Recovering Unpaid Healthcare Claims with 835/837 Forensics
We uncover hidden collectible revenue using deep 835/837 forensic analysis, payer pattern detection, and legal-ready documentation.
Most providers have collectible revenue hidden in their payer data. We uncover it, document it, and help you recover it.
Book Your AR Blueprint Call
Unpaid money is hiding in your payer data. We find it.
Pelican Claims specializes in identifying collectible revenue stuck inside your payer systems. Our forensic analysis goes deeper than traditional billing teams or RCM vendors — because we analyze every layer of the data to uncover what's rightfully yours.
We focus on the gaps between what you submitted and what payers actually processed, revealing patterns that hide underpayments and collectible revenue.
Common Hidden Revenue Sources:
  • Zero-paid adjudications
  • Misclassified claims
  • "Member not found" errors
  • Unadjudicated claims in limbo
  • Claims stuck in "pending review"
  • Incorrectly processed claims
  • 837/835 file inconsistencies
  • Payer patterns hiding underpayments
How It Works
Our three-step process delivers a complete picture of your collectible revenue and a clear path to recovery.
01
835/837 Forensic Review (Root Cause Identification)
We run a comprehensive deep-dive analysis of your payer data files to identify collectible revenue and uncover hidden billing issues. Our forensic approach examines claim submissions against adjudication responses to spot discrepancies that traditional audits miss.
02
Payer Pattern Map (Adjudication & Denial Analysis)
We systematically flag adjudication errors, denials without proper reason codes, routing mistakes, and systemic payer behaviors. This pattern recognition reveals whether issues are isolated incidents or part of larger payment problems requiring strategic intervention.
03
Recovery Action Plan (Demand Letters, CRNs & Escalation Paths)
You receive a ready-to-execute roadmap with AR recovery opportunities, demand letter preparation, CRN packages when applicable, legal-ready documentation, recommended next steps, and clear escalation pathways for maximum recovery.
Why Providers Work With Us
Expert Analysis Built from Real Payer Disputes
Pelican Claims grew out of direct work supporting clinics and attorneys in complex insurance disputes - including supporting providers in successful dispute resolutions involving major national healthcare payers. We bring the same level of rigor and documentation to every provider we work with.
Not a Billing Audit — A Forensic Investigation
Traditional billing teams and RCM vendors are not designed to run forensic-level data investigations. We specialize in uncovering the collectible revenue buried inside payer systems — the money that slips through every standard revenue cycle process.
Fast. Precise. Actionable.
No fluff reports or vague recommendations. You get a clear, documented recovery plan with specific dollar amounts, claim identifiers, and actionable next steps you can implement immediately. Our deliverables are designed for both internal billing teams and legal escalation when needed.
Who We Help
We work with healthcare providers across specialties who are dealing with unpaid accounts receivable and need expert forensic analysis to identify collectible revenue.
Our Clients Include:
  • Specialty medical clinics
  • Multi-provider group practices
  • Urgent care centers
  • Independent physician practices
  • Internal billing departments
  • Legal teams representing providers
  • Out-of-network providers
  • Any practice with high unpaid AR
  • Providers preparing for payer disputes or litigation
If you submit claims — we help you recover what's missing.
The AR Blueprint
The Unpaid Claims Recovery Blueprint
A focused, 14-day diagnostic engagement
This comprehensive two-week analysis delivers everything you need to understand your collectible revenue and take immediate action on recovery.
Most clinics discover tens of thousands to hundreds of thousands of collectible revenue.
What's Included:
  • Complete 835/837 forensic review
  • Identification of collectible AR
  • Payer pattern analysis
  • Root-cause mapping
  • Underpayment and zero-pay detection
Deliverables:
  • Demand letter preparation
  • CRN package development
  • Case-ready documentation
  • Full recovery roadmap
  • Escalation strategy
This is the fastest way to know exactly how much money you're owed.
About Pelican Claims
More than a billing audit.
Pelican Claims helps healthcare providers recover revenue hidden inside payer data. We combine 835/837 forensics, regulatory knowledge, and legal-grade documentation methods to bridge the gap between billing operations and dispute resolution.
Our approach bridges the gap between traditional billing operations and legal-grade dispute preparation. We don't just find problems — we document them in ways that drive resolution, whether through payer appeals or legal escalation.
Based in Fort Lauderdale, Florida — working with providers nationwide.
Payer Analytics
Deep-dive forensic analysis of 835/837 files to uncover payment discrepancies and systemic issues.
Legal Documentation
Case-ready documentation methods that support both internal appeals and legal escalation paths.
Regulatory Understanding
Comprehensive knowledge of healthcare regulations, payer requirements, and compliance frameworks.
Real Dispute Experience
Proven track record supporting successful provider disputes against major national payers.
Ready to find out how much money your clinic is owed?
Most healthcare providers have collectible revenue hiding in their payer data. The only question is: how much?
Our AR Blueprint delivers a complete forensic analysis of your claims data, identifying exactly what you're owed and providing a clear recovery roadmap. In just 14 days, you'll have documentation-ready insights and actionable next steps.

No-Risk Diagnostic:
We’ll review your data and tell you — with absolute clarity — whether forensic AR analysis will produce meaningful results for your clinic.
Pelican Claims
Recovering unpaid healthcare claims with payer data forensics.
Fort Lauderdale, Florida
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