A rate proposal a payer cannot dismiss in an afternoon.
Or open an example practice from the rail. An NPI this session cannot serve opens a curated practice instead, and says so rather than showing you someone else’s numbers under the one you typed.
These are the payers we hold rates for on this NPI. Pick one. Every rate in the packet will be that payer's own, and no other payer's number appears in it.
Paste as much as you have: what the client told you, what the payer said on the last call, what you already tried. Useful here: the renewal or anniversary date, what the payer has already refused, which codes they push back on, volume you are moving to or away from them, and any leverage you hold. This is context for the argument only. It can never change a figure: every number in the packet is computed, and a figure that is not in the computed evidence is rejected before the memo ships. Attach the practice’s own remittance below and what it proves is folded into the packet, marked as sourced from their file rather than modelled.
0/12000Add the practice’s own files
Drop an 835 remittance or the payments export from the practice management system, and every figure it covers is marked sourced from the practice’s own file, instead of modeled from published rate data. Published rates estimate. Remittance proves.
Drop 835 remittances or a payments export (CSV, Excel)
.835 · .edi · .era · .csv · .tsv · .txt · .xlsx · .xls
The file is read in this browser and is never uploaded. Only the columns that carry codes, payer, amounts, units and denial codes are read. Patient names, member ids, dates of birth, account and claim numbers and every other column are counted and destroyed during the parse, and exact dates are reduced to a year, before anything appears on screen. Nothing from the file is retained after you leave this page.
Numbers stay deterministic.
About this tool
Every figure is computed live from the rates this practice holds for this NPI and the public Medicare locality schedule, on the same serving path as the Rate X-Ray, so the two never disagree. One packet addresses one payer.