Claim selection
Find the claims worth pursuing.
Recourse reads your claims and remittance data, confirms eligibility, maps every deadline, and prioritizes the disputes with the strongest recovery potential.
Intelligent IDR, end to end
Recover more from every eligible claim.
Recourse runs IDR end to end: finding eligible claims, managing every deadline, building each submission, and tracking the recovery that follows.
End-to-end IDR operations
We run the work, not just the software.
Recourse gives you a complete IDR operation. We find the claims, manage the deadlines, build the filings, and track the outcomes. Your team stays in control without adding another queue to manage.
More claims completed
Keep every eligible dispute moving from intake through filing.
More recovered per claim
Use claims intelligence to strengthen the ask and the evidence behind it.
Submission intelligence
Build the strongest case for each one.
Claims intelligence guides the offer and supporting argument. Recourse assembles the evidence, addresses every statutory factor, and files the complete submission on time.
Recovery intelligence
See what those decisions recover.
Track every active dispute, dollar at stake, and recovery outcome. Each result sharpens the decisions Recourse makes next.
First lever: completion
An unfinished dispute has a 0% chance of recovery.
Starting IDR is not the same as completing it. Recourse keeps every eligible claim moving, handles the work at each stage, and acts before the filing window closes.
Identify
Find eligible claims as payment data arrives.
Complete
Handle eligibility, deadlines, filing, and submission.
Recover
Track every decision and payment through resolution.
No new work queue for your billing team. Your team handles exceptions while Recourse runs the process.
Second lever: recovery per claim
Winning is not the same as recovering.
Across 5.7 million decided claim lines, the highest-win-rate filers recovered the least money per dollar offered. Finishing more disputes creates the opportunity. A stronger filing strategy increases the value of each one.
What a high win rate can hide
Dollars awarded for every $1 in the health plan's offer.
Recovery multiple
10x
7.5x
5x
2.5x
3.1x
8.7x
7.3x
5.0x
4.1x
3.0x
2.9x
2.5x
2.4x
2.4x
67%75%80%84%87%89%91%92%94%96%
Increasing Win Rate →
High win rate
94.3%
Win rate
$2.40
Recovered per $1 offered
Lower win rate
74.0%
Win rate
$7.13
Recovered per $1 offered
Nearly 3× more recovered with a 20-point lower win rate.
RecoveryWhat you collect
=AskNo fixed ceiling
×Win rateCapped at 100%
Win rate has a ceiling. Ask strategy does not.
Recourse strengthens the offer and the evidence behind it, so each completed filing has more recovery potential.
CMS Federal IDR Public Use Files, 2025. Analysis of 5,728,139 decided claim lines across 632 high-volume filers.
Aligned incentives
We earn more only when you recover more.
Success-based pricing keeps us focused on dollars returned, not a win-rate percentage we can advertise. Our lower fee keeps nearly all the additional recovery with you.
Same $1,000,000 in health plan offers. Two filing strategies.
Optimized for win rate
Recovery multiple2.40x
Recovered$2,400,000
Fee at 20%$480,000
You keep$1,920,000
Optimized for recovery
Recovery multiple4.98x
Recovered$4,980,000
Fee at 10%$498,000
You keep$4,482,000
You keep $2,562,000 more.
From the same health plan offers.
Recourse earns just $18,000 more.
At the lower fee. Nearly all the additional recovery stays with you.
Illustrative example. Recovery multiples reflect CMS filing data. Fee percentages are illustrative.
See my CMS benchmark →Easy to adopt. Built for healthcare.
Built to fit your operation, not replace it.
Your team keeps working in the systems it already uses. Recourse starts with the standard 837 and 835 files you already produce and runs IDR alongside your current workflow.
- Works from your existing 837 and 835 files
- No new system of record
- BAA available for handling PHI
- Least-privilege access, audit logging, and encryption in transit and at rest
Your CMS filing benchmark
See what your own filings reveal.
CMS already publishes the results of your decided federal IDR filings. We use that public record to compare your completion, win rate, provider ask, and dollars recovered with 632 high-volume filers.
Your actual performance. For the benchmark, no claims data, integration, or agreement is needed.
We’ll review your public CMS filing record and reply within one business day with your benchmark.