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. You pay a small fee only on money that actually clears. Built on federal data and your own remittances. No patient records ever leave your device.

Start your free recovery audit → See your underpayment estimate first

✓ Provider-paid · ✓ Success fee on recovered dollars only · ✓ No patient referrals

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 pay only on what clears
Every appeal is tracked to the recovered dollar. The success fee comes out of confirmed recoveries, so it is self-funding. 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.
Provider-paid success fee on recovered dollars. No patient referrals. No incentive to change a single code. How the data is handled → The 835 founding program →
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.

Illustrative layout. Every number you see is computed from your own recovered claims, never invented.

Pricing

You see the money before you pay a cent.

It starts with a free audit of your own remittances that quotes the submit-grade recoverable number, the dollars that would actually clear, never an inflated "opportunity."

Start here
Free recovery audit
$0
We run your last 90 days of remittances through the two no-contract lanes and return named-payer, line-item underpayments with submit-ready appeals. This is the whole sale: you see real recoverable dollars first.
Start the free audit →
Then, to recover
Audit + recovery
Flat fee + success fee
A flat Instant Audit fee to switch it on (from around $2,500 for a single practice), plus a small success fee of 12 to 15 percent only on dollars that actually clear. Self-funding, since it comes out of recovered money.
Talk through your book →
Keep the rate up
Renegotiation subscription
$299–$495/mo
Single-NPI continuous monitoring plus a Leverage Memo when your contract sits below market, built on public data and your own realized rates. Multi-NPI and portfolio plans: schedule a call.
Book a walkthrough →

Multi-NPI, billing-company, and portfolio pricing is set on a call, never a list price. A flat-fee structure is available where required. Billing companies and consultants can run it white-label so your client relationship is always yours.

Who it's for

One engine, every reimbursement world.

DME suppliers fastest start
Medicare and DMEPOS adjudication is wrong constantly and redetermination is mechanical. The quickest, most airtight recoveries.
Billing companies & RCM
Run the whole book on one feed, recover across every client, white-label it as your own. The highest-leverage version.
Behavioral health
Out-of-network claims priced at in-network rates, worked through the no-contract lanes and a ready appeal exhibit.
MSOs & specialty groups
Portfolio recovery across every site and payer, with a board-grade ledger of dollars recovered.
Independent practices
Connect, we find it, you approve. The simplest path from your free RateScore to recovered dollars.
Not sure yet?
Start free: paste your NPIs into RateScore and see your underpayment estimate before you connect anything.

See your recoverable dollars. Free, before you commit.

Run your own remittances through the free audit and get a named-payer, line-item recovery worklist with submit-ready appeals. No patient data leaves your computer.

Start your free recovery audit → See your estimate first

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 recovery service: the success fee applies only to dollars actually recovered, there are no patient referrals, and compensation is never tied to how a claim is coded. A flat-fee structure is available where state rules require it. This page is information for business decisions, not legal advice. Data handling · Methodology.