For Ontario specialists whose billing is handled through a hospital or group arrangement.

Claims recovery

Billing is handled, but the deposits feel light

Hospital and group billing arrangements are usually priced to win the contract. What gets left behind is the rejection follow-up, because nobody is paid for it. We review what your current arrangement has written off, and resubmit what your documentation supports.

  • Specialists we work with recover $10,000 to $100,000+ from rejected and unpaid claims, including work past the 3-month stale dated deadline back into 2023.
  • 95% of rejected claims we take on in this program are processed by OHIP within just a few cycles, and are paid on approval.
  • No setup fee, no retainer, and you pay only a percentage of what is recovered.
  • Nothing changes about who does your billing. Recovery is a one-off look at what was already written off.

Built for Ontario specialists billing through a hospital department, a group, or a shared administrator. Get in touch and we reply within one business day with next steps for a free claims review to see if you will benefit from our service.

Physician perspective

It was an amount of money that matters

Dr Sanjay Acharya on what the recovery review found, and why the number mattered.

We review. We resubmit. You keep the difference.

  1. 1. Intake. You share specialty and practice context, MCEDT, a sense of rejected or unpaid backlogs, and observations about the practice(s) so we understand how you work.
  2. 2. Review and recover. We identify correctable claims, resubmit where appropriate, document the work, and let you know when the recovery has been accepted by OHIP.
  3. 3. You get paid. No setup or service fees. We charge a percentage of what is successfully recovered, and you submit payment after it is received. You can decide afterward whether ongoing Claims Concierge is useful. No pressure or obligation to continue with us.

Related: Claims Concierge for ongoing OHIP billing, or OHIP billing by Ontario hospital.

Prefer ongoing full-cycle billing instead?

Some practices want full-cycle billing after recovery. That path starts with Claims Concierge.

See how ongoing billing works