INSURANCE REVENUE RECOVERY · DEPARTMENT 1

Recover insurance revenue without replacing your billing team.

NexHaven operates as a managed Insurance Revenue Recovery Department for independent practices—working denied, stalled, and unresolved commercial-insurance A/R with a controlled next-action process.

Built for small outpatient practices. No long implementation project. No enterprise rollout.

RECOVERY WORK QUEUECONTROLLED
Qualified inventoryIdentified

Denials, stalled claims, payer errors, and supported underpayments.

01Prioritize by value and deadline
02Work the documented next action
03Report recovery and root causes
LAUNCH FOCUS

A deliberately narrow first market.

  • Independent outpatient practices
  • Approximately 3–20 clinicians
  • Florida, Ohio, Missouri, Oklahoma, or Utah
  • Commercial insurance A/R first
THE OPERATING MODEL

A department, not another dashboard.

Your billing team keeps running current-cycle work. NexHaven takes ownership of the qualified recovery queue, documents every action, and keeps cases from going dark.

01

Find the recoverable inventory

We review the commercial-insurance A/R you choose to share through an approved secure intake process and separate normal processing from real recovery work.

02

Build the recovery queue

Qualified items are prioritized by economic value, deadlines, evidence readiness, and the next legitimate action.

03

Work and report the result

We pursue supported payer actions, track client dependencies, and report recovered revenue and recurring leakage patterns.

WHAT WE PURSUE FIRST

Commercial insurance revenue that should not be left behind.

Denied claimsAdministrative denials and supported reconsideration paths

Stalled or unpaid claimsClaims with no valid resolution or next action

Payer processing errorsIncorrect payer handling that warrants follow-up or reprocessing

Supported underpaymentsPayment variance where the practice can support the expected amount

CLEAR BOUNDARIES

Focused enough to operate safely.

Included at launch Independent outpatient practices, roughly 3–20 clinicians, in FL, OH, MO, OK, and UT; commercial insurance first.

Not included at launch Enterprise health systems, broad RCM replacement, Part 2 substance-use-disorder workflows, or requests requiring unsupported clinical or coding judgment.

Sales systems stay separate This funnel and CRM are for prospecting only. Never submit patient names, dates of birth, claim details, medical records, or other PHI here.

START WITH CLARITY

See whether your unresolved A/R fits the recovery model.

Request the diagnostic