Reckon files clean claims the day of service, fights denials automatically with payer-specific appeal letters, and gets you paid in 28 days instead of 62. Built for independent doctors, dentists, and clinics tired of the 8% billing-service tax.
Every claim moves through the same stages. We measure each one, in seconds. If a step takes too long, you see it before your CFO does.
Every denial is parsed by reason code (CARC/RARC), matched against payer-specific behavior, and answered with a letter that cites medical necessity, contract language, or state law. Real attorneys reviewed our templates. Real billing managers fight the edge cases on the phone.
Trailing 12 months, 1,408 practices, ≥ 6 months on Reckon.
I'd been with a billing service for nine years. They took 9% of collections and "we don't appeal denials under $500" — which, in dental, is most of them. By 2023 I had a literal filing cabinet of denied claims my office manager and I had given up on.
Reckon imported them on day one. Auto-flagged the ones still inside the appeal window. By month three we'd recovered $48k in claims I'd considered dead. Now my AR > 90 days is $2,148 — used to be over $40,000. Same patients, same procedures, four percent fee.
Percentage of what we actually collect, or a flat fee if you're bigger. Never a fee on a denied claim.
For practices collecting under $200k/month. Industry typical is 8–10%.
Predictable cost when volume gets bigger. Often a 60%+ savings vs percentage.
Most billing services charge 8–10% of collections plus per-claim fees plus charges on denials. We charge 4% of what we collect — and zero on denied claims. For a typical 3-provider practice doing $128k/month in collections: a 9% billing service costs ~$11,520/month. Reckon costs $5,120. Same workflow, often better recovery. We'll do a free side-by-side based on your last three months of remits.
Yes, real phone calls. ~62% of denials we recover through corrected resubmits (modifier fixes, missing data) — those are automated. The remaining ~38% are denial reasons that need a human: medical-necessity defenses, contract-rate disputes, NCCI bundling fights, peer-to-peers. We have 42 billing specialists in US offices (Charleston, Denver, San Antonio) whose job is exactly this. Avg recovery on phoned appeals: 84%.
1,408 payers including all major commercial, all Medicare MACs, Medicare Advantage, Medicaid in 48 states (we're working on the last 2), TRICARE, CHAMPVA, plus 280+ dental plans. Routing is multi-path through Availity (primary), Change Healthcare (primary), and Waystar (fallback). For dental specifically: Trizetto and DentalXChange. If a payer is down or a clearinghouse is having a bad day, claims route to a working path automatically — your office never knows.
Yes. $250 per payer for new credentialing (CAQH setup, applications, follow-up). Re-credentialing is bundled into your monthly fee — we track expiration dates and start the renewal 90 days out, so you never get dropped mid-quarter. For the Flat tier, all credentialing is included. Median time-to-effective-date: 42 days for commercial, 74 days for Medicare (which is on CMS, not us).
Yes, and these are where we earn our fee. We pull the relevant chart excerpts, draft an appeal letter that cites the payer's own medical policy (with policy number), attach supporting documentation, and route it to the provider for signature. If first-level appeal fails, we schedule a peer-to-peer with their medical director — we prep the provider with the policy language, the specific denial reasoning, and a 1-page packet. Recovery rate on medical-necessity peer-to-peers: 68%.
Reckon is a Business Associate under HIPAA. The BAA is one page, in plain English, signed before any PHI moves. We don't sell, share, or train on patient data, ever.
Paste your last 90 days of remits. We'll show you, claim-by-claim, what we'd have collected — what's appeal-able, what's a write-off, and what's been sitting too long. 24-hour turnaround.