A paid claim isn’t always a fully reimbursed claim.

Medical practices can receive insurance payments without knowing whether additional payment may be available.

Out-of-network reimbursement can be particularly difficult to navigate. Claims may be underpaid, denied, or reimbursed in ways that leave additional money uncollected.

Polk-Neal & Associates helps Tampa Bay physicians identify these opportunities and work to recover what may otherwise remain uncollected.

We work with independent and small-group specialty practices — physician-owned, typically one to ten providers. Practices employed by a hospital or health system generally have this work handled internally; our clients don’t.

Where Reimbursement Falls Short

We don’t just find the difference. We work to recover it.

  • Underpaid Claims

    An insurance payment isn’t necessarily the end of the story. We examine reimbursement to identify situations where a claim may have been paid below what may be recoverable.

  • Denied Claims

    A denial doesn’t always mean the reimbursement opportunity is over. We evaluate the circumstances and determine whether there is a basis for pursuing it further.

  • Out-of-Network Reimbursement

    Out-of-network claims can involve complex reimbursement requirements and significant differences between what is billed, what is paid, and what may ultimately be recoverable.

  • Other Reimbursement Issues

    We also look for other issues that may affect the amount a medical practice receives, including potential problems in the way claims have been evaluated or reimbursed.

From Evaluation to Recovery

Identifying a potential underpayment is only the beginning.

Polk-Neal & Associates applies its experience navigating health insurance reimbursement to the work of recovering additional payment. We organize the relevant information, evaluate the circumstances, communicate with insurers, and work through the process toward recovery.

The objective is straightforward: recover additional reimbursement that may be available — without making the insurance process your staff’s responsibility.

How It Works

Let’s Get Started

The difference is worth pursuing.

Let’s determine what may be recoverable.

Let’s Talk