No upfront cost · No monthly fee

We recover your denied claims.
You keep 75–85% of recovered revenue.

You only pay when we win. Our fee is a percentage of what we recover — nothing more. If we don't get results, you pay nothing.

Start with a free audit → Schedule a call
No upfront cost
No monthly fee
Pay only on recovered revenue
Free audit to start

Three steps. Zero risk.

From CSV upload to recovered revenue — the whole process is transparent and performance-based.

1
Free

Upload your denied claims CSV

Drop in your export from any practice management system. We analyze every claim — CARC codes, payer patterns, denial reasons — in under 60 seconds. No commitment, no credit card.

2
Free

We identify which claims are appealable

Our system classifies each denial against 80+ payer-specific appeal rules. You get a full breakdown: what's recoverable, what's not, and the estimated dollar amount at stake.

3

We file the appeals. You pay on recovery.

We handle the paperwork, write the appeal letters, and track submission deadlines across every payer. Your fee is 15–25% of what we actually recover — nothing if we lose.

Simple, transparent rates

Larger claims require more work — and higher stakes mean higher scrutiny. Our tiered rate reflects that.

Claims under $5,000
%15
of recovered amount
  • Standard appeal filing
  • Payer portal submission
  • Status tracking
  • Free audit included
Claims over $25,000
%25
of recovered amount
  • Dedicated case manager
  • External review coordination
  • Legal escalation path
  • Executive review board
  • Free audit included
💡

The math always works in your favor. If we recover $10,000 in denied claims, you pay $1,500–$2,500 and keep $7,500–$8,500 — money you never would have seen. There is no scenario where hiring us costs you more than not hiring us.

What practices recover

Based on first 90 days working with independent practices across specialties.

$47K
Average recovered in first 90 days for practices under 5 providers
62%
Of appealed claims successfully recovered across all payers
89%
Of denied claims are never appealed — that's your money sitting on the table

"We had $71K in denials sitting unworked for over a year. Vigil recovered $44K of it in the first quarter. At 20%, we netted $35K we had completely written off."

DR
Practice Administrator
Multi-specialty group, Southwest

"The free audit showed us $28K in recoverable revenue before we signed anything. That kind of transparency is rare in this industry. We closed the same day."

SM
Office Manager
Independent family practice, Midwest

Common questions

What's included in the free audit?

Upload your denied claims CSV (exported from any practice management system). We classify every denial by CARC code, calculate recovery probability, and show you the exact dollar amount we estimate we can recover — at no charge, no commitment.

When do I pay?

Only when we recover money. We invoice at the time of payer remittance. If an appeal is denied, there is no charge for that claim.

How long does recovery take?

Most payers process appeals in 30–90 days. We track all open deadlines and escalate automatically. You receive a status report on all active claims weekly.

What claim types do you work with?

We handle commercial payers, Medicare, and Medicaid across all common CARC denial categories — CO-16, CO-18, CO-11, CO-4, CO-22, CO-29, CO-45, OA-23, and more.

Do I need to change my billing workflow?

No. We work from your existing denial reports. You don't need to change your EHR, PM system, or billing team workflow. We plug in as a recovery layer on top of what you already do.

What's the minimum claim age you'll work?

We'll evaluate any claim still within its payer filing deadline. Older denials are harder — but many payers have 180-day or 365-day appeal windows. The free audit tells you exactly what's still actionable.

Find out what your denied claims
are actually worth recovering.

Upload your CSV. Get your free recovery estimate in 60 seconds. No commitment, no credit card, no sales call required.

Start with a free audit → Schedule a call