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Practice With Ease
Practice With Ease

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Your Payers May Be Underpaying Every Claim. And Your Billing Company Might Not Be Catching It.

Insurers process millions of claims. Systematic underpayment — paying consistently below contracted rates or fair market value — is one of the most common and least-detected forms of revenue loss in medical billing.

Practice With Ease reviews what your payers actually paid versus what they owe — by CPT code, by payer, and by contract. We find the pattern. We quantify the loss. Then we dispute it.

Free, no-obligation review. HIPAA compliant. Delivered within 5 business days.

1 IN 5
OON Claims Are Underpaid

The average specialty practice is underpaid on 1 in 5 OON claims.

Underpayment Is Systematic. It's Designed to Go Unnoticed.

Your practice is treating patients. Your billing company is submitting claims. But between those two things, money is disappearing — quietly, consistently, every single month.

It’s not fraud. It’s not negligence. It’s friction.

It’s the claim that gets underpaid by 23% and nobody disputes it. It’s the denial that sits in a queue for 47 days and eventually gets written off. It’s the OON case that gets paid at a fraction of what it should be because nobody pushed back.

Revenue leakage doesn’t announce itself. It accumulates.

And for most practices, by the time someone notices — it’s already six figures gone.

What Underpayments Cost Over Time

The Insurance Underpayment Review

We audit your payer payments against contracted rates, UCR benchmarks, and — for OON claims — QPA (Qualifying Payment Amount) standards under the No Surprises Act.

You’ll see exactly which payers are underpaying, by how much, and on which procedure codes. Then we dispute it on your behalf.

What's Included

Payment Processing

Actual payments received vs. contracted rates vs. UCR by CPT code

Payer Payment Analysis

Claim Submission & Monitoring

QPA comparison for out-of-network claims with IDR opportunity flagging

OON Underpayment Scan

Your billing rates compared to UCR for your specialty and geographic market

Fee Schedule Benchmark

Whether payers are honoring the terms of your existing contracts

Contract Compliance Review

Specific claims and amounts worth disputing, prioritized by dollar value

Dispute Opportunity Report

Clean, specific, actionable — deliverable in 5 business days

Written Summary

Why Practice With Ease

For OON underpayments, we file IDR disputes under the No Surprises Act and win 85% of our cases without legal involvement.

We know the IDR process inside out

Healthcare lawyers charge 30% for the same service. We do it for less and we do it faster.

We don't outsource overseas

We don't file generic appeals. We build case-specific arguments using the exact data that supports each claim.

We push back — specifically

We have access to Fair Health UCR data by zip code and specialty. We benchmark your rates against real market data, not industry averages.

We know what UCR actually looks like for your specialty

How It Works

Request Your Review

Fill out the form. Confirmed within one business day.

Share Payer Reports

We'll request an EOB summary or payer payment report from your PM system. Most take under 20 minutes to pull.

We Audit and Identify

Every payer payment is reviewed for compliance with contracted rates, UCR benchmarks, and NSA/QPA standards.

You Get the Report

Written findings with specific dispute opportunities and dollar amounts. We can begin recovery on contingency if you choose.

Frequently Asked Questions

How do I know if I'm being underpaid?

Most practices don’t — because tracking payment-to-rate compliance across hundreds of CPT codes and multiple payers requires systematic analysis most billing companies don’t perform. That’s exactly what this review does.

A denial means the claim wasn’t paid. An underpayment means the claim was paid — but at a rate below what you’re owed. Underpayments are more common, harder to detect, and often larger in aggregate than denials.

Yes — with some limitations. In-network contracts have specific timelines for disputing underpayments. OON claims under the NSA have their own IDR process with defined filing windows. We’ll flag which opportunities are still within the dispute window during your review.

IDR (Independent Dispute Resolution) is the federal arbitration process created under the No Surprises Act for out-of-network claims. When insurers pay below QPA, you can dispute the payment through IDR. Practice With Ease handles the full IDR process on contingency.

IDR disputes typically resolve in 30–60 days under federal guidelines. In-network contract disputes vary by payer. We’ll give you realistic timelines for each situation during your review.

It helps for in-network analysis, but it’s not required. For OON claims, we benchmark against QPA and UCR data without needing your specific contracts.

With respect to your billing company — most don’t perform systematic underpayment auditing. It’s not in their standard workflow. That doesn’t mean nothing is being missed. The review will tell you definitively.

Generally, practices billing over $500K annually have enough volume for systemic underpayments to be financially meaningful. That said, even smaller practices with high OON exposure are worth reviewing.

Find Out If Your Payers Owe You Money

Most practices that request this review find at least one payer systematically underpaying them. Request yours and get a specific answer.

Free. HIPAA compliant. Delivered in 5 business days. No obligation to act on the findings.

Request Your Free Underpayment Review

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    If we find nothing, you owe nothing. If we find something, we can recover it on contingency.

    do you know if your top 3 payers are paying you correctly? Request a free review to find out.