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We file only when the expected award beats the federal fees
We batch similar claims into one dispute where the rules allow and set each offer from your own payer history.
About Rivius
Built to do the work small practices can’t staff.
The problem, in short: underpaid claims, awards that go unpaid, and small practices that are left out.
How we work
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You see every claim
A live view of your out-of-network money, plus a weekly email with what changed.
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No lock-in
Month to month, cancel any time. We finish disputes already filed and charge only on those.
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US data
Stored encrypted in US data centres, with a HIPAA business associate agreement with our cloud provider.
A note from Rivius
Out-of-network practices win most federal disputes, yet many awards are paid late or not at all. Many small practices never file, because it isn’t worth a staff member’s week. We built Rivius to do that work for a share of what actually arrives, with no lock-in to escape.
If you have a question, email us at support@riviushealth.com. We answer within one business day.
Rivius is an out-of-network recovery service. We work the federal No Surprises Act dispute process from end to end: open-negotiation notices, filings in independent dispute resolution, the chase after an award, and appeals on denied claims. Insurers pay the practice directly, and we invoice 12% of the extra amount that arrives.
It is built for independent practices that bill out of network and have nobody to spare for this work — surgical practices, ambulatory surgery centres and neuromonitoring groups above all. Your biller keeps billing and nothing is re-enrolled. There is no lock-in: the arrangement is month to month.
The work itself: we read your remittances, weigh each claim against the federal fees and file only where the expected award beats them, batching similar claims into one dispute where the rules allow. We follow every award until it is paid or escalated, and we appeal denials. You see all of it in one view, with a weekly email of what changed.
Questions first? Email us.
Email support@riviushealth.com. We answer within one business day.