Pricing built like the math works.
One recovered $3,000 denial pays for 15 months of Practice tier. We're so confident this works we'll take a cut when it does — and nothing when it doesn't.
Free
See what a Denial OS letter looks like before you commit.
- 1 appeal letter / month
- Manual EOB paste
- Download as PDF
- No fax submission
- No dashboard
Starter
Solo providers. 1–10 denials a month.
- 5 appeal letters / month
- Fax submission via Phaxio
- 5 launch payer playbooks
- Deadline tracking + email reminders
- Outcome tracking (manual)
- 1 NPI
Practice
Multi-provider practices. 10–30 denials/month.
- Unlimited letters
- Fax + payer-portal submission
- All 10 launch payer playbooks
- Second-level appeals
- CA insurance commissioner escalation
- PMS integration (1 — WebPT or TherapyNotes)
- Success-fee opt-in on claims > $5K
- Up to 3 NPIs
Enterprise
Groups, billing companies, RCM teams.
- Unlimited NPIs + locations
- White-label option
- Priority playbook builds (5 business days)
- Dedicated outcome analyst (claims > $10K)
- Medicare Advantage OMHA module
- Quarterly denial audit
- Success-fee opt-in on claims > $2K
Annual prepay: 2 months free (16.7% off). All plans HIPAA-aligned with BAA available.
We don't get paid unless you do.
On Practice and Enterprise plans, you can opt into a success fee instead of using your monthly credits. We charge 20% of the recovered amount — only when the appeal is won and the claim is paid. If we lose, you pay nothing.
Why it works: the marginal cost of an additional letter is roughly nine cents in API fees. 20% of a $6,000 recovery is $1,200. The math runs in everyone's favor.
Zero risk on the appeal
If the payer denies the appeal too, you pay nothing. Not a credit, not a fee. Nothing. We eat the API cost.
Aligned incentives
We only get paid when you do. That keeps us writing letters that win — not letters that fill quota.
Built for your big denials
Available on Practice (claims > $5K) and Enterprise (claims > $2K). The ones where 20% of recovery is still cheaper than walking away.
White-label Denial OS for every practice you manage.
Custom domain. Your brand on every letter. Admin dashboard across all practice accounts. Consolidated billing. Optional 5% revenue share on success-fee wins.
Manage 50 practices? That's $5,749/mo base — plus your share on every recovered claim. Most billing companies recoup that in a single won appeal in week one.
First three billing-company partners get 90 days free, then convert to paid. Bring your client list.
One operator manages every appeal across every client. Cross-practice analytics built in.
On success-fee wins for clients you brought in — paid quarterly via the same Stripe rails.
Pricing questions, answered.
How does the success fee work?
On Practice and Enterprise plans, you can opt into a success fee on any qualifying denial instead of using monthly credits. We charge 20% of the recovered amount — only when the appeal wins and the claim gets paid. If the appeal fails, you pay nothing. Available on claims over $5,000 (Practice) or $2,000 (Enterprise). Capped at $2,500 per claim.
Is there an annual discount?
Yes — annual prepay gets you two months free (effectively 16.7% off). Enterprise customers can negotiate further on multi-year commitments. We do not run flash sales or limited-time pricing; the annual discount is permanent.
I'm a billing company managing multiple practices. How does pricing work?
$799/month base + $99/month per practice under management. White-label option included — custom domain, your brand on every letter, admin dashboard across all clients, consolidated billing. First three billing-company partners get a free 90-day pilot. Optional 5% revenue share on success-fee wins for clients you bring in. Email david@twinflamegroup.com to set up.
You brought a denial.
You're leaving with a letter.
Free to start. No card required. One letter to see how it feels when the insurance company gets one of these in the fax tray.