Recover Insurance Revenue You've Already Written Off
RVNU EMS helps U.S. ambulance providers recover six-figure insurance underpayments on closed, written-off claims — without changing billing systems or billing patients.
✔ Claims as old as 6 years
✔ Contingency-only (no upfront cost)
✔ We work after billing is exhausted
Who We Work With
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Ground ambulance providers in the United States
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Typically $2M+ in annual revenue
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Commercial / ERISA payer exposure
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In-house billing teams or third-party billing vendors
Not sure if you qualify? We’ll tell you honestly during benchmarking.
Most EMS Agencies Are Underpaid — and Don’t Know It
Insurance companies routinely short-pay non-contracted ambulance claims under the guise of “usual and customary” rates.
Once appeals are denied, these balances are written off and forgotten — even when the money is still legally recoverable.
Billing teams don’t have the tools, time, or authority to pursue these claims further.
That’s where RVNU comes in.
A Different Kind of EMS Billing Company
RVNU is a full-service EMS billing company — but we’re built for the revenue most billing companies never touch. Traditional billing focuses on submitting claims, working standard appeals, and managing AR inside the billing system. Once claims are denied, short-paid, or written off, the process usually stops. RVNU was designed for what comes next. We go beyond standard billing workflows to pursue insurance carriers after claims are written off, using advanced follow-up, pre-legal, and legal strategies to recover underpaid revenue — without billing patients.
When insurance stops paying and billing has nowhere left to go, RVNU steps in.
Real Results for EMS Providers
Examples of Where EMS Billing Breaks Down
These are common situations we encounter when reviewing ambulance claims — points where standard billing workflows run out of options, even though recoverable revenue may still exist.
Northeast 911 ambulance provider
Commercial claims were being closed after appeal denials and written off as uncollectible. RVNU identified underpayments on those closed claims and began pursuing recovery beyond the traditional billing process.
Private multi-location EMS operator
Claims were frequently short-paid, with no remaining workflow once insurers issued final payments. RVNU applied post–write-off insurance recovery strategies to balances that billing teams were no longer working.
Fast-growing ambulance service
A recurring payer behavior was causing systematic underpayment across a subset of claims. RVNU surfaced the pattern and helped change how those claims were pursued going forward, resulting in improved payment consistency.
Start With a Free Underpayment Benchmarking Review.
Before discussing services, we run a no-cost benchmarking review to determine whether underpayment recovery even makes sense for your agency.
What it includes
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HIPAA-compliant data review
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Identification of underpaid / short-paid claims
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Opportunity sizing by payer
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Honest recommendation (even if the answer is “no”)
More Ways We Help EMS Agencies Capture Revenue
Found Money – Underpayment Recovery
Recover insurance short-payments on written-off claims
Claims At Risk – Insurance Follow-Up
Prevent claims from falling off after 60–90 days
SwiftPay – Patient Bad Debt Reduction
Early-out patient engagement and insurance discovery
Billing & RCM
Full-service or supplemental billing support
HOW IT WORKS
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Intro call + free benchmarking
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Findings review + opportunity discussion
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Contingency engagement (if it makes sense)
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RVNU pursues recovery; you get paid
EMS Agencies We’ve Worked With
A sample of ambulance services we’ve supported through billing, insurance follow-up, and revenue recovery engagements.
Founded by an EMS Revenue Cycle Veteran
RVNU EMS was founded by Isaac Sobel, who spent nearly a decade overseeing billing and revenue cycle operations for large commercial ambulance providers. After seeing how often EMS agencies were underpaid — even after billing and appeals were exhausted — Isaac built RVNU to help providers recover revenue that traditional workflows leave behind.
RVNU works alongside in-house teams and billing vendors to pursue insurance recovery beyond standard billing limits.