+ Years
SCP Health, 2018
RCM Expertise
40+
SCP Health, 2018
States Supported
25
SCP Health, 2018
AI Agents in Production

Find the Revenue Hidden in Every Payment

Insurance underpayments rarely happen because a payer forgot to pay. They happen because contracts, fee schedules, reimbursement logic, and payment calculations are applied differently. We compare what was paid against what should have been paid and recover the difference.

Contract Validation

Every payment is verified against negotiated payer contracts and reimbursement terms.

Fee Schedule Auditing

Commercial, Medicare, Medicaid, and managed care fee schedules are continuously validated for payment accuracy.

Payment Variance Detection

Olympus identifies reimbursement variances across CPT codes, providers, locations, and payers.

Out-of-Network Recovery

Recover missed reimbursement opportunities from incorrectly paid out-of-network claims.

Appeals & Negotiation

Supported by contract language, payment calculations, and payer-specific documentation.

Recovery Intelligence

Executive dashboards highlight recovered revenue, payer trends, and recurring payment leakage.

How we deliver
AI & analytics, working underneath

Every payment is analyzed automatically. Our AI identifies reimbursement discrepancies, while our reimbursement specialists recover what you're owed

Engine 01
Payment Intelligence

Every ERA is matched against expected reimbursement using payer contracts, fee schedules, and historical payment patterns.

  •    Detect payment variance automatically
  •   Prioritize highest-value recoveries
  •   Learn payer reimbursement behavior
Engine 02
Recovery Workflow

AI identifies opportunities. Specialists validate calculations, prepare appeals, and negotiate directly with payers until resolution.

  •   Contract analysis
  •   Appeal generation
  •   Payer follow-up
  •   Recovery tracking
Engine 03
Executive Analytics

Track reimbursement performance across contracts, payers, specialties, and provider groups from one dashboard.

  •  Recovery trends
  •   Payer scorecards
  •   Contract performance
  •   Executive reporting

How the Operating Model Actually Runs

Payment Audit

Every ERA and EOB is reconciled against contracted reimbursement before payment variance accumulates.

Contract Monitoring

Fee schedules, payer contracts, and reimbursement updates are tracked continuously to keep recovery calculations accurate.

Recovery Escalation

High-value underpayments move directly to senior reimbursement specialists for negotiation and resolution.

Process first. Always.

Revenue recovery starts long before an appeal.

Every engagement begins with a reimbursement assessment. We benchmark payment performance, identify leakage by payer and contract, and build a recovery strategy that improves future reimbursement, not just today's recoveries.

Then we execute.

"We don't recover missing revenue once. We build a system that prevents it from disappearing again."
01
Payment Intake

ERAs, EOBs, and payer contracts are imported and normalized.

02
Variance Analysis

Payments are compared against expected reimbursement.

03
Recovery Review

Specialists validate discrepancies and prioritize recovery.

04
Appeal & Negotiation

Payer-specific appeals are submitted and actively pursued.

05
Payment Resolution

Recovered revenue is reconciled and verified.

06
Continuous Optimization

Recurring underpayment patterns are monitored to reduce future leakage.

Questions buyers ask

What are underpayments in medical billing and why do they occur?
How does Plutus Health identify underpayments?
What is the process for appealing underpayments?
How much revenue can be recovered from underpayment appeals?
How does Plutus Health help recover underpayments?
30 minutes · No commitment

Ready to find the revenue your payments are hiding?

Our 30-day revenue diagnostic benchmarks your reimbursement performance, identifies underpayments, and quantifies recoverable revenue before you commit.