How to get the most out of Reddenda
Parity gaps + payer rates for the BH code set.
Start here · ~30 seconds
Start in Index. Drop your NPI to load your BH code set × payers, your rate vs the local-peer median, gap to P90, scored. No PHI, no card. Then go straight to Parity Gap — your signature lever.
Take me to IndexYour path, step by step
Your BH panel scored vs local peers — headline RateScore, dollar gaps, top underpaid codes (top code unlocked).
Why it matters
Establishes the baseline: where each BH code sits vs peers before you build the parity argument.
How to use it
Enter your NPI and read the top underpaid BH codes.
Scores your BH codes against the local-peer median AND their medical equivalents, surfacing the widest medical-vs-BH spread by payer, framed against MHPAEA enforcement.
Why it matters
Payers that pay BH below medical equivalents are exposed to parity inquiries — this concrete spread is your unique negotiation lever and the data to test parity. Not legal advice.
How to use it
Open Parity Gap and note the payer with the widest medical%-vs-BH% spread.
An opportunity ledger of BH revenue under-captured vs your P90 target, confidence-banded.
Why it matters
BH groups frequently under-bill against capacity; this surfaces it without upcoding.
How to use it
Review the ledger and note your widest gaps.
Your underpaid BH codes ranked into a renegotiation worklist with opportunity to P90.
Why it matters
Prioritizes which BH codes and payers to fight first, with the parity case attached.
How to use it
Open Contract Review and take the top payer worklist.
A signable memo combining the payer's published rate, your local-peer percentile, and the parity (medical-equivalent) evidence into a specific ask.
Why it matters
An appeal- or rate-inquiry-ready document that supports an MHPAEA inquiry or renegotiation — your exit artifact.
How to use it
Generate it from your top parity gap. Pro tool: book a discovery call to see it live on your book.
What you walk away with
A scored BH panel, a documented evidence-backed parity case (BH vs local-peer median vs medical equivalents) framed against MHPAEA, a prioritized worklist, and a signable parity/rate memo — documented opportunity to support a parity inquiry or renegotiation, never guaranteed and not legal advice.
Ask Tuenda anything
Tools, data, methodology, your account type, answered honestly. No PHI.
Tuenda explains how Reddenda works and guides you by account type. It speaks to documented opportunity vs your local-peer median, never guaranteed outcomes, and never your patient data.