Your payers may be quietly paying you below contract. We catch it.
In behavioral health, underpayments are silent — an underpaid claim still shows as "paid," so you move on while the payer pays below your contracted rate. ParityRecover reads your ERAs and EOBs, flags every underpaid line against your fee schedule and a cross-practice benchmark, and auto-drafts the appeal.
For US behavioral-health private practices billing commercial insurance in-network. Read-only, BAA-ready. You remain the submitter of record.
Underpayments in behavioral health are invisible by design.
An underpaid claim shows as "paid," so the practice moves on — while the payer quietly pays below the contracted rate. For example, a commercial payer might allow ~$120 on 90837 against a $144–160 market benchmark, or flatten a 90837 to the lower 90834 rate. Solo therapists have no time, no cross-payer reference for what they should be paid, and no efficient way to draft a contract- or parity-grounded appeal — so revenue leaks claim by claim, month after month.
- An underpaid line never triggers a denial — it just posts as paid, and the gap goes unnoticed.
- Without a cross-payer benchmark, you can't tell whether $120 on 90837 is fair or short.
- Drafting a contract-grounded appeal by hand for each claim isn't worth a solo provider's time.
A silent underpayment, line by line.
An underpaid claim still posts as "paid." Here's an illustrative EOB line showing the gap between a contracted rate and what a payer actually allowed. Illustrative only — your figures depend on your contracts.
- Your contracted rate
- $150
- What the payer allowed
- $120
- Silent underpayment (80% of contract)
- $30 short
Illustrative only — figures are examples, not your data. A real claim like this never triggers a denial: it posts as “paid,” so the $30 gap goes unnoticed. ParityRecover flags every such line against your contract and a cross-practice benchmark, then drafts the appeal.
From eligibility to recovery, mostly automated.
We do the analysis and prepare the filing. You — or your adviser — review and submit, staying the taxpayer of record throughout.
Connect or upload your remittances
Connect your EHR or clearinghouse, or upload your ERAs and EOBs (835s / EOB PDFs). Ingest is read-only and BAA-ready — we never submit on your behalf.
We compare every line
Each remittance line is compared to (a) your own contracted fee schedule and (b) a cross-practice benchmark of actual allowed amounts per CPT code, payer, region, and license type.
We flag what's underpaid
You get a ranked list of underpaid claims showing the dollars recoverable against your contracted or benchmark rate — and the top offending payer/CPT pairs.
We draft the appeal
For each underpaid line we auto-draft an appeal letter that quotes the contracted or benchmark rate and, where applicable, cites MHPAEA parity grounds. One-click export to the payer's appeal channel — you remain the licensed submitter of record.
Who ParityRecover is for
US behavioral-health and mental-health private practices — solo and small group — that bill commercial insurance in-network.
- You're a solo therapist, practice owner, or office manager of a small behavioral-health practice.
- You bill commercial payers in-network and post ERAs / EOBs you don't have time to audit line-by-line.
- You want to recover underpaid dollars without paying a biller 6–8% of all your collections.
Why now
The MHPAEA 2024 Final Rule sharpens parity-based appeal grounds. Commercial payers are actively cutting behavioral-health rates in 2026, and state laws (for example, Illinois requiring at least 141% of Medicare, in full effect January 2027) make the "what you should be paid" number concrete and benchmarkable. And modern AI can now read EOB free-text and draft contract-grounded appeals at near-zero marginal cost.
- Underpaid claims post as 'paid' — never flagged
- SilentUnderpaid claims post as 'paid' — never flagged
- Final Rule sharpens parity appeal grounds
- MHPAEA 2024Final Rule sharpens parity appeal grounds
- Of Medicare required in Illinois (full effect Jan 2027)
- ≥141%Of Medicare required in Illinois (full effect Jan 2027)
- Marginal AI cost per drafted appeal
- <$1Marginal AI cost per drafted appeal
A cross-practice benchmark
Pooled actual-allowed amounts per CPT × payer × region × license type tell you what you should be paid — something no single practice can see alone.
Parity-grounded appeals
Where applicable, drafted appeals cite MHPAEA parity grounds alongside your contracted rate, making them harder to brush off.
You stay in control
Read-only ingest under a BAA. We draft; you review and submit. The licensed practice is always the party of record.
Flat pricing that undercuts the billers
A flat monthly SaaS tier for detection plus unlimited drafted appeals — structurally cheaper than billers who take 6–8% of all your collections.
Solo
For solo practices with lower claim volume.
- Read-only ERA / EOB ingest
- Underpayment detection vs. contract + benchmark
- Unlimited drafted appeal letters
- One-click export to payer channels
Practice
For small group practices with higher claim volume.
- Everything in Solo
- Higher monthly claim volume
- Top payer/CPT underpayment analytics
- Optional success-fee pricing on recovered dollars
Prefer performance pricing? We offer an optional success fee on recovered dollars instead of a flat tier.
Questions, answered.
How do I know if my payers are underpaying me?
How does recovery actually work?
Is this compliant? Who submits the appeals?
What does it cost?
How is my patient data handled?
How do I get started?
See your underpaid dollars
Upload one month of ERAs and we'll show your total underpayment and draft your first appeal free.