The out-of-network claims your billing company won't fight — we will.
Divitiae is a specialty revenue recovery practice for surgical practices. We find the underpaid out-of-network claims, fight the insurer through the full dispute, and stay your single point of contact from intake to recovery.
Two services, one job: get surgical practices paid what they're owed.
Out-of-network recovery is where the money is — and where most billing companies stop. It's where we start.
Out-of-network arbitration
We identify the underpaid out-of-network claims worth fighting, run the months-long dispute with the insurer, and carry each case through the federal arbitration process — with you informed at every step.
New to this? What is arbitration? →
Specialty medical billing
Full revenue cycle management built for plastic surgery, orthopedics, and podiatry — the highest-complexity specialties in billing, where a single misclassified code can cost tens of thousands.
The national arbitration shops weren't built for you. We were.
The big platforms chase high-volume emergency and radiology claims. We go deep on three surgical specialties where out-of-network recovery is strong — and the generalists don't bother.
Plastic & reconstructive surgery
Reconstructive claims, out-of-network surgeons at in-network facilities, and the cosmetic-versus-reconstructive line — recovered with clinical fluency.
Plastic surgery recovery →
Orthopedics
High-dollar surgical claims, sports medicine, and trauma — a high-volume specialty where out-of-network underpayment quietly adds up.
Orthopedic recovery →
Podiatry
Foot-and-ankle surgery and procedural care — a quietly high-out-of-network specialty the national shops overlook entirely.
Podiatry recovery →
Built for one job, by people who've been in the room.
An arbitration specialist
Not a billing company that dabbles in disputes. Recovering out-of-network money is the practice, not a side line.
Specialty surgical focus
Plastic surgery, orthopedics, podiatry. We know your codes, your audits, and the classification traps that sink generalist billers.
Clinically credentialed
Led by an operating-room insider. The person who knows the clinical context is the person who writes the appeal — continuity competitors can't replicate.
We fight what others won't
Most underpaid out-of-network claims are never challenged. We pursue the recoverable money other firms write off as too much trouble.
Boutique by design
Deliberately small, deliberately specialist, deliberately high-touch. You get principals on your account, not a ticket number.
One point of contact
We own roughly 80% of the recovery work and manage every case end to end, bringing in our specialist arbitration partner only for the formal filing.
Find it. Fight it. Recover it.
Out-of-network claims get underpaid quietly. Here's how we turn the ones worth pursuing into recovered revenue.
Find the claims
We review your out-of-network claims and flag the ones the data says are underpaid and worth disputing — the money already sitting on your books.
Fight the insurer
We become your liaison and run the negotiation cycle — often months — pushing the insurer and tracking every case to a number, not a shrug.
Recover what's owed
When a claim qualifies for formal arbitration, our specialist partner handles the filing. You deal with one team, start to finish.
When these claims get fought, providers win.
Figures reflect the arbitration practice and industry-wide federal data. Outcomes vary by claim and are not a guarantee of individual recovery.
Surgeons trust other surgeons. Practice managers trust other practice managers.
A single referral from a respected practice is worth more than any ad. As Divitiae's recovery results compound, named client proof will live here.