How to recover a TC/26 Professional-Technical Split Paid Wrong underpayment

Why it happens

• The technical or professional component was paid while the other was dropped
• A global service was paid at only the TC or 26 value instead of the full amount
• The modifier (TC or 26) didn't match what the practice actually performed
• The two components were split at the wrong relative values

What recovers it

• Confirm which components you performed and that each billed part was paid
• Show the practice owns the technical component (equipment and staff) when TC was denied or dropped
• Verify the split values against the fee schedule for TC and 26
• Request repricing so both performed components are paid at their correct amounts

How do I recover a TC/26 Professional-Technical Split Paid Wrong underpayment?

A TC/26 underpayment is when a service that splits into a technical component (the equipment and staff) and a professional component (the physician's interpretation) is paid for only one part, or the split is valued wrong, so an in-office imaging or diagnostic service loses the component you performed and billed. To recover it: confirm which components you performed and that each billed part was paid; show the practice owns the technical component (equipment and staff) when TC was denied or dropped; verify the split values against the fee schedule for TC and 26; request repricing so both performed components are paid at their correct amounts. Because the claim already paid, the hard part is catching it, reconciling the allowed amount against what you were actually owed.

Is a TC/26 Professional-Technical Split Paid Wrong underpayment worth recovering?

For specialties running in-office imaging or diagnostics, the technical component is real revenue tied to equipment you own and staff you pay. When a split pays only one side, the missing component is recoverable once you show you performed it. A no-risk service makes it easy to find out, you only pay on what's actually recovered, so there's no cost to surfacing the ones that are real.

How does Volari find TC/26 Professional-Technical Split Paid Wrong underpayments?

Volari reconciles every remittance line's paid and allowed amounts against what your contract and the payer's own rules say you should have been paid, surfaces the tc/26 professional-technical split paid wrong shortfalls no one flagged, and works the recovery. You pay 25% only on what's recovered, and nothing if nothing comes back.