Asked, answered.
What is a realization rate?
The percentage of billed charges you actually collected on cases that resolved. Total collected ÷ total billed, closed cases only, trailing 24 months. It's the one number that describes what your lien book really does.
Why is mine so low?
Because of where you sit in the settlement waterfall. Attorney fees, case costs, and Medicare's conditional payment right come out first; the remaining liens are then negotiated so the client nets something. A rate near 47% isn't a billing failure — it's the structural result of being fourth in line. The by-firm table shows where yours can actually improve.
Is this a loan?
No. This is analytics software. We compute numbers from data you provide. We don't lend, advance, or extend credit of any kind.
Do you buy my receivables?
No. We are not the purchaser of anything. Our full disclosure states what we are and are not, plainly. Read it →
Who sees my data?
Your practice's users, and our systems for computing your reports. We execute a Business Associate Agreement before you upload anything, we don't sell data, and nothing identifying your practice is shared with anyone without your explicit consent. Benchmarks use aggregates only, suppressed below a sample of ten.
Is this HIPAA compliant?
Case data is treated as PHI: encrypted in transit and at rest, access-logged, BAA executed before upload. The HIPAA page covers retention, deletion, and breach notification. Read it →
What states do you operate in?
37 states and DC. The full list — and the states where we don't operate — is published. If your state isn't available, onboarding tells you before you upload a single row. Where we operate →
How are you paid?
A subscription, by you. We are not compensated by any purchaser, funder, or third party for your analytics. It's on its own page because you were going to ask. How we're paid →
What if I don't have clean closed-case data?
Almost nobody does. The upload mapper takes your export as-is, matches your columns to ours, and shows you exactly what it read before anything is computed. Under 30 closed cases, we'll tell you the rate is directional rather than pretending it's precise.
Can my biller or billing company use this?
Yes — practices add their billing manager or RCM vendor as a user. The by-firm table tends to be the screen they live in.