Independent claims review · Behavioral health practices

Find the insurance claims that silently died.

From your own export. A BAA is signed before you send anything.

$500 flat
BAA before any data
7 business days
Never a % of collections

Your EHR says the claim was submitted. But “submitted” only means it left the building. Therapists on SimplePractice, TherapyNotes, and Tebra have publicly reported what happens next.

Multiple claims were never received by the payer, resulting in over $2,000 in lost reimbursements … claims marked as successfully sent when they had not been properly transmitted.

Therapist, TherapyNotes review, March 2026 · Capterra

Their clearing house stops claims and never notifies you so the problem can be resolved.

Owner / Administrator, Tebra review · Capterra

Nobody at the practice has time to log into payer portals and check claims one by one. So the silent ones sit — until timely filing runs out and the money becomes unrecoverable.

What you get — within 7 business days of receiving your export

Every claim your system marked “submitted” in the last 90 days independently status-checked at the payer — the same X12 276/277 status rails clearinghouses use.
A silent-claims list: submitted-but-never-arrived, stuck-with-no-response, denied-without-your-system-knowing — each with dollars at stake and days left to the timely-filing deadline.
A one-page action report you or your biller can work the same week — resubmit these, call about those, write off nothing yet.
A per-payer “silence pattern” note: which of your payers go quiet most often.

What this is not

I don’t call payers, don’t fix or resubmit claims, and don’t take over your billing. Your biller stays. This is a flat fee, never a percentage of collections — detection and evidence only.

PHI handling, stated plainly

A BAA is signed before you export anything.
Processing on US-hosted infrastructure.
Minimum-necessary fields only — you can strip patient names. Claim IDs, payers, dates, and amounts carry most of the review.
Your data is deleted after delivery on request.

Founding-client terms — the honest version

Dmitrii Zusmanovich

Software engineer and architect · Haifa, Israel · LinkedIn · dmitrii.app

I’ve spent 15+ years building backend systems across fintech, healthcare, and enterprise. I started in core banking and financial reporting, and much of my work since has been making records from different systems agree with each other.

An earlier platform I built as its founding developer — secure document and email collaboration, handling confidential business records — is still in production 18 years later, at 300+ companies. Careful handling of other people’s sensitive data is not a new requirement for me.

This review is a new service, and you’d be one of the first five practices. I do the work personally, you get direct access — and the fee is flat and one-time, a fraction of what a billing service takes from a single month’s collections. In exchange: blunt feedback, and a reference if the review earns it.

5 founding slots · $500 flat · BAA first · no subscription

Reserve a slot — $500

Prefer to ask something first? Email hello@silentclaims.com or book 15 minutes. Everything — including the whole review — can be done in writing.

Refund policy. Full refund any time before I receive your export, and a full refund if your report isn’t delivered within 7 business days of receiving it. Start-date basis: BAA and intake within 3 business days of payment, or cancel for a full refund. Payment is invoiced before work begins; nothing is charged automatically and there is no renewal.

This is an independent claims-status review. It is not medical billing, coding, or legal advice; it does not replace your biller or your clearinghouse, and it does not guarantee that any identified claim will be paid. Electronic status coverage varies by payer — coverage for your specific payer mix is disclosed at intake, and if too much of your volume can’t be checked, you get a refund rather than a thin report.

Questions people ask first

What exactly do I have to send?

A claims export from your suite — SimplePractice, TherapyNotes, and Tebra all produce one. Only after the BAA is countersigned. Patient names can be stripped first; claim ID, payer, service date, and billed amount carry the review.

What if some of my payers can’t be checked electronically?

That happens, and I tell you before I keep your money. Coverage is disclosed for your specific payer mix at intake — if too much of your volume is unreachable, I refund and say so rather than deliver a thin report.

Will this annoy my biller?

It shouldn’t: it does the one thing a biller has no time for, which is systematically re-checking claims the system already called done. The report works as a ready-made work list for your biller. I don’t contact payers or touch your claims.

Why 90 days?

It is long enough for silent failures to accumulate and short enough that most findings are still inside timely-filing windows — which is the difference between a recoverable claim and a write-off.

What if nothing is wrong?

Then you get a dated report saying your submission pipeline is clean, and you stop wondering. The price is the same, and that is a fair thing to know.

Who is actually doing the work?

I am, personally. That is the point of the founding-client terms. No offshore team.