BAA signed first
In place before a single file moves.
FREE FIRST AUDIT
FROM APPOINTMENT TO MONEY · HIPAA COMPLIANT · BAA SIGNED
90% chance you lost thousands to downcoded CPT codes.
Downcoding is one leak of many. Your first audit is free — send one folder, find out which of them are yours, and then we build you a pipeline so none of it repeats.
From the appointment to the money in your bank, every stage tracked. Owners see exactly what the billing department is doing, in writing.
N. PetrovCLM-8911499214 99213 99214$142.00$118.40 −$23.60
O. BradyCLM-8915899215 99215 $198.00$142.00 −$56.00
C. RiosCLM-8920399204 99204 $186.50$186.50 —
H. LindqvistCLM-8927199396 99395 99396$214.00$171.20 −$42.80
M. TanakaCLM-8933499213 99213 $118.00$118.00 —
D. ColeCLM-8940299205 99204 99205$246.00$186.50 −$59.50
short on this page −$181.90one page of 4,182.
- First audit free
- HIPAA compliant
- BAA signed before you send anything
- No cut of what we find
What you receive
This is what lands in your inbox.
app.talliehealth.com
FM Family Medicine Group
Revenue reconciliation · Aug 2026 W4
Built from 1,247 files · 4 payers · read in 3m 41s
Total billed
$1.43M
3,904 claims
Collected
$1.25M
87.6% of billed
Identified
$96,412
264 claims
Never paid
$31,780
83 claims
Patient AR
$18,116
241 patients
Downcoded claims
PATIENT / CLAIMYOU BILLEDTHEY PAIDCONTRACTPAIDSHORT
Nadia PetrovCLM-89114 · UHC9921499213$142.00$118.40−$23.60
Owen BradyCLM-89158 · Aetna9921599214$198.00$142.00−$56.00
Camille RiosCLM-89203 · BCBS9920499203$186.50$131.20−$55.30
Darius ColeCLM-89402 · Aetna9920599204$246.00$186.50−$59.50
The level you billed against the level the payer actually paid
Worth chasing this week
Ranked by dollars, deadline and likelihood of recovery
Appeals expiring in 7 days
9 claims
$12,460
Deposits missing over 21 days
6 payments
$9,840
Downcoded, same CPT pattern
31 claims
$8,120
READS TODAY
Schedule & appointment exportsPDF EOBsExcel & CSV sheetsProvider productivity reportsScanned paper remitsCharge & payment sheetsBank deposit receipts835 remittance filesSchedule & appointment exportsPDF EOBsExcel & CSV sheetsProvider productivity reportsScanned paper remitsCharge & payment sheetsBank deposit receipts835 remittance files
Before / after
The same month's close, two ways.
A payments sheet was never the problem. A quarter of EOBs, scanned remits and four banks' deposits is where the month disappears — and nobody ages the schedule at all.
TASKBY HANDWITH TALLIE
Read 1,043 EOBs3–4 weeks2 min
Match deposits to payments2 days18 sec
Age every appointment requestnot done at allevery run
Find underpaymentsspot checks onlyevery claim
Prove the folder was fully readnot possibleaudit report
Compliance
Totally HIPAA compliant, from the first file.
PHI stays inside your own tenant. A signed BAA is in place before you send anything, the model only ever sees the fields under review, and every read is logged for the audit you will eventually have.
Read the security brief →Encrypted in transit and at rest
One isolated tenant per practice.
Minimum necessary
The model sees fields under review, never whole records.
Never used for training
Nothing retained outside your tenant.
Six-year audit trail
Every read and edit: who, when, what.
Role-based access
Patient detail hidden until revealed, and the reveal is logged.
What we find
Six ways the money quietly goes missing.
Between the appointment and the deposit there are a dozen places a claim can lose money. These are the ones we find most — and not one of them arrives as a denial.
Downcoding
The payer pays a lower-level code than the one you billed — a 99213 against your 99214 — and the claim comes back paid rather than denied, so nothing ever lands in the denial queue.
- “Which codes get downgraded most?”
- “Which payer does it most often?”
Paid under the allowed amount
The allowed amount comes back lower than the rate your contract sets for that code, modifier and date of service. Small on one claim, and it repeats on every single one.
- “Which claims paid below contract?”
- “What is the shortfall by payer?”
Claims that were never filed
The visit happened, the charge was captured, and the claim never went out. Nothing denies it, because nobody ever asked the payer for the money.
- “Which charges have no claim against them?”
- “How much is sitting unbilled?”
Filing windows that closed
Timely filing and appeal deadlines that expired while the claim sat in a folder. Once the window shuts, that money is gone for good.
- “What expires this week?”
- “What did we lose to the calendar last year?”
Denials nobody worked
Denial codes with no resubmission on record, aged against the window you have left to act. Nothing was refused — nobody answered.
- “Which denials were never appealed?”
- “Which codes are worth appealing?”
Money that never reached the bank
The EOB says the payer issued payment and no matching deposit ever landed. Or it landed, and nobody ever posted it to the account.
- “Which payments never hit the bank?”
- “What was paid but never posted?”
How it works
Four steps, and none of them are yours.
You send the folder. We do the rest — nothing to configure, nothing to install, no spreadsheet to maintain.
01 Send one folder
Under a signed BAA. Whatever you already export, however messy.
02 Free first audit
Back in a day: what you were owed, and what never arrived.
03 We build the pipeline
Mapped once, then read the same way every week without you.
04 Nothing gets missed
Appointment to deposit, every stage reconciled against the next.
After the first audit
Then it runs every week, without you.
The free audit tells you what you were already owed. The pipeline is what stops it building up again — same folder, same place, every week, and we do the reading.
- EVERY WEEK
Your folder lands
The same export, the same place. Forwarded, dropped or picked up.
- SAME DAY
Read and reconciled
Against itself and against last week. Nothing for you to set up again.
- NEXT MORNING
Dashboard updated
Same link, new numbers, with the movement since last week called out.
- AS THEY APPEAR
Deadlines flagged
Appeal and filing windows surface while there is still time to act.
Flagship use case · Revenue cycle
Due versus paid, on every claim.
Contract rate, payer decision, bank deposit — side by side on every claim, with a reason for every gap. This is the board practices ask for first.
Open the findings dashboard →$96,412
Paid below contract · 264 claims
$31,780
No matching deposit · 83 claims
$18,116
Assigned, not collected
42 days
Average wait for cash
For owners
You should know what is happening in your billing department.
Not to police anyone — because right now nobody can tell you, in-house or outsourced. Your own files already hold the answer: what was appealed, what expired, what was written off and what nobody chased.
Denials nobody appealed
Denial codes with no resubmission on record, aged against the filing window.
Deadlines that already passed
Timely filing and appeal windows that closed while the claim sat.
Write-offs taken without a fight
Balances adjusted off with no appeal and no payer decision behind them.
Claims never resubmitted
Billed once, rejected, and never sent back out.
Patient balances nobody chased
Past 90 days, assigned by the EOB, with no statement history against them.
Payments never posted
The payer paid and the bank received it, but nothing landed on the account.
$146K
average identified in a first audit
0%
of what we identify do we take — it all stays yours
99.4%
field-level agreement on the verification sample
6 yrs
audit trail retained for every read and edit
Pricing
We don't take a cut of the money we find. It's yours.
The first audit is free. After that it is a flat fee agreed before we start — while recovery vendors in this category charge 20–35% of everything they surface, taken out before it reaches your account. Find ninety-six thousand and you keep ninety-six thousand.
HOW IT IS USUALLY CHARGEDBASISON THIS RUN
Contingency recovery vendorDeducted before the money reaches your account20–35% of everything recovered−$24,103
Outsourced billing / RCMCharged on everything you collect, not just what was found4–10% of all collectionsevery month
Tallie HealthFirst audit free. We take no share of what we find, ever.Flat fee, agreed up front$0
Ranges from published 2026 medical-billing and recovery-vendor pricing guides.
Ask for anything
One folder. Every view you need.
Once your files are read and checked, another view is a request rather than a project. These are the questions practices ask us in the first week.
Which appointments have been waiting more than 6 days?
Which payer underpays us most often?
Flag insurance payments not in our bank.
Who is holding the referral backlog?
What is sitting in patient AR over 90 days?
Compare this month to last month.
Common questions
What providers ask us first.
Do you need access to our EHR or billing system?
No. We work from the files you already export — PDFs, Excel, CSVs, scans, schedule reports. Nothing gets installed and nothing connects to your systems.
Is this only for revenue cycle?
Revenue cycle is where most practices start because the money is easiest to count. The same engagement covers scheduling, provider-load, front-desk and referral dashboards from the exports you already have.
Do you take a percentage of what you find?
No. Recovery vendors in this category typically charge 20–35% of everything they surface, taken out before it reaches you, and outsourced billing runs 4–10% of all collections every month. Tallie is a flat fee agreed before we start: find ninety-six thousand dollars and you keep ninety-six thousand dollars.
What exactly is downcoding?
The payer pays a lower-level code than the one you billed — a 99213 where you billed a 99214, say — and the claim comes back as paid, not denied. Nothing lands in your denial queue, the remittance balances, and the shortfall is only visible if someone compares the code you billed to the code they paid on every line.
Will this put my billing team on trial?
No. The audit reports outcomes, not people — which claims were appealed, which deadlines passed, which balances went unchased. Most billing teams end up asking for it, because it tells them what to work on Monday instead of guessing. The owner sees the same view at the same time.
Is our patient data used to train a model?
Never. Model access runs inside a BAA-covered deployment, calls carry only the fields under review, and nothing is retained outside your tenant.
How do we know every document was actually read?
Each run produces an audit report: file counts, page counts, line-item sums against payment totals, and record numbers cross-matched to the source export. If it doesn't reconcile, nothing posts.
What if a payer or a report format changes?
We handle it. A new layout is added on our side from a sample document, and your dashboard picks up the new fields. Nothing changes on your end.
What does the first audit cost?
Nothing. Send one folder and we run it free — you see what you were owed and what never arrived before you have paid us anything. If you want the pipeline built after that, it is a flat fee agreed up front.
How long does the audit take?
One business day for most folders, including a twelve-month lookback. If your remits include payer forms or scan quality we have not handled before it can take a few days longer — and we tell you which it is before you send anything.
Is there any software for us to learn?
None. You send a folder and a dashboard comes back, with a link you can share with whoever needs it. Nothing to install, nothing to configure, no seats to manage.
Bring one folder. The first audit is free, and it comes back in a day.
Your own files, in a private sandbox under a signed BAA. You see what you were owed before you have paid us anything.