Our Prices
Assessment Fee — $99. Cases requiring review and analysis are subject to a $99 Assessment Fee. This allows us to evaluate the claim dispute and determine the best course of action before proceeding.
The assessment may include review of EOBs/ERAs, payer letters, provider-payer correspondence, prior appeal submissions and responses, plan documents, and any other relevant materials needed to identify the payer's underlying tactic. As part of this process, we will also let you know if the issue is not worth pursuing.
Dispute Analysis & Strategy Development
Every case is different. Pricing is based on the complexity, scope, value, and strategic level required for each appeal/dispute letter. You're not paying for a template or a generic appeal — you're paying for a tactically driven strategy built around your specific claim dispute.
Standard Cases
$150 – $350
For straightforward denials, underpayments, or refund demands involving a clearly defined problem. Includes dispute analysis, identification of the payer's tactic, strategy development, and a targeted appeal draft.
Complex Cases
$350 – $750
For multi-issue or recurring denials, underpayments, or refund demands requiring deeper review of plan terms, policies, or payment methodology. Includes expanded case analysis, strategy built around applicable rules, a targeted appeal draft with supporting arguments, and next-step guidance.
High-Value / Advanced
$350 – $1,000+
For high-dollar claims or refund demands, multiple claims, or situations involving complex payer tactics and escalation. Includes in-depth strategy development, advanced appeal drafting based on regulatory positioning, and escalation and follow-up strategy.
Follow-Up & Additional Letters
Not all follow-up letters are the same. Some involve simple continuation, while others require analysis and strategy based on new information obtained during the dispute process.
Simple Follow-Up
$75 – $150
Brief responses, clarifications, procedural and administrative replies, and light continuation of an existing strategy.
Strategic Follow-Up / Escalation
$150 – $350+
Where plan documents or new information are obtained, reframing the dispute based on the payer's position, applying regulatory or plan-based leverage, and escalation or advanced dispute strategy.
What You're Getting
- A targeted strategy built around your specific claim dispute
- The right arguments based on governing rules
- The ability to adjust strategy as new information emerges
- A clear path forward, not guesswork
- A finished appeal you can submit with confidence
What this is not: not template-based appeals, not generic arguments, not billing or coding corrections, and not a one-size-fits-all approach.
Not Sure Where Your Case Fits?
That's normal. Submit a brief overview of your situation with all relevant material, and we'll let you know if it's worth pursuing, what level of strategy is required, and what the cost will be before any work begins.
