Private insurance dispute resolution targeting contract violations, underpayments, and wrongful claim denials requires expert negotiation and systematic appeals processes. Commercial payers often exploit contract ambiguities and administrative gaps to reduce reimbursement below contracted rates.

Commercial Payer Problems

Commercial insurers routinely challenge legitimate claims through restrictive medical policies, contract interpretation disputes, and systematic underpayment practices. These disputes require detailed contract analysis, expert negotiation, and appeals processes that internal teams rarely have capacity to pursue effectively.

Our Commercial Strategy

We conduct comprehensive contract analysis to identify violations and underpayments, then pursue systematic appeals and negotiations to recover maximum contracted rates. Our approach includes detailed reimbursement auditing, contract enforcement, and dispute resolution across all commercial payer types.

Commercial Recovery Results

• Expert negotiation recovers maximum contracted rates

• Systematic identification of contract violations and underpayments

• Comprehensive appeals process for wrongful denials

• Ongoing contract monitoring and enforcement

Our commercial payer expertise ensures you receive every dollar your contracts guarantee.