Expected reimbursement per claim
What the contract should have paid, generated for every line, next to what was actually paid.
Rate Intelligence rebuilds what each payer actually paid from your remits, ranks every gap by what it is worth in a year, and turns the top of that list into assigned work.
Your practice management system has no allowable on file. So a fee schedule cut runs for a year before anyone counts it.
The KPI your finance team already runs on, computed from posted remits instead of cash. Scored per payer, market and plan product, matched to your own clinician mix.
See the parity matrix →A reduction lands on the first of a month and nothing in your practice management system fires. We confirm the step from posted remits and route it to an owner.
See the alert feed →Rate asks, appeals on claims paid below contract and held claims in one queue, ranked by annual dollars and tracked to a close.
See the worklist →Six dollars on an E&M code reads as noise. Priced at your billing volume and scaled across the markets you have not analyzed yet, it is the business case.
See opportunity modeling →Load the proposed schedule and get the impact and the variance against twelve months of real volume. Standing, not an ad hoc consulting engagement.
See proposal modeling →The questions that used to take a week of exports, answered with the charge lines attached.
What the contract should have paid, generated for every line, next to what was actually paid.
Your headline KPI computed from remits rather than cash, by payer, market and plan product.
A confirmed reduction arrives with its effective date, the remits behind it and the annual exposure.
Lines paid off the contracted rate, both directions, queued as an appeal with the claims attached.
Price a point lift across a payer set and scale it to the markets you have not analyzed yet.
Load the proposed schedule and get the impact and variance against twelve months of real volume.
Renewal dates and notice windows per contract, with reminders that reach the owner in time.
Owners, dates and status on every ask, with what was secured at renewal and recovered on appeal.
Every figure opens to the charges behind it and exports as a CSV finance can tie out.
SOC 2 Type II, single sign-on, granular permissions and a full audit log. The connection is read-only and patient names are never read.
See how it works →Payer payment plus the cost share transferred to the patient, on charge lines that fully resolved. Medians, never means.
Twelve contracts scored, the codes carrying the gap, and the three asks worth taking into a renewal.
Which findings are an appeal, and which are a renewal conversation. Getting it backwards ends a payer meeting early.
The first scorecard lands two weeks after connection, with the worklist already ranked and priced.