You Treat Patients.
We Treat Claims.
From CPT code verification to denied claim appeals — Copay handles the full billing lifecycle so your practice stops hemorrhaging revenue.
Industry Denial Rate
Up from 10.2% in 2020
Denied Claims Recoverable
With the right appeals process
Lost Annually to Denials
Across U.S. healthcare providers
Sources: MGMA 2024 Benchmark Report · AHA Annual Survey · CMS Claims Data
See What You're Losing
Every Month
Practices partnering with expert billing recovery teams experience up to 25% increases in revenue. Enter your numbers to see your practice's specific leakage — and recovery potential.
Six Phases Your Practice
No Longer Has to Touch
Watch a claim move through the system — each section is one layer of complexity Copay removes from your plate.
No Enrollment, No Payment.
Before a single claim can move, your providers must be credentialed with every payer. Delays here stall revenue for weeks — sometimes months. Copay manages the full enrollment pipeline: CAQH profiles, payer applications, and reactivations.
avg credentialing delay without management
payer panel coverage tracked
Payer Enrollment Dashboard
Dr. Sarah Chen, MD · NPI-1234567890
Every Code Missed Is Revenue Left Behind.
Nearly half of all denials start here — missed CPT codes, incorrect modifiers, unbundled services. Our charge review catches every billable service before submission, applying current payer-specific guidelines automatically.
of denials originate in charge capture errors
more codes captured per encounter on avg
Charge Review — Pre-Submission
1 Flag| CPT | Description | Mod | Units | Charge | |
|---|---|---|---|---|---|
| 99213 | Office Visit, Established | None | 1 | $185.00 | |
| 93000 | Electrocardiogram | 25 | 1 | $95.00 | |
| 85025 | CBC w/ differential | — | 1 | $45.00 | MOD MISSING |
| 81003 | Urinalysis | QW | 1 | $18.00 |
CPT 85025 requires modifier 59 when billed same-day as E&M. Adding modifier before submission.
Clean Claims. Every Time.
Payers have zero tolerance for coding errors. Industry-leading acceptance rates reach 98.7% with real-time validation — but manual billing departments rarely get there. Copay submits electronically with pre-flight scrubbing on every claim.
first-pass acceptance rate
average submission turnaround
First-Pass Acceptance Rate
Today
Feb 24, 2026
Live Submission Queue
CLM-240224-001
Cigna
CLM-240224-002
Aetna
CLM-240224-003
Medicare
CLM-240224-004
BCBS
CLM-240224-005
UnitedHealth
EOBs Reconciled Before You Reach for the Phone.
Delayed posting inflates A/R and hides underpayments until the appeal window closes. Copay posts every ERA and paper EOB same-day, flags underpayments against contracted rates, and queues secondary billing automatically.
ERA and EOB posting standard
underpayment flags against contracted rates
ERA Payment Posting
1 UnderpaymentBilled
$325.00
Contracted
$248.75
Paid
$199.00
Billed
$142.80
Contracted
$108.50
Paid
$86.80
Billed
$185.00
Contracted
$141.00
Paid
$98.70
Variance: $42.30 — appeal queued within contractual window
65% of Denied Claims Are Never Reworked. Not Yours.
MGMA data is blunt: most practices let denials die. Medicare Advantage denials spiked 4.8% in 2024 alone. Copay reworks every denial — differentiating soft denials (fixable) from hard denials, building appeal letters with supporting documentation within 48 hours.
industry denial rate in 2024
appeal turnaround on every denial
Denial Overturn Rate — Copay Clients
Active Denial Queue
Medicare Advantage
CO-4: Modifier mismatch
$185.00
28d window
Cigna
PR-96: Non-covered service
$95.00
14d window
Aetna
CO-50: Medical necessity
$320.00
7d window
Clear Bills. Fewer Disputes. Faster Payment.
Billing confusion erodes patient trust and delays collection. Copay generates plain-language statements that explain exactly what insurance paid, what the patient owes, and why — reducing disputes and improving collection rates without damaging the patient relationship.
avg reduction in billing-related patient calls
faster patient payment with clear statements
Patient Statement
Michael Torres
Date of Service: Feb 15, 2026
Balance Due
$47.20
Why do I owe $47.20? Your Cigna plan covered the EKG in full. For your office visit, your plan applied $47.20 to your annual deductible (remaining balance: $152.80).
Practices That Stopped
Leaving Money on the Table
Real outcomes from solo GPs, family practices, and office managers who made the switch.
We were losing $18,000 a month to denied claims that nobody was following up on. Copay overturned 91% of them in the first quarter. I stopped dreading Monday mornings.
Dr. Priya Nair, MD
Internal Medicine · Solo Practice · Houston, TX
I was spending 12 hours a week on hold with Cigna and United. Now I spend that time with patients. The credentialing alone was worth switching — three new payers enrolled in 6 weeks.
Sandra Kowalski
Office Manager · Westfield Family Medicine · Cleveland, OH
Our first-pass acceptance rate went from 84% to 97.4% in 90 days. The charge capture review caught modifier issues I didn't even know we had. Revenue is up 22% year-over-year.
Dr. James Okafor, DO
Family Practice · 3 Providers · Columbus, OH
Audit My Billing Free
In 48 hours, we'll review your last 90 days of claims and identify exactly where revenue is leaking — denied claims, underpayments, missed codes, and credentialing gaps. No commitment. No invoice.
Denial Pattern Analysis
Which payers, which codes, which modifiers are costing you
A/R Aging Report Review
Identify claims past 60 days that still have appeal windows
Charge Capture Spot Check
Find billable services your current process is missing
Revenue Recovery Estimate
A specific dollar figure for what we can recover in 90 days
HIPAA-compliant data handling · No PHI required for initial audit · Results delivered in 48 hours