You did the work.Now get paid for it.
Solace Health recovers denied claims and runs billing for healthcare providers. We find the revenue stuck between your practice and the payer, fix what’s wrong, and follow each claim until it settles.
| Claim | Payer | Service | Amount | Status |
|---|---|---|---|---|
| 24081CLM-24081 | Payer A | 02 Sep | 1,240.00 | DeniedAuthorisation not on file |
| 24077CLM-24077 | Payer C | 29 Aug | 386.50 | Corrected |
| 24063CLM-24063 | Payer B | 21 Aug | 2,915.00 | Appealed |
| 24052CLM-24052 | Payer A | 14 Aug | 718.20 | Paid |
| 24049CLM-24049 | Payer D | 12 Aug | 1,055.00 | DeniedMissing information |
| 24031CLM-24031 | Payer B | 05 Aug | 460.00 | Paid |
CLM-24081 was denied for a missing authorisation. The authorisation existed. Follow it below.
Here for coaching?
Lifestyle coaching lives at Solace Life§ 01The problem
Most practices aren’t short of patients. They’re short of payments.
The money is rarely lost in one place. It leaks a line at a time — each one small enough to ignore on a busy day.
- 01Claims denied and never re-workedWritten off
- 02Services delivered but never billedNever seen again
- 03Receivables older than 90 daysHarder to collect every week
- 04Pre-authorisations missed or expiredDenied before it’s sent
- 05Staff hours spent chasing payersTaken from patients
- 01Denied Claims RecoveryWe re-work denied and rejected claims, file appeals, and follow each one until it’s paid or closed.
- 02Full Revenue Cycle ManagementWe run billing end to end — from eligibility checks to posted payments — as an extension of your team.
- 03Eligibility & Pre-authorisationWe check cover and secure approvals before the visit, so claims don’t fail for reasons you could have caught.
- 04Receivables Follow-up & ReportingWe chase unpaid and underpaid claims on a schedule and show you exactly where your money is.
- 05Medical Coding ReviewWe review coding against documentation to catch errors, missed charges and patterns that trigger denials.
§ 03How a denied claim gets paid
One claim, start to finish.
Every claim we recover follows the same path. Here is one, worked through.
Claim
CLM-24081
Status
Submitted
Paid to practice
0.00
- Day 0
Submitted
The claim leaves the practice: service lines, amount, the patient’s cover reference. Nothing looks wrong.
- Day 14
Denied
The payer rejects it. The reason says what failed, not why. On a busy week, this is where most claims stop.
- Day 16
Corrected
We trace the denial to its cause. Here, the authorisation existed — its number was simply left off. We add it and resubmit.
- Day 18
Appealed
Where the payer still refuses, we file a written appeal with the authorisation record attached, inside the appeal window.
- Day 41
Paid
We follow up on a fixed schedule until it settles. It appears in your monthly report as recovered.
§ 04Pricing
Three ways to pay us. All of them tied to the work.
We quote after the audit, once we’ve seen your claims. No set-up fee for the audit itself.
Model A
Success-based
[[RECOVERY_FEE]] of amounts recovered
You pay a share of what we actually recover. Nothing recovered, nothing owed.
Best for — Denial backlogs and aged receivables
Model B
Percentage of collections
[[RCM_FEE]] of monthly collections
For full revenue cycle management. Our fee moves with what you’re paid.
Best for — Handing over billing end to end
Model C
Fixed monthly retainer
[[RETAINER_FEE]] per month
A fixed scope for a fixed fee. Predictable for both sides.
Best for — Defined, ongoing tasks
§ 05Security
Patient data never passes through this website.
Claims work needs access to sensitive records. Here is how we handle it.
- 1
Access on your terms
We work inside your billing system with named, revocable accounts, or through our separate secure portal. Never by email attachment.
- 2
Agreement first
A data processing agreement is signed before we see a single claim. It sets out what we access, why, and for how long.
- 3
Your local law applies
We follow the health privacy law that governs your practice, wherever you are. Where it’s stricter than our standard, it wins.
- Which countries do you work in?
- We work with providers worldwide. Before we start, we confirm the payers, claim formats and privacy law that apply to you, and whether we can work with them.
- What does the free claims audit involve?
- You give us read-only access to a sample of denied and unpaid claims under a data processing agreement. We return written findings with an estimated recoverable amount. There’s no charge and no obligation.
- Do we have to change our billing system?
- No. We work inside the system you already use, with named accounts you can revoke at any time.
- Do you guarantee how much you’ll recover?
- No. Recovery depends on your claims, payers and documentation. The audit gives you an estimate before you commit, and success-based pricing means our fee depends on what’s actually recovered.
- Can you represent me with my own insurance claim?
- No. We work only for healthcare providers — clinics, hospitals, labs and practices. We don’t represent individual patients or policyholders.
- How do you handle patient data?
- Under a signed data processing agreement, through your systems or our separate secure portal, and in line with the health privacy law that applies to you. Never through this website or by email.
§ 07Free claims audit
Find out what you’re owed. Then decide.
Send us a sample of denied and unpaid claims. We return written findings with an estimated recoverable amount. There’s no charge and no obligation to continue.
Claims audit — what changes hands
You send
- A recent sample of denied and unpaid claims
- Read-only access, under a data processing agreement
- 30 minutes with whoever runs billing today
We return
- Written findings, claim by claim
- An estimated recoverable amount
- The root causes behind your denials
- A recommendation — including ‘do it in-house’
Findings within [[AUDIT_TURNAROUND_DAYS]] working days of access.