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Revenue recovery for behavioral health

Find what payers owe.

Check your remittances for underpayments, denials and missed interest. Review the evidence, prepare appeals and track what comes back.

Synthetic data. No account needed.

Example remittance, synthetic data.
  • BAA required before patient data
  • Encrypted in transit and at rest
  • Hosted in the US on AWS

How it works

From payment to follow-up.

No change to your EHR or billing system. Owed reads the files your payers already send.

  1. 01

    Import

    Upload your 835 files, or connect a billing company's SFTP folder for nightly imports.

  2. 02

    Review

    Ranked findings with contract rates, payment history, reason codes and deadlines.

  3. 03

    Follow through

    Draft supported appeals, record submissions and follow-ups, and match later payments.

What it finds

Catch missed revenue.

10 checks for payment gaps, fixable denials and recoupments. Findings distinguish contracted amounts from estimates and flag rules that need your confirmation.

Paid less than agreed

  • Underpaid

    Allowed amount is below the contracted rate for this payer, code and clinician.

  • Wrong credential tier

    A doctoral or NP clinician was paid at a lower license tier's rate.

  • Downcoded

    The payer paid a lower-level code than the one submitted.

  • Rate dropped

    Allowed amount fell below this payer's recent typical rate for the code.

  • Telehealth paid less

    Telehealth sessions were paid below in-person sessions for the same code.

Not paid at all

  • Denied

    A denial that can be fixed, resubmitted or appealed.

  • Wrong payer

    Denied because another plan or behavioral-health vendor administers the benefit.

  • Add-on denied

    An add-on code was denied as bundled or inconsistent with its primary code.

Taken back or paid late

  • Recoupment

    The payer took money back by offsetting it against this payment.

  • Interest owed

    A clean claim was paid after the state prompt-pay deadline without interest.

How Owed checks each one

The evidence

See the math.

Rules flag payment gaps. AI doesn't decide what's owed. Each finding shows its evidence and whether the amount comes from your contract, payment history or an estimate.

$165.00

Contract rate

minus $103.80

Allowed by the payer

equals

$61.20

Owed to you

Synthetic example: code 90837 by a doctoral-level clinician, paid at a master's-level rate.

Take Owed for a spin. Try demo.

Security

Protect patient data.

Encryption, required MFA and audit logging are built in. We're working with synthetic data while the remaining compliance and security reviews are completed.

BAA required

A signed agreement is required before patient data is shared.

Encrypted

In transit, at rest, and field by field for identifiers.

MFA for everyone

Required for every user, at every sign-in.

Access logged

Patient-data access is recorded in a tamper-evident audit log.

How we protect your data

Questions

Common questions.

Can Owed import remittances automatically?

Yes. Connect a practice's SFTP folder, a secure file-transfer connection, and Owed reads new 835 files each night. Setup requires your provider's login and verified server fingerprint. Imports use the same checks as uploads, skip duplicates and leave the provider's files in place. You can pause imports or run one manually.

What is Owed?

Revenue recovery software for behavioral-health practices and billing companies. Owed checks 835 remittances for payment gaps, ranks findings with their evidence, drafts supported appeal letters and matches later payments to track recoveries.

What is an 835 (ERA) file?

The electronic remittance advice payers send with each payment: every claim line, what was allowed and paid, and the reason codes for any difference. Your clearinghouse or billing system can export them.

How does Owed find underpayments?

Owed compares allowed amounts with the contracted rates you have loaded. Where applicable, it also uses your own payment history and flags denials, recoupments, missed prompt-pay interest and rate drops. Findings identify estimates and unconfirmed rules; a flag is not a guarantee of payment.

How do I add my contracted rates?

Upload a contract PDF and Owed lists the rates for you to review. You can leave out any row, and nothing is saved until you confirm. Saving re-checks your findings against the new rates. You can also import a fee schedule as a CSV. Contract uploads must not contain patient information.

Does Owed notice when a payer pays what it owed?

Yes. Every new 835 is matched to your findings. When a payer reprocesses a claim, pays a denied service, returns a recoupment or adds the missing interest, Owed records what came in and marks the finding recovered once it's covered, showing the payment it arrived in.

Does Owed use AI to decide what's owed?

No. Detection uses deterministic rules applied to your remittances, rates, payer settings and payment history. Claude on Amazon Bedrock reads contract fee schedules for your review; it does not decide findings or write appeal letters.

Is Owed HIPAA compliant?

Owed currently works with synthetic data only while we complete the remaining compliance and security reviews. Encryption, mandatory MFA, organization isolation and audited patient-data access are built in, and our AWS BAA is active. A signed customer BAA and the remaining launch checks are required before live PHI. We do not hold a SOC 2 report or claim HIPAA certification.

Can Owed draft and track appeals?

Yes. Owed drafts template-based letters for 5 finding types: underpaid, downcoded, telehealth paid less, recoupment, interest owed. You review, approve and send the letter yourself, then record submissions, follow-ups and payer responses. Approval and payer acceptance do not count as recovered money; later remittances establish the recovery.

Can I manage more than one practice?

Yes. One organization can manage multiple practices, with separate remittances, rates and SFTP connections. Switch between a practice and All practices to scope findings, follow-ups, recovery totals and scan reports. Practice selection is a filter; organization roles govern access.

Who is Owed for?

Behavioral-health group practices that bill insurance directly, and the billing companies that serve them. We're starting in Tennessee.

How much does Owed cost?

Owed is priced around what it recovers for you. We walk through it on a call. Owed never receives or holds your insurance payments; payers pay your practice directly.

Design partners

Work with Owed.

We're inviting behavioral-health practices and billing companies to help shape Owed. Leave your details and we'll discuss a pilot.

Business contact details only, never patient information. Privacy

Thank you. We'll be in touch.

Or write to hello@owed.health