Patient data never leaves your computer
Your payers underpay you every week. Clawback gets it back.
Connect your remittances and Clawback checks every paid claim three ways, flags only the underpayments whose evidence would survive a payer audit, auto-drafts the appeal your biller reviews and sends, and tracks it to the recovered dollar. One flat fee tied to verified results, never a cut of your recovery. Built on federal data and your own remittances. No patient records ever leave your device.
✓ Provider-paid · ✓ Flat fee, never a cut of your recovery · ✓ No patient referrals
01 · FLAGGED
Underpayment found
Every paid line checked against the payer's own math, the government fee schedule, and your contract.
02 · PROVEN
Audit-grade evidence
Only flags whose proof survives a payer audit. The rest are suppressed, so trust never breaks.
03 · APPEALED
Submit-ready packet
The correct form, the deadline, and the citation, auto-drafted. Your biller approves and sends.
04 · RECOVERED
Money back in the door
Tracked to the cleared dollar. The fee is flat, so every dollar you recover stays yours.
How it finds the money
Three ways underpayments hide. Clawback catches all three.
Most recoveries need your contract. Two of these three lanes do not, which is why Clawback starts returning money before a single contract is uploaded.
No contract needed
Payer math errors
The payer's own remittance proves it underpaid: inconsistent allowed amounts, double-counted coordination of benefits, mishandled reversals, wrong bundling. Provable straight from their own numbers.
"You allowed $182 for this code on 40 claims and $147 on 6, same plan, same year." A payer cannot argue with its own data.
No contract needed
Below the government rate
Medicare and DMEPOS claims paid below the published CMS fee schedule for your locality and year: modifier-stack errors, sequestration mistakes, competitive-bid rates applied to the wrong ZIP.
Cited directly to the public CMS line. Airtight, mechanical, and the fastest dollars to recover.
Your contract
Below your contracted rate
Give Clawback your own signed fee schedule (or just the methodology, like "150% of Medicare") and it diffs your contracted rate against what each claim was actually paid, line by line.
The richest recoveries, built only on your own contract. We never appeal off a public estimate.
How it works
From remittance to recovered dollar.
1
Connect your remittances
Drop your 835 files or connect your clearinghouse feed. Patient data is de-identified on your own computer before anything is sent. Multi-NPI portfolio view across your whole book.
2
Clawback finds and proves the underpayments
Every paid line runs the three lanes, then a strict false-positive gate nets out legitimate reductions (deductibles, coinsurance, secondary payers) so only audit-grade flags survive.
3
It auto-drafts the appeal
The math and citations are computed in code (never invented). You get the correct form, the right payer address or portal, the timely-filing deadline, and the evidence as an exhibit.
4
Your biller approves and submits
Clawback never auto-submits. Your team works a queue ranked by recovery probability times dollars, edits if needed, and sends through their own workflow.
5
You keep what you recover
Every appeal is tracked to the recovered dollar. The fee is a flat, known-up-front amount tied to verified results, never a cut of your recovery, so the dollars that land are yours. Nothing flagged, nothing projected, only money that actually lands.
Why your compliance officer will say yes
No patient data ever reaches us. By architecture, not by promise.
Clawback runs on the live Reddenda Clean Room: your files are de-identified inside your own browser before any transmission. Reddenda receives only the payment math, never protected health information.
De-identification runs locally
Patient names, member IDs, dates of birth, and claim numbers are stripped on your machine before anything is sent. Open your browser's network inspector and watch every byte that leaves.
You keep the only key
Claim references become anonymous codes generated from a key that exists only on your device. We cannot reverse them; you can, locally, any time.
No BAA needed, by design
Because no protected health information ever reaches us, HIPAA business-associate obligations do not attach to the transfer. Every submission is governed by our e-signed Data Submission Agreement.
⌘ Verify it yourself: there is no such thing as HIPAA certification, and we will never claim one. The accurate, checkable statement is that no PHI is disclosed, so the HIPAA rules do not attach to the transfer. Read it with the federal sources, then watch your own network tab.
The asset that compounds
It learns which appeals win, with which payer, in how many days.
Every appeal Clawback tracks teaches it the real overturn rate and days-to-pay for each payer, code, and argument. That intelligence decides which appeals to even fire, so you only spend effort on the ones that win, and it sharpens with every remittance the network processes. It is built on payer adjudication behavior, never on pooled competitor rates.
Commercial Payer A90837
first-pass overturnyour live rate
avg days to payyour live data
Medicare MACredetermination
first-pass overturnyour live rate
avg days to payyour live data
Commercial Payer BDMEPOS
first-pass overturnyour live rate
avg days to payyour live data
Illustrative layout. Every number you see is computed from your own recovered claims, never invented.
How to start
See the money first. We price it with you on a call.
See one real finding free: your RateScore and one documented reimbursement opportunity from your own remittances, no PHI required. Unlock the full per-CPT, per-payer breakdown and your counteroffer on a short discovery call. Documented reimbursement opportunity is modeled, not guaranteed.
Start here
See one real finding free
Free
We run your remittances through the two no-contract lanes and return one named-payer, line-item finding plus your RateScore (300–850, per-NPI/per-CPT vs your local peer median). No PHI required. Documented reimbursement opportunity is modeled, not guaranteed.
Book your discovery call →
Then, to recover
Audit + recovery
Flat fee tied to results
A flat fee tied to verified results, never a cut of your recovery, so every recovered dollar stays yours. We size it to your book on the call, from what your own free finding shows.
Book your discovery call →
Keep the rate up
Renegotiation coverage
Ongoing monitored
Continuous RateScore monitoring against your local peer median (P50) with a P90 target, plus a Leverage Memo when your contract sits below market, built on public data and your own realized rates. Multi-NPI and portfolio: we scope it on the call.
Book your discovery call →
Who it's for
One engine, every reimbursement world.
See your RateScore and one real finding. Free, before you commit.
Run your own remittances and get one named-payer, line-item finding plus your RateScore, no PHI required. Unlock the full per-CPT, per-payer breakdown and your counteroffer on a short discovery call. Your structure depends on your NPIs, payer mix, and the opportunity in your own data, so we price it with you on the call. Documented reimbursement opportunity is modeled, not guaranteed.
Reddenda identifies documented, recoverable underpayments based on your remittance data, the published CMS fee schedules, and your own contracts. Actual recovery depends on payer response, documentation, timely filing, and appeal outcome. Clawback is a provider-paid, flat-fee recovery service: compensation is a flat fee tied to verified results, never a cut of your recovery, there are no patient referrals, and compensation is never tied to how a claim is coded. This page is information for business decisions, not legal advice. Data handling · Methodology.
