The Desk is the payer department your practice never had: it wins back what they underpaid, watches every payment, and negotiates your rates like it owns them.
22% of what we win back. $0 up front. We even front the filing fees.
Availability confirmed for your state after NPI verification. Some states use a flat fee by law. Recovered amounts are documented reimbursement opportunity, modeled until collected, never a guarantee.
Every figure below is computed from the federal record at line level. It is what providers are already winning back, mostly without help.
Source: federal IDR public-use files and the federal docket record, 2023 Q1 to 2025 Q2, computed at line level. Win rate is measured across decided disputes; the median award is the winning amount as a percent of the payer’s qualifying benchmark.
One engagement letter, one authorization. That is the whole job description for the doctor.
Your contracted rates against the local market. The federal record. The evidence exhibit. The offer, calibrated from every decided dispute in the federal record.
Filings made, deadlines kept, fees fronted, calls placed. Every step logged where you can see it.
The award lands, we collect it, you keep 78 cents of every dollar. Then the Desk keeps watching so it never happens quietly again.
Underpayments, downcodes, disputes, federal arbitration. We build the case from your own rates and the market record, file it, front the fees, and run it to the check.
Remittance-level monitoring, with a BAA executed before any remittance data flows. The day a payer underpays, the Desk knows, and the case starts building itself.
The renewal calendar, mid-cycle triggers, evidence-grounded counteroffers calibrated against what peers actually get paid. Your rates stop drifting.
Disclosed AI voice agents work the phones: submissions, status, the hold queues nobody has time for. A human closes the final terms. Every word documented.
No billing company? The Desk is your payer department. You practice; it fights.
Your biller submits the claims. The Desk is the department they do not have: rates, disputes, recoveries.
White-label the Desk and hand every client a payer department overnight. One partnership, your whole book.
A portfolio desk across every NPI you hold. Priced on a call, never a form.
The Desk watches your record and tells you what it sees. No card, no catch. When there is money to win, you will know.
Start free →The exhibit that wins arguments: your rates, the peer record, the calibrated number. Credits in full toward the Desk.
Get the pack →We run everything and front every fee. No win, no fee, and the filing costs were ours. Closed on a call with a signed engagement letter.
Book the call →Monitoring, renewals, negotiations, the calls. For practices that want it handled permanently.
Book the call →Real operators, named and credentialed. Meet the team →
One engagement letter, reviewed line by line with you on the call before anything is authorized.
Every proof figure is computed from the federal public record. No patient data, on this site or in the public tools.
No. The Desk performs administrative process as your authorized representative: filings, evidence, negotiations, calls. When a matter needs a courtroom, we connect you with counsel and stay on as the evidence engine.
The public tools and this site use none. An active engagement uses remittance-level payment data under a signed BAA, isolated from everything public.
You pay nothing. The filing fees were ours, not yours. That is the point of the model.
Confirmed the moment you verify your NPI. A few states require a flat fee instead of a percentage; the Desk handles that automatically.
Your record already exists. See what the insurers left in it.