Menu
PAYER PROJECTS / UNDERPAYMENTS
Persistent advocacy.
Documented evidence.
Payer accountability.
Your organization should receive the reimbursement its contracts require. Tenax tenaciously pursues underpayments, challenges unsupported denials and payment delays, and holds payers accountable for their contractual obligations.
Complex payer processes and automated edits can create labor-intensive barriers to payment. We combine experienced revenue cycle specialists with Exigen technology to systematically address your full open accounts receivable portfolio—including lower- and middle-balance accounts that can otherwise be overlooked.
A disciplined approach. A determined partner.
Find the full opportunity
Compare expected reimbursement with actual payment, quantify shortfalls, and organize follow-up across all balance levels.
Address recurring patterns
Connect related denials, repeated delays, and administrative barriers. Pursue the underlying issue alongside individual account resolution.
Prepare a defensible case
Assemble contract provisions, account histories, correspondence, and appeal evidence. Prepare unresolved accounts for counsel’s review and potential legal action.
Use the appropriate channels
Support regulatory escalation under applicable state and federal requirements, coordinating with your legal and compliance teams to address unjustified denials and delays.
Stand alongside you
Bring complete Joint Operations meeting packages and payer performance insights to the table. Support negotiations with clear requests, accountable owners, and resolution timelines.
Your receivables deserve persistent attention.
We help your team move beyond isolated disputes toward measurable payer accountability and sustainable improvement.