Underpaid claims recovery
OTHER SERVICES
Essience Diagnostics
UNDERPAYMENT IDENTIFICATION & CLAIMS RECOVERY
Find what payers missed — without slowing down your billing team.
Essience Diagnostics helps healthcare organizations recover reimbursement dollars that slip through standard RCM processes. Our independent review methodology detects underpaid claims that are often overlooked once finalized, including those marked zero-balance or fully processed.
No workflow changes. No extra lift on your staff. Just recoverable revenue brought back into view.
Trusted by Hundreds of Health Care Providers
Increase to your recovery Rate
0
%
Net Patient Revenue audited in 2025
$
0
B
Total Clients Supported
0
WHY ESSIENCE DIAGNOSTICS
Recover Lost Revenue without Work Interruption
Designed to work alongside your current billing operation
Our process runs separately from your existing systems, so your team stays focused on day-to-day operations.
Contract-aware, payer-neutral review
We evaluate reimbursements at the line level and compare results against your contracted allowables and payer rules.
Clear findings you can act on
You receive straightforward reporting showing where revenue was lost—and what patterns are causing it.
Pay-for-performance engagement
There are no upfront fees. You only pay when recovered dollars are returned to the practice.
Human expertise behind every result
Our audit specialists confirm findings and manage payer communication through resolution.
Essience Diagnostics
OUR RECOVERY PROCESS
- Data Intake & Contract Mapping
We securely receive your claims and remittance data and align it to your specific payer contracts, reimbursement terms, and regulatory requirements. - Contract-Level Validation
Our system evaluates payments at the line-item level to detect discrepancies, underpayments, and systemic payer variances. - Revenue Impact Identification
We quantify exposure, prioritize high-value opportunities, and document supporting evidence for recovery. - Dispute & Resolution Management
Our team handles all payer communications, documentation, appeals, negotiations, and follow-through until resolution. - Funds Recovered
Recovered payments are issued directly from the payer to your organization. - Performance-Based Partnership
No upfront costs. Our compensation is tied solely to recovered revenue.
Transform Lost Reimbursement Into Recovered Revenue
You’ve already delivered the care.
We ensure you’re paid correctly—systematically, consistently, and without financial risk.