Payment Variance Recovery

Payment Variance Recovery

Stop Revenue Leakage

Are payers quietly underpaying your claims? From incorrect contract rates to coding issues and hidden adjustments, revenue leaks can be hard to spot and even harder to fix. While contract management systems help, they’re not foolproof—even when properly maintained.

That’s where we come in. Our payment variance experts specialize in uncovering hidden revenue opportunities—from your system-identified underpayments to our zero-balance reviews.

Partnership Powered by Results

%
Revenue Protection
Underpayment reduction rate
.25-1 %
Speed to Revenue
Net revenue lift
%
Excellence Delivered
Claims paid within 90 days of appeal

How We Deliver More

Don’t let “bad math” impact your bottom line. Let our recovery experts handle your payment variances—from active AR to zero-balance reviews. Our AI-powered modeling identifies expected and paid reimbursements and their root causes, helping ensure proper compensation now and in the future.

Proprietary AI Technology

Our proprietary AI technology accelerates revenue recovery by using large language models (LLMs) to identify and recover payment variances. By automating workflows and spotting hidden opportunities, our tech-driven approach helps our team deliver faster, better results.

Zero-Balance Review

We uncover hidden revenue by examining areas others overlook, without dollar thresholds—from payer processing errors and stop-loss cases to missing diagnoses and incorrect modifiers—generating additional reimbursement from your closed and underworked zero-balance accounts.

Strategic Expertise

We combine the strength of over 180 attorneys & legal professionals, 80 clinicians, 900 claims specialists, and 35 AI engineers to maximize your recovery. Our multidisciplinary experts work together to improve margins and optimize variances.

False Positive Reduction

We protect your future revenue by uncovering and fixing the root causes of underpayments. We’ll streamline your workflow by eliminating false positives, while strategically pursuing appropriate reimbursement for every claim that matters

Dedicated Account Management

Your dedicated success director acts as your strategic partner, guiding payment variance workflows and maximizing recoveries through hands-on management and regular performance updates.

Actionable Reporting

Our detailed root-cause analysis and reporting help you recover lost revenue from commercial and government payers while preventing future losses, strengthening your payer negotiations, and driving process improvements.

Our US-based team includes:

+
ASttorneys/legal professionals
+
Clinicians
+
Claims specialists
AI engineers

Clients we work with

We work with domain experts to improve roadmaps, project portfolios processes and practice for long-term success.

We work with leaders to improve innovation and strategy for sustainable growth and profit across horizons.

We support a network of like-minded consultants and advisors that want to help their clients innovate and sustain effective development.

Sensaco provides technical due diligences, software and product assessment, as well as second opinions for investment cases and M&A.

What our clients say

Categories

We understand the importance of approaching each work integrally and believe in the power of simple.

Melbourne, Australia
(Sat - Thursday)
(10am - 05 pm)