Imaging claims at volume. Every clock kept for you.
Radiologists read studies for patients they never meet. Out-of-network reads at in-network facilities fall under the No Surprises Act, and the claims add up fast.
Built for radiologyBatches of up to 50 items
The codes the engine reads first.
Under the 2026 operations rule, radiology items within the same Category I CPT code section can be batched together, up to 50 items.
- 70010 to 76499Diagnostic radiology: X-ray, CT, MRI
- 76506 to 76999Diagnostic ultrasound
- 78012 to 79999Nuclear medicine
- Modifier 26Professional component, billed separately from the technical fee
How your claims reach a decision.
Step 1: Reads at in-network sites
Professional reads at an in-network hospital or imaging center are covered when the radiology group is out of network.
Step 2: Many payers, one engine
Many payers, plan types and state rules. The engine routes each claim and cites why.
Step 3: Small claims, worth filing
Small claims become worth filing when the cost per dispute is low and batches are built well.
One claim, priced both ways.
Paid in full, the two fees are close. If the payer never pays, Revise costs you nothing.
Our fee if the payer never pays this award. An award-based fee of $42 stays due either way.
| Line | Amount |
|---|---|
| Billed charge | $900 |
| Initial payment (taken as the QPA) | $140 |
| Award at 2.5x the QPA | $350 |
| Added cash, if the payer pays in full | $210 |
| Award-based vendor, 20% of the uplift, due paid or not | $42 |
| Revise, 19% of cash collected | $40 |
| You keep with Revise, on this one claim | +$2 |
Illustrative. Assumes the award is paid in full. Fronted admin and IDRE fees not shown.
What breaks today. What changes with Revise.
Today
- Long tails of modest claims across dozens of payers.
- Claims too small for a case manager that still add up to real money.
- Awards that sit unpaid because nobody runs the 30-day clock.
With Revise
- Federal or state routing per claim, with a cited rationale.
- A cost per dispute low enough to make small claims worth filing.
- Payment tracking, demand letters and complaints on a schedule, all logged.
One fee. Only on cash collected.
Our fee: 19% of cash collected. Nothing if we collect nothing.
Free claims audit to start- 01
We front every fee
CMS and IDRE fees are paid by Revise and recouped from the award. You fund no operating account.
- 02
Paid when you’re paid
Billed monthly on reconciled remits. If the payer doesn’t pay, neither do you.
- 03
No lock-in
90 days, then month-to-month with 30 days’ notice. No exclusivity.
Do you dispute technical-component claims?
Only when the radiology group bills them and the service is covered. Most groups we talk to dispute the professional component; facilities dispute their own technical fees.
How large can a batch be?
Up to 50 items under the 2026 rule, grouped by payer and by CPT section. The engine fills batches to the cap where the items qualify.
Do you work teleradiology claims?
Yes. What matters is the facility where the patient was seen and the patient’s plan, not where the radiologist sat.
Send us one month of remits.
We’ll show you what you left on the table.
Seven business days. No cost. A line-by-line report of eligible claims you didn’t file, QPAs that don’t add up, and awards you were never paid.
Sources
- 1McGough, Kurani and Long, "The performance of the federal independent dispute resolution process through mid-2024," Peterson-KFF Health System Tracker, May 29, 2025. Providers prevailed in 68% of disputes in Q1 2023 and 85% in Q1 2024; 80% across 2023 to mid-2024. Source
- 8CMS, Federal IDR supplemental background, July to December 2024: 853,374 disputes initiated; the top ten initiating parties filed about 71% of them. Source