Your contracts hold the answers.
Replay every claim against them.
Traditional audits sample a fraction of claims and miss systematic errors. Replay historical claims against your contract logic. Surface every underpayment. Explain every denial. Full traceability to the clause.
Systematic errors hide in plain sight.
Payment errors repeat across hundreds of claims because they follow contract logic that was loaded wrong or never updated. Sampling catches a fraction. Full verification catches the pattern.
Rate escalator drift
Contract says 3% increase effective Jan 1. Payer system still on prior-year rates through June. Every matching claim underpaid for months.
Stale rate schedule
January renegotiation with new network discounts. TPA still adjudicating on old rates through Q1. Variance compounds across thousands of claims.
Attribution gap
Mid-year TIN change excluded active patients from panel. Settlement calculated on reduced attribution, reducing shared savings by hundreds of thousands.
These aren't one-off mistakes. They're patterns that repeat until someone checks.
From contracts to verified claims.
Your contracts become executable logic. Every historical claim runs through it. Underpayments, denials, and errors surface with the clause that explains them.
What the contract logic reveals.
Underpayments, wrongful denials, and systematic errors. Each one repeats silently until the underlying logic is checked.
Relative frequency from historical audits. Actual findings vary by contract type and payer.
Every finding traces back to the contract.
No black boxes. Each underpayment shows the clause and the math. Each denial shows whether the contract says it should have been paid.
"Reimbursement rates shall increase by 3% annually, effective January 1 of each contract year, applied to the then-current fee schedule."
This pattern repeated across 847 CPT codes for this contract
Total recovery: $412,000
The right moment for an audit.
Most teams start with a historical review at a natural inflection point.
Contract renewal
Enter negotiations with documented errors and concrete recovery data, not estimates.
Settlement disputes
Build a case with claim-level evidence and contract references before the dispute window closes.
Vendor validation
Verify your TPA or administrator is following your contract terms, not their interpretation of them.
Two files. Two weeks. Real answers.
No integrations. No system access. See every underpayment, every wrongful denial, and the contract evidence behind each one.
Start with one contract. See real findings in weeks, not months.
See how this applies to you