Tool Library

Contracted rates are not what lands in the bank. This is the only view that shows what you should be paid, what you are actually paid, and what peers actually collect, side by side per code, so downcoding, silent underpayment, and payer variance surface as documented dollars. Every 835 you connect turns published into measured and sharpens the shared benchmark for everyone.

Know exactly where any code sits across the whole market before you sign anything, down to the payer.

See in one screen which of your payers underpay your codes and which are worth renegotiating — the underpayment your billing system records as a normal contractual adjustment.

Anchor every rate conversation to the number payers cannot argue with, and see who is paying below it.

See how MA-heavy your market really is and where the prior-auth and denial exposure sits, before it eats your margin.

Renegotiate once and lift every matching provider. The heatmap points straight at the highest-leverage move across the book.

Go from an org name to a scored book in seconds, no spreadsheet, no data entry.

Walk into a contract review already knowing every weak term and every underpaid code, with the authority to back it.

Know your real BATNA before you threaten to leave a payer, so the leverage is honest.

See exactly where a payer pays behavioral health below the medical equivalent, and carry the parity argument with authority.

Never miss the one window each year when a payer actually has to listen.

Know which drugs actually make money after sequester, before you stock them.

Know the exact DME reimbursement band for any code and how much room you have, before you accept a rate.

Point your growth at the places that both need you and pay well, instead of guessing.

Find the revenue you already earned but never billed, backed by what your peers actually do.

See your real market on a map: who needs you, who pays, and where the gap is.

Catch silent downcoding before it becomes a pattern, with the evidence to push back.

Stop the denials before they happen, and stop leaving MPPR and modifier dollars on the table.

Catch the DME-specific underpayments that generic tools miss, with nothing leaving your device.

Know if your denials are normal or a problem, and exactly which reason to fix first.

Turn scattered underpayments into an organized, defensible recovery you can actually pursue.

Answer a denial in minutes with a letter that cites the right rule, instead of starting from a blank page.

Share a remittance safely for a rate check without ever exposing a patient, and see exactly what was removed.

Hand a partner or a payer a clean, credible report without building it by hand.