Pricing
Beyond Health Systems is designed to align with recovery, not create more overhead. We do not charge on paid claims, and we do not charge simply for looking at historical claim data.
Our recovery model is focused on denied claims and other claims that are commonly written off or left untouched because the economics of manual recovery are too weak.
We charge 10% only on money actually collected from targeted denied or written-off claims recovered through the platform.
A Simple Recovery Model
The model is straightforward: you provide the claims and denial history, the platform identifies recoverable opportunity in claims that would often remain written off, and payment occurs only after money is actually recovered.
- No setup fees
- No minimums
- No charge on already paid claims
- No charge on claims that are not collected
- 10% fee only after actual recovery
What We Focus On
Beyond-Truth is built for the portion of the revenue cycle that too often gets abandoned: denied claims, partially paid claims, and claims that become economically difficult to work through traditional processes.
These are often dollars already earned, but left behind because the labor cost, time burden, or complexity makes recovery unattractive through conventional workflows.
- Denied claims
- Written-off claims with real recovery potential
- Claims too small or difficult to pursue manually
- Claims where the economics of traditional follow-up break down
What You Do
The process is intentionally simple. You use your historical claims and denial data, let the platform identify targeted recovery opportunity, and then wait for the money that was already earned to come back into the system.
- Provide claims and denial history
- See the identified recovery opportunity
- Pursue recovery on targeted denied or written-off claims
- Pay only after money is actually collected
Why This Is Different
Traditional RCM pricing often applies across all collections or large portions of total claims volume. Our model is narrower and more aligned: we participate only in the value actually recovered from the part of the claims universe that is most often abandoned.
That means you are not paying us on clean claims that were already paid. You are paying only on recovered dollars from difficult, denied, or commonly written-off claims.
Leadership-Friendly Economics
The pricing model is built to be easy to understand at the executive level:
- No upfront financial risk
- No need to pay on claims already paid
- No need to pay unless recovery actually occurs
- Clear alignment between platform performance and financial result
Typical Commercial Structure
Standard structure: 10% of actual collected dollars on targeted denied or written-off claims recovered through the platform.
For enterprise pilots, volume arrangements, or custom deployment structures, contact us directly.