An insurer paid $322 Final reimbursement: $12,139

Your billing team may be accepting insurance underpayments without realizing it.

Evident identifies underpaid out-of-network claims, negotiates improved reimbursement, and escalates to dispute resolution (IDR) when appropriate.

Request Free 30-Day Claims Audit
No cost · no obligation
Physician-led No Surprises Act focused Confidential review

Most billing teams are built to submit claims — not challenge underpayments. Insurers make an initial payment, the claim gets closed, and revenue quietly disappears.

Recent examples

What hidden underpayments can look like

Initial payment compared to final recovery

First assist
$322 $12,139
Anesthesia
$0 $6,000+
Anesthesia
$2,300 $19,000+

Claim documentation available to prospective clients under NDA

How the audit works

Three steps to recover what you're owed

Step 01

Identify

We review a sample of your recent out-of-network claims and flag where the insurer's payment falls short of fair reimbursement.

Step 02

Negotiate

We reopen underpaid claims and negotiate improved reimbursement directly with the payer — backed by documentation, not a form letter.

Step 03

Escalate to IDR

When negotiation isn't enough, we escalate to formal Independent Dispute Resolution under the No Surprises Act.

Who this is for

Best fit practices

Anesthesia groups
Specialty physician groups with out-of-network exposure
ASC-affiliated practices
PE-backed specialty groups
Free 30-day claims audit

See if your recent claims contain hidden underpayments

Send us a sample of your recent out-of-network claims. We'll show you where reimbursement is falling short.

  • Review of recent out-of-network claims for underpayment
  • An estimate of recoverable revenue you're leaving behind
  • A clear recommendation — negotiation, IDR, or both

Request your free audit

We'll respond within one business day.

No obligation · Confidential review · Response within 1 business day

Thank you.

Your audit request is in. Someone from our team will reach out within one business day to schedule your free 30-day claims audit.

info@evidentrcm.com · (214) 556-1250