Bill-BackFor ambulatory surgery centers
Every implant you buy should be on a claim.
Bill-Back matches the supply notes from every case to the implants on your vendor invoices, prices each one at your contracted rate, and turns any implant that was missed into a payer-ready Recoup Packet.
Free to audit — $0 upfront, only a 15% fee on confirmed recoveries.
Nurse supply note
SUT-ANCH 4.5 BIO
Invoice line
The gap
Confirming every invoiced implant made it onto a claim is nobody’s job.
Materials confirms the invoice. Billing confirms the claim.
Nobody confirms they match.
Materials & AP
Confirms the implant arrived and pays the invoice. The job ends there — nothing checks that the payer was ever billed for it.
Your billing team or RCM partner
Codes and submits from the charge sheet, then works the payer's response. They're judged on how fast claims get resolved — not on whether every purchased implant made it onto one. The vendor invoice never enters the picture.
How the miss actually happens
A nurse notes the implant in free text during surgery. The vendor invoices it weeks later under its own catalog number. The two never get compared side by side — so the charge gets coded from memory, or missed entirely.
Case record, day of surgery
SUT-ANCH 4.5 BIO
Vendor invoice, weeks later
AR-1934BC
Every nurse phrases it differently, every case, every month — there’s no volume of manual review that keeps up.
Bill-Back reads your vendor invoices against your case log — every month, nothing to pay upfront.
How the free audit works
- 1
You upload the files — we'll walk you through it.
Monthly case log CSV from your PMS and vendor invoice PDFs (Stryker, Arthrex, and others). Structured patient identifiers are stripped in your browser before anything uploads. You control the upload; we guide you through it step by step.
case_log.csvinvoices.pdf - 2
Matches surface automatically — you clear what's already billed.
Nurse supply notes are matched to vendor catalog SKUs and priced at your contracted rate the moment you upload. One tap clears anything already on a claim. Everything left never reached one — that's what gets recovered.
SUT-ANCH 4.5 BIO99.1%AR-1934BCAlready billedAR-2077XLTo recover - 3
We build you your Recoup Packets, your biller submits, you get paid.
Each packet is payer-ready — matched invoice line, contract math, appeal letter. This is revenue you already earned; we just find it and hand your team what they need to collect it. We take 15% only when the payer pays.
Recoup_Packet.pdf
- Matched invoice line
- Contract math
- Appeal letter
Recovered$47,838
Free to audit — the fee is 15% of confirmed recoveries only.
See what your center could be recovering
How many implant cases does your center run per month?
Implant cases per month
Your estimated net recovery
$112K–$289K
Based on ~11–14 missed claims/month at $1,500–$3,000 each, assuming 70% of those claims get paid.
15% fee on what we recover.Nothing if we find nothing.
Get your free implant auditTalk to us
Start your free audit
We’ll get you set up and walk you through uploading your files, step by step — no cost, no commitment.
We’ll reach out within one business day to schedule.
Frequently asked questions
What exactly does Bill-Back do?
It matches the supply notes from every case in your PMS export against the implants on your vendor invoices, and prices each match at your contracted rate. One tap clears anything your biller already put on a claim; for everything left, it generates a payer-ready packet your biller submits to the commercial payer.
Does this replace our billing team or RCM company?
No. RCM firms are measured on denial rates and days in AR — metrics that both start from a claim that already exists, and can't see an implant that never reached one. Bill-Back works the other side of that seam and hands your existing team ready-to-submit packets.
What does it cost?
Nothing upfront and no subscription. Bill-Back takes a flat 15% fee on recoveries only after the payer's payment is confirmed. If the audit finds nothing, you owe nothing.
Is patient data safe?
Yes. Two layers. First, minimization: structured patient identifiers — names, SSNs, full dates of birth, MRNs — are stripped in your browser before a file ever uploads, so they are never transmitted. Second, protection for what remains: clinical free text can still carry an incidental identifier, so everything we receive is treated as PHI and handled under a signed BAA — encrypted at rest, isolated so one center's data is never reachable from another, and every access logged to an audit trail.
Which payers does this work with?
Bill-Back works with commercial payers, including PPO, HMO, and Tricare, with work comp handled through review. Medicare, Medicare Advantage, and Medicaid aren't part of the audit, since CMS already bundles implant costs into the procedure payment — there's nothing separate to recover there.
What do we have to do each month?
Upload two files you already have: the case log export from your PMS and your vendor invoice PDFs. Under three minutes.
Which implant vendors are supported?
Stryker and Arthrex invoices are parsed automatically today. Other major vendors — Zimmer Biomet, DePuy Synthes, and more — are still fully supported through manual review while automated coverage expands, so you're never blocked waiting on a vendor to be added.
How accurate is the matching?
Every match carries a confidence score. Anything below 98% confidence goes to a human review queue — the engine never guesses, and every confirmed match is remembered so your review queue shrinks each month.
Find out what never made it onto a claim.
Free to audit — if it finds nothing, you owe nothing.
Get your free implant audit