UR Solutions

UR Solutions is a medical solutions firm based in Towson, Maryland, built to help hospitals and healthcare systems recover revenue that insurers and government payers owe them. Founded in 2011 in direct response to the surge of claims denials that followed the Affordable Care Act, the company assembles physicians, registered nurses, attorneys, and Medicaid specialists to fight denials and maximize reimbursement for their clients. The foundation of their work is denials management. Clinical and denial specialists investigate each denied claim, identify the precise reason it was rejected, and build the documentation needed to get the decision overturned. They also pursue emergency department underpayment recovery, a problem that affects roughly one in four hospital bills. When underpayments follow a pattern, the team moves to streamline the billing process and reduce future losses at the source. Medicaid appeals are handled by registered nurses with direct experience in Medicaid regulations and clinical record review. When a case requires escalation, the firm pursues third-level legal appeals with attorneys who are practiced at writing persuasive arguments to achieve maximum overturns. UR Solutions works with inpatient facilities, outpatient providers, emergency departments, physician practices, and larger healthcare systems. Their management team has held CEO, revenue cycle, and clinical leadership roles at large hospital systems, physician practices, and government agencies, giving them a ground-level understanding of the margin pressures their clients face and what a single denied claim actually costs over time. Beyond claim recovery, the firm offers actuarial and data analytics services. Using data mining and screening techniques, their analysts compile weekly performance reports with recommendations that help clients track key indicators and improve cash flow. The team carries over 35 years of combined experience across commercial insurance, managed care, and the public sector, supported by an integrated revenue cycle platform that underpins every stage of their process. As a healthcare BPO company operating across the United States, UR Solutions handles the back-office complexity of claims and appeals so providers can focus on patient care. Hospitals and health systems looking to outsource denials management, Medicaid appeals, or revenue cycle analytics are encouraged to contact UR Solutions directly to discuss their situation and explore what a recovery partnership would look like.