Out-of-network recovery for plastic surgery practices.
Few specialties leave more on the table. Reconstructive claims get underpaid, the cosmetic-versus-reconstructive line scares off generalist billers, and covered work gets accepted at the insurer's first offer. That's recoverable money — and it's exactly what we recover.
What we recover for plastic surgery practices.
The recoverable claims are usually the reconstructive ones — the work insurers are supposed to cover and routinely underpay.
Underpaid reconstructive claims
Breast reconstruction, skin-cancer and Mohs reconstruction, hand and trauma repair — covered procedures paid below what they're worth.
OON surgeons at in-network facilities
When you operate out-of-network at an in-network hospital or surgery center, those claims often qualify for the dispute process.
Emergency & post-trauma reconstruction
Emergency reconstructive work carries some of the strongest eligibility and the highest recovery upside.
In-network referrals to an OON surgeon
When an in-network physician refers a patient to you out-of-network, that's a recognized surprise-bill trigger — especially under New York law.
The cosmetic-versus-reconstructive line, sorted.
Elective cosmetic work generally isn't a surprise bill, and we won't pretend it is. But reconstructive procedures, out-of-network care at in-network facilities, referrals, and emergencies often are recoverable — federally or under state law. We tell you exactly which of your claims qualify, and we don't chase the ones that don't.
Federal and state
We pursue recovery through the federal No Surprises Act and applicable state programs — including New York's mandatory dispute resolution and Florida's provider–health plan program.
Defensible, not aggressive
We build claims that hold up. In a category drawing scrutiny for overreach, "defensible" protects your practice as much as it recovers money.
Clinical fluency is the difference.
We've been at the table
Our practice is led by an operating-room insider with three decades in plastic and reconstructive surgery. The classification call and the winning appeal draw on the same lived knowledge.
One team, start to finish
You're not a ticket in a queue. We run the recovery end to end and stay your single point of contact — with a specialist partner for the formal filing.
The numbers favor providers who fight.
Industry-wide and practice-level figures shown as context. Eligibility and outcomes vary by claim; this is not a guarantee of recovery.