Physician-Governed Revenue Integrity

Every denial has a patient waiting behind it. Recover both.

ReCapture turns the note your physicians already wrote into a payer-ready appeal in minutes, aligned weekly to 1,500+ payer policies, so revenue comes back and patients get to their procedure sooner.

Watch a denial get recaptured

For health systems, IDNs, provider groups, surgery centers, and RCM partners. No major EHR integration.

  • $57.23
    Average provider cost to contest a single claim
    Premier national survey (2023)
  • ~70%
    Denials eventually overturned, after multiple rounds
    Premier national survey (2023)
  • 95%
    Physicians who say prior auth delays necessary care
    2025 AMA Prior Authorization Physician Survey
  • 79%
    Physicians who report patients abandoning treatment
    2025 AMA Prior Authorization Physician Survey

The Cost Isn't the Denial. It's the Rounds.

Premier's national survey found providers spent $25.7 billion on claims adjudication in 2023, an average of $57.23 per contested claim, and that about 70% of denials were ultimately overturned and paid, but only after multiple rounds of review. ReCapture shortens that cycle to minutes per case, so your revenue cycle team resolves more claims, earlier, with the same staff.

The Cost of Deferred Care

The claim waits in a queue. The patient waits in pain.

Most denials are eventually paid, but only after rounds of rework and peer-to-peer calls. Every round is time a patient spends without the procedure their physician ordered.

  1. Denied
  2. Rework note
  3. Resubmit
  4. Peer-to-peer
  5. Denied again
  6. Formal appeal
  7. Approved
  8. Procedure

8 steps. Meanwhile: Pain persists → Missed work, more visits → Considers giving up → Condition may progress.

Illustrative sequence

  • 95%
    say prior authorization delays access to necessary care
  • 79%
    report patients abandoning recommended treatment
  • 1 in 4
    have seen a serious adverse event; 23% a hospitalization
  • 13 hrs
    per week spent by physicians and staff on prior authorizations

Source: 2025 AMA Prior Authorization Physician Survey (1,000 physicians, fielded December 2025).

Governance

Governed by Physicians. Proven in Practice.

ReCapture's determination logic is authored, reviewed, and refined by a board of neurosurgeons, orthopedic surgeons, PM&R physicians, and anesthesiologists, working alongside revenue cycle experts.

How It Works

From Note to Payer-Ready in Minutes

Start with the note already written.

Case documents receivedSample case · Lumbar fusion
  • Clinic note
  • MRI report
  • Denial letter
  • PT records (optional)

HIPAA-compliant workspace

Resolve on Review. Not on the Phone.

Peer-to-peer reviews pull physicians out of clinic and OR time, often to speak with a reviewer outside their specialty. Only 24% of physicians who take part in peer-to-peer reviews say the plan's “peer” often or always has the right qualifications (2025 AMA Prior Authorization Physician Survey). ReCapture closes the documentation gaps that trigger these escalations, so fewer cases ever reach a peer-to-peer call.

Every Appeal Speaks the Payer's Language.

ReCapture reviews the coverage policies of more than 1,500 payers every week, across commercial plans, Medicare, Medicaid, and Medicare Advantage. Each appeal and documentation review is aligned to the current policy of the payer it is going to, not last quarter's version and not a generic template.

Medicare ASM

Ready for Medicare's Ambulatory Specialty Model

ReCapture is building ASM documentation-readiness support on top of its production denial-recovery engine. The provider is still responsible for proper documentation.

Change the Outcome, Not the Physician.

Health systems have invested millions in consulting programs and smart phrases to reshape documentation habits built over decades. ReCapture works with the note your physicians already write. It understands what the clinician meant and what the payer requires, and it closes that gap in minutes. No retraining campaigns. No major EHR integration project. No long implementation.

Specialties

Built for the Specialties That Drive the Most Denials

MSK & Orthopedic SpineNeurosurgeryInterventional Pain ManagementPM&R (Physiatry)Psychiatry
Who We Serve

Built for the Enterprise Buyers Behind Denial Recovery

Health Systems & IDNsGPOsProvider GroupsPhysician-Owned Surgery CentersWhite-Label RCM Partners

Documentation Integrity

ReCapture never adds clinical facts that are not in the record. It organizes what the physician documented into the structure each payer requires, and flags what's missing for the physician to review. The record remains the physician's.

I work with a…

Recover denied revenue across service lines, without an EHR project.

Estimate your savings

Hours per appeal today
Annual savings
$99,000

Assumes $150/hr staff cost and a 15-minute ReCapture review, the same assumptions as our Pricing page. Results vary by case complexity.

Send us a batch of denials. See what we recapture.

If we don't recapture them, we don't expect you to adopt the platform.

  1. 1Sign a BAA and upload denials securely.
  2. 2We return payer-ready appeals and gap flags.
  3. 3Review recovered dollars and days saved, case by case.

Change the Outcome, Not the Physician.

Send a Batch of Denials Briefing