Live · 5 modules · 6 deployments across the Practice OS family
The insurance revenue cycle,
completed.
One operating system. Five integrated modules. Every dollar a practice should be paid — predicted, protected, fought for, recovered, renegotiated.
$262B
Annual claims denied (KFF / CAQH 2024)
70%
Denials reversible on first appeal
65%
Denied claims never appealed
$580K–$1.2M
Annual lift per practice
Five modules. One engine.
The complete revenue cycle, under one roof.
01
Rate Intelligence
Predicts the contracted rate before the claim is sent.
02
Scrubber
Catches denials before the claim leaves the building.
03
Appeals
Generates legal-grade appeal letters in five minutes.
04
Recovery
Auto-flags every paid claim that came in below contract.
05
Renegotiation
Surfaces leverage for the next contract renewal.
One claim, end to end
Watch a single CPT 97110 walk the entire pipeline.
Day -1
Rate Intelligence
CPT 97110 · Anthem CA
Market p50
$94.20
Expected revenue
$2.4M / yr
T - 200ms
Scrubber
Pre-submission scan
NCCI bundlingPASS
Modifier 25PASS
LCD frequencyPASS
POS codePASS
Day +21
Appeals
CO-97 denial returned
Letter generated
5m 04s
Cost
$0.20
Day +32
Recovery
Underpayment swept
Paid amount
$67.40
Recovered
+$26.80
Q4
Renegotiation
Anthem CA renewal
Memo lift
9.2%
Year-2 gain
$216K
Math at scale
$580K to $1.2M of annual revenue, recovered per practice.
A 10-provider PT practice processing $2.4M in expected revenue. Every module compounds the next.
Rate Intelligence — expected revenue baseline
$2.4M
Scrubber — A/R protected from denial
+$300K–$500K
Appeals — 70% appeal-win rate at 60-80% overturn
+$200K–$400K
Recovery — underpayments hidden in paid claims
+$187K
Renegotiation — 9% lift on next contract renewal
+$216K
Total annual lift vs status quo
$580K–$1.2M
Founding why
"I built TwinFlame because the platforms I knew should exist — for the people I knew personally — were never going to come from anyone else."
— David Hitchman, founder · Twin Flame Group
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Start with the operating system, not a sales call.
Create your Practice OS account in under a minute. Five integrated modules, one operating system, every dollar your practice should be paid — predicted, protected, fought for, recovered, renegotiated.
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