For hospitals and multispecialty groups

Your contracts are the rules.
We make them enforceable.

Your payer contracts become executable logic. Know how a claim will process before you submit it. See exactly why it was denied. Verify every payment against the contract. One source of truth for your revenue cycle.

Payment Verification
This Quarter
12,847
Issues found
Underpaid
Denied
CLM-482199213
$142.00$142.00
CLM-482229881
$1,805.23$1,487.00
CLM-482396413
$2,340.00Denied
CLM-482427447
$8,847.00$8,450.00
CLM-482599214
$198.00$198.00
617
Underpaid
$1.2M
Owed
94 days
Avg filing left
Continuous monitoring
Sample verification dashboard
Contracts verified
47
Across 12 payers

You negotiated the rate. Are you getting paid it?

Your contract says
Knee arthroscopy
115% of Medicare
ASC differential
×0.85 site factor
Annual escalator
+3% effective Jan 1
Expected payment$1,805.23
Payer actually paid
Knee arthroscopy
100% of Medicare
ASC differential
not applied
Annual escalator
still on 2023 rates
Actually paid$1,487.00
$318 underpaid on this claim
Multiplied across thousands of claims per quarter
1–11%
Net revenue loss from underpayments ¹
~3%
Billed line items underpaid ²
90-180d
Typical filing deadline (varies by payer)
Narrow
Recovery window once pattern is found
¹ MD Clarity, 2023 Underpayment Report; Rivet Health, Commercial Payer Analysis·² Same sources. Ranges vary by specialty, payer mix, and contract complexity.

By the time your team spots the pattern, the timely filing window has closed on hundreds of claims.

See how verification works

Without the contract logic, you're flying blind.

Underpaid. Denied. Rejected for missing info. Without checking every remittance against every contract term, you don't know which denials to appeal, which underpayments are systematic, or what to fix before you file.

Payer Contracts47 active
Negotiated ratesVarious
Fee Schedules2024-Q2
CPT/HCPCS ratesApr 2024
Rate Escalators+3% Jan
Annual increasesJan 2024
Remittance Data835 files
Payment detailsDaily
Remittance #ERA-9847
Was this paid at the contracted rate?
$1,805
Contract says
$1,487
Payer paid
=
−$318
Underpaid
Why it goes unnoticed
Contract rate escalator takes effect
Payer system still on prior year rates
Claims paid, just $50-300 less each
Pattern not visible in individual claims
Payers can take months to load updated contract rates
The cost of not checking
Missing escalators
$412K2847 claims
Wrong fee schedule
$267K1203 claims
Modifier underpayments
$189K847 claims
Quarterly leakage$868K
Revenue earned but never collected
When you ask "did this claim pay correctly?"
most revenue cycle teams can't answer at scale.

How it works.

Your contracts become executable specifications. Payments are verified against the negotiated terms as remittances arrive.

Payer contracts
Fee schedules
Rate escalators
SPECIFICATION
rule knee_arthroscopy_rate
when cpt = "29881" AND payer = "BCBS"
then allowed = medicare_base × 1.15
847 rate rules extracted
Capture

Your contracts become executable logic

Payer contracts, fee schedules, and rate escalators go in. Every reimbursement rule comes out as a unified specification that defines what you should be paid.

Payer contractsFee schedulesEscalator clausesCarve-outs
Verify

Predict. Verify. Explain.

Before submission: flag missing info and predict denials. After payment: verify amounts against contract rates. After denial: explain why, and whether to appeal or fix the process.

Pre-submit
Post-payment
Denial explained
Remittances
ERA-9847$1,805
ERA-9848$847
ERA-9849$4,250
ERA-9850$198
Status
underpaid
correct
correct
correct
12,847
This quarter
95.2%
Correct
617
Underpaid
Escalator not applied
$412K
2,847
Claims affected
127 days
Filing time left
TRACED TO
ContractBCBS-2024 §3.1
Clauseannual_escalator_3pct
Recover

Recover. Appeal. Fix.

Every finding traces to a contract clause. Underpayments include the exact variance and §reference. Wrongful denials include appeal evidence. Valid denials include root-cause analysis so you fix the upstream issue.

Underpayment recovery with clause traceability
Denial appeal packages with contract evidence
Root-cause analysis for valid denials
No system replacement
Works above your stack
No disruption
Runs alongside revenue cycle
Full traceability
Every finding documented

The full contract, modeled as logic.

Base rates. Modifier rules. Carve-outs. Every layer of contract logic, modeled so it predicts, verifies, and explains at every stage of the claim lifecycle.

Claim Line
Knee Arthroscopy
Outpatient Surgery · Hospital
29881
Provider billed$4,250.00
Fee Schedule Lookup
Source
Rate
Applied?
Medicare Base
$1,570.00
Base
Contract: 115%
× 1.15
Yes
ASC differential
× 0.85
Wrong site applied
Payment Calculation
Medicare base rate$1,570.00
Contract multiplier× 1.15
Expected allowed$1,805.50
!
Underpayment Detected
Payer applied ASC site-of-care discount (×0.85) to a hospital outpatient claim, paying $1,534.58 instead of $1,805.50
Variance−$270.92

What the contract logic reveals.

Every underpayment explained. Every denial decoded. Issues flagged before submission. These patterns repeat until someone checks.

Rate Escalator Drift
Jan 1
3% escalator due
Jun 15
Payer loads new rates
CONTRACT SAYS
All rates increase 3% effective Jan 1, 2024
Signed & effective
PAYER SYSTEM
Still processing at 2023 rates through June
5+ months behind
Escalator lag

Contractual rate increases not loaded by payer.

Annual escalator clauses require payer systems to update fee schedules. Loading delays mean every claim filed in the gap pays at the prior-year rate.

What we checkEvery CPT against contracted escalator date
Typical underpaySmall per claim, large in aggregate
ImpactEvery claim underpaid until payer updates
Wrong Fee Schedule
Your Contract
Effective Jan 2024
Base
115% Medicare
Schedule
2024 MPFS
Payer Applied
Base
100% Medicare
Schedule
2023 MPFS
Double variance

Wrong base year and missing contract multiplier.

Payer loaded the prior-year Medicare fee schedule AND applied Medicare-level rates instead of the negotiated 115% multiplier. Two errors compounding on every claim.

What we checkFee schedule year + contract multiplier
Error typeDouble variance: base year + rate
ImpactSignificant: compounds across all claims on that payer
Denial Intelligence
WrongfulAppeal recommended
96413 (Infusion admin)CO-50
Contract §6.3Infusion carved in
Valid denialProcess fix needed
43239 (Upper GI endo)CO-15
Auth expired3 days before service
184
Appealable denials
67
Valid, root cause found
Every denial explained

Every denial decoded. Next step clear.

Wrongful denial? The contract clause is matched, the appeal evidence is ready. Valid denial? The root cause is traced (expired auth, missing modifier, wrong place of service) so you fix the process upstream and stop it from recurring.

WrongfulAppeal package with contract clause
ValidRoot cause + upstream fix recommendation
Net impactRecover what you can. Prevent what you can't.

Same patterns. Thousands of remittances. Verification catches them before filing deadlines expire.

From reactive to predictive.

Predict issues before submission. Explain denials immediately. Catch underpayments at the point of payment. Contract logic makes the shift possible.

Manual review
Payment received
Pattern found (120+ days)
Detection timingOften post-deadline
Denials appealed~40% (rest abandoned)
Evidence for appealsManual compilation
Pre-submission checksNone
Continuous verification
Flagged at payment·<1 day
Pre-submissionFlag missing info, predict denials
Post-paymentVerify rates same day
DenialsExplained: appeal or fix process
EvidenceContract clause + effective date
Before
Predict issues pre-submission
During
Verify every payment
After
Explain every denial

Send us one contract.
See what the logic reveals.

Start with a single high-volume payer. Within a week, you see every underpayment, every denial explained, and what gets caught before submission. No system replacement required.

Week 1 time to value
No integration required
Full audit trail
Contract Verification
BCBS-2024
ERA-4821
$1,805.23
Knee Arthroscopy
ERA-4822
$198.00
Office Visit L4
ERA-4823
$8,847.00
Total Knee ReplaceEscalator missing
Payments verified2,847 this quarter
Underpayments found137 ($412K)
Contract coverageAll loaded terms