From contract parsing to payer strategy
Turn complex payer contracts into actionable intelligence. Automatically extract rates, identify underpayments, and optimize your managed care strategy with AI-powered contract analysis.
Choose the model that fits your organization — self-service SaaS or fully managed service.
Multi-year analysis of specific payers grades each contract, highlighting positives and negatives. Analyze trends in payer behavior to address issues proactively.
Identifies underpaid claims with potential for recapturable revenue. Alerts for mis-adjudicated claims help you catch underpayments in real-time.
Appeal automation to recapture revenue on underpaid claims. One-click submission with auto-generated letters and contract documentation attached.
Upload any payer contract and our AI extracts key terms, rates, carve-outs, and escalation clauses automatically. No more manual spreadsheet entry.
Automatically detect and categorize rate methodologies across your contract portfolio. Understand exactly how each payer calculates reimbursement.
Auto-generate expected reimbursement by CPT, DRG, and HCPCS code. Know exactly what each payer should pay before the claim is even submitted.
Compare ERA payments to contracted rates at the line item level. Automatically identify underpayments and quantify recovery opportunity.
Track reimbursement performance by payer, service line, and provider. Understand which contracts are performing and which need attention.
Data-driven insights for contract renegotiation and payer mix optimization. Know your leverage and negotiate from a position of strength.
Get visibility into contract performance across your entire payer portfolio. Identify revenue leakage and prioritize high-impact recovery opportunities.
Negotiate better contracts with data-driven insights. Understand exactly how rate changes will impact revenue before you sign.
Stop guessing whether payments are correct. Automatically validate every payment against contracted rates and recover what you're owed.
See how much revenue you're leaving on the table with a Contract Intelligence assessment.
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