Revenue Intelligence for Orthopedics & Behavioral Health

Approved isn’t paid. We find the difference.

Your claims cleared. The full payment didn’t follow. ApprovedToPaid measures the revenue leaking out between approval and deposit, puts a dollar figure on it, and recovers what payers still owe your practice.

No system access required to start · Results in 10 business days

Practice finance leader reviewing insurance payment variance reports on a monitor

Built for   Orthopedic Surgery  ·  Sports Medicine  ·  Spine & Joint  ·  Behavioral Health  ·  Psychiatry

Close-up of a payment variance spreadsheet showing contracted versus paid amounts
The Gap Nobody Reconciles

Denials get worked. Underpayments get deposited.

Billing teams are built to chase denials. But an approved claim that pays 82 cents on the contracted dollar clears the same workflow as one that pays in full — and quietly posts to your ledger. Multiply that variance across thousands of encounters and the leak becomes your largest untracked expense.

  • Contracted rates decoded against every payer’s fee schedule
  • Line-level variance, not blended averages that hide the loss
  • A recovery path you can hand to your team or to ours
Run the diagnostic on your data →
What The Data Shows

The leak is bigger than most executives expect

7–11%

of net revenue lost to underpayments and variance in a typical orthopedic or behavioral health practice

63%

of recoverable underpayments never trigger a manual review under standard workflows

10 days

from data handoff to a board-ready Revenue Leak Assessment

3.4x

average return on our recovery engagements in the first twelve months

The Approach

Three moves from suspicion to recovered dollars

An executive-level engagement, run without disrupting the billing your team does every day.

01 / Diagnose

Revenue Leak Assessment

We reconcile remittances against contracted rates to quantify exactly where dollars are escaping — by payer, code, and service line.

02 / Prioritize

Payment Variance Analysis

Every finding is ranked by dollar value and recoverability, so your team pursues the highest-yield claims first, not the loudest ones.

03 / Recover

Recovery & Prevention

We support appeals and rework, then close the gaps upstream so the same variance stops recurring next quarter.

From The Executives We Serve

Trusted by physician-owned groups that run on their numbers

  • We assumed our clean-claim rate meant we were being paid correctly. The assessment found six figures of variance in a single service line we’d never audited.
    Portrait of a practice managing partner
    Dr. Marcus Ellery
    Managing Partner, Orthopedic Group
  • It reads like a board memo, not a billing report. For the first time our physicians could see the leak in plain dollars and sign off on the fix.
    Portrait of a chief operating officer
    Priya Nandakumar
    COO, Behavioral Health Group
Start With Evidence

See your leak before you commit a dollar

The Revenue Leak Assessment is complimentary and obligation-free. You get a quantified figure, a prioritized recovery list, and a clear read on what’s fixable — whether or not we work together after.