Physician-led RCM · Founded by an orthopedic surgeon

Your biller accepted what the payer sent.
We don’t.

Evident RCM recovers revenue from denied claims, underpaid cases, and OON negotiations that your current biller isn’t pursuing. No upfront cost. Results in 90 days.

Get a Free Revenue Call →
No upfront cost — we earn from what we recover
No disruption to your current workflow
Results visible in 90 days
BlueCross BlueShield
Health Insurance
Explanation of Benefits
Processed: 03/15/2026  ·  Claim #████████
Member
Member ID
Group
DOB
Services Processed — Anesthesia
Procedure Billed Paid Gap
00630
Lumbar spine anesthesia — 18 base units billed, 12 paid
$3,240 $2,160 −$1,080
99100Denied
Qualifying circumstance — extreme age, not recognized
$540 $0 −$540
QZ modifier removed
CRNA supervision billing — downcoded without notice
$1,800 $1,080 −$720
Revenue Left Behind — This Case
$2,340
This happens on every case — across hundreds of cases a year
Recoverable
Illustrative example · PHI redacted · Not an actual patient record
Appeal Not Filed

What independent surgical practices tell us

“I just want to get paid for work I’ve already done.”

SK
S.K., MD
Sports Medicine

“The surgical denials are ridiculous. The peer-to-peer calls are a sham.”

SG
S.G., MD FAAOS
Orthopedic Spine Surgery

“Using the No Surprises Act to deny claims — even when the patient signed my disclosure.”

AS
A.S., MD
Plastic Surgery

“The one problem I wish would disappear: claim denials by insurance companies.”

GS
G.S., MD
General Surgery
The Problem

Most practices are leaving real money behind — not because billing is hard, but because nobody’s fighting.

Insurance companies run the same playbook on every practice: low offers, bad-faith denials, dropped follow-up queries, peer-to-peer calls with reviewers from the wrong specialty. Independent practices rarely have the time or infrastructure to push back. That’s a calculated bet — and it pays off for payers every day.

You did the work. The payment doesn’t show it.

Underpaid claims accepted without challenge

Payers auto-downcode with no notice. Your biller posts the payment and moves on. The gap becomes permanent.

65% of denied claims are never reworked. At all.

High-value denials quietly written off

SCS implants, RFA, spine fusions — your highest-revenue procedures are the most complex to appeal, so they get abandoned. 82% of appealed denials are overturned.

The payer opened low. Your biller took it.

OON cases settled at offer one

The first offer is a negotiating position — not a settlement. Federal IDR and counterfiling exist for exactly this. Most billers never use them.

The reviewer wasn’t even in your specialty.

Denials are designed to make you give up

Wrong-specialty peer-to-peers. Denials queued before records arrive. NSA used against patients who signed your disclosure. Calculated bets that you’re too busy to fight back.

Sample Results

What changes when someone’s actually fighting for your revenue.

Representative outcomes. Every practice is different — the free Revenue Call shows you what’s realistic for yours.

Claim Submission Speed
10 days
Before
24 hrs
After
Claims submitted within 24 hours of encounter
Fewer timely filing denials before they start.
AR Aging
42 days
Avg days in AR
24 days
After 90 days
Average days in AR cut nearly in half
Faster follow-up, fewer aged claims sitting unworked.
In-Network Underpayment Recovery
$0
Recovered before
$43K
First quarter
$43,200 in underpayments found in Q1
UHC 15.8% short. Aetna 7.7% short. Caught line by line.
OON Negotiation — Spine
$19K
Payer offer 1
$95K
After counterfiling
IDR Filed
No Surprises Act
$141K
Final settlement
CPT 63685 — Spinal Cord Stimulator Implant, 2 Leads · Independent Pain Practice
Payer opened at $19K on a $186K billed case. We declined, counterfiled, then filed federal IDR under the No Surprises Act. The gap wasn’t created by new clinical evidence — it was created by refusing to stop.
7× the initial payer offer
How We Do It

We fight through every level.
Nothing written off.

Four capabilities, each targeting a different way payers underpay you.

01

Denial Recovery & Appeals

Every denial appealed through all three levels. Aged A/R reworked. Nothing written off until every avenue — including federal IDR — is exhausted.

82% of appealed denials overturned — most practices never file one
02

OON Negotiation & Federal IDR

Initial offer declined. Counterfiled. Escalated to federal IDR when payers won’t move. The first offer is a negotiating position. We don’t treat it as anything else.

3–7× initial payer offer on contested OON cases
03

Payer Contract Compliance & Underpayment Detection

Every EOB compared against your contracted rates, line by line. Underpayments flagged and challenged before the window closes. Payer patterns tracked across your full claim history.

Underpayments found at every major payer — most practices have zero visibility
04

Prior Auth, Follow-Up Queries & Insurer Pushback

Full prior auth workflow managed. Every insurer query tracked and responded to within the window. Peer-to-peer calls prepared and run. Nothing dropped.

Dropped queries and missed prior auths are among the most preventable revenue leaks
Common Concern

“Switching billers sounds painful.”

It’s not. We handle the full transition. Here’s exactly how it works.

01

Free Revenue Call

20 minutes. We identify your highest recovery opportunities from your specialty, volume, and payer mix.

No obligation — just the number
02

Transition & Onboarding

We run the full handoff in under 30 days while your current biller works normally. Zero clinical disruption.

Under 30 days
03

Recovery Begins

Denied claims reworked. Underpayments challenged. OON cases negotiated. Dollars start coming back.

Results visible within 90 days
04

Ongoing Partnership

Monthly revenue reports. Direct access to our team. Every claim, denial, and OON negotiation tracked.

A revenue partner — not a billing vendor
From Our Founder

“I’ve been on peer-to-peer calls with reviewers from the wrong specialty. I’ve watched denials arrive before my records were received. I’ve seen billers accept the first OON offer because they didn’t think pushing back was their job. The tools to fight back exist. They just weren’t being used for us.”

Anupam Pradhan, MD — Founder & CEO · Board-Certified Orthopedic Surgeon · Chair of Orthopedics, Medical City Dallas

Specialties We Serve

Built for surgical and procedural practices.

Anesthesia Pain Management Orthopedic Surgery Spine Surgery Neurosurgery ASCs Vascular Surgery General Surgery

See what payers owe you.

A 20-minute call shows you exactly what your practice is leaving behind — no obligation, no upfront cost.

Add practice details (optional)

No upfront cost · No obligation · Reviewed by Anup Pradhan, MD within 1 business day

Every month you don’t fight, payers win by default.

Filing windows close. Denied claims age out. OON leverage disappears. A 20-minute call shows you what’s recoverable.