Questions
Straight answers.
Scope, pricing, data and how we work. Missing something? Email us.
Getting started
What is a denial review?
A 20-minute call where we look at a de-identified denial report with you: payers, reasons and ages. You learn where the money is and what to fix first.
Do you need patient data to start?
No. We start de-identified, and a BAA comes before any PHI. For SUD records, a 42 CFR Part 2 agreement too.
Where do most clients start?
With a denial audit: a fixed-fee report built from your own remits.
Scope
Which payers?
Commercial, including self-funded and out-of-network. Not Medicare, Medi-Cal or patient balances.
Which programs?
SUD detox, residential, PHP and IOP; mental health residential, PHP and IOP; eating disorder residential, PHP and IOP.
Do you replace our billers?
No. We work behind them on denials and never bill routine claims.
Pricing
How is recovery priced?
Contingency: you pay only on dollars recovered. Audits and automation projects are fixed fee.
How much is an audit?
Fixed fee from $1,250, quoted before we start.
Security
Do you use AI on our data?
Only under a BAA, and your data never trains a model. Every appeal is approved by a specialist before it is sent.
Do you log in to payer portals with bots?
No. We use clearinghouse and payer APIs. Where a payer only takes portal submissions, a person submits.
Do you contact patients?
No. We work payer-side only.
Next step
Book a denial review.
Twenty minutes. No patient data needed.
Or email hello@skygathering.com