The problem
The audit, the analysis, the claim prioritization — none of it costs you anything before we recover a single dollar. Zero setup fees. Zero retainer. Zero risk to begin.
Our fee is a contingent percentage applied exclusively to dollars recovered on your behalf. The specific rate is straightforward and covered during your initial call with our team.
Systematic review of 18–24 months of denied, underpaid, and unresolved claims — every payer, every code, every pattern identified.
Claims are prioritized by recoverability and matched to the right appeal strategy for each payer — not a one-size-fits-all approach.
Before any active recovery begins, Cairn and your practice agree on the complete list of claims we'll pursue. Our fee applies only to that agreed scope — no surprises.
Our specialists handle all payer communication, resubmissions, appeals, documentation requests, and follow-up. Your team stays focused on patient care.
At close, you receive a plain-language summary of what was found, what was recovered, and what payer patterns contributed to the backlog — so you can prevent it going forward.
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A recovery is any dollar collected from an insurance payer on a previously denied, underpaid, or unresolved claim. Before active work begins, Cairn and your practice agree on the complete list of claims we’ll pursue — our fee applies only to dollars recovered from that agreed scope. If a claim is worked and the payer doesn’t pay, there is no fee for that claim.
No. Cairn’s only fee is a contingency percentage applied to recovered dollars. No setup fees, no retainers, no charge for the audit itself, and no fees for claims we pursue but don’t collect. If we don’t recover anything, you owe nothing. Full pricing is covered during your initial call with our team.
Cairn’s technology identifies and prioritizes claims based on recoverability likelihood, and ensures we only work claims that fall within the established filing windows of your insurance payers. Claims outside those windows are excluded from scope before any work begins.
No. The initial recovery audit is a single engagement with a defined scope and a clear end point. There is no ongoing commitment required. At the close of the engagement you receive a full recovery report — what was found, what was collected, and what patterns in your payer mix contributed to the backlog.
