Zero PHI required — NPI numbers only
We use only public federal TiC + CMS data
835 files processed locally, never stored
Your data is not shared with any third party
What We Build Before The Call
Everything is live when we connect.
Every deliverable below is built from your actual NPIs against real payer-published contracted rates and your own 835 data. Not a demo. Not sample data. Your rates, your payers, your gap.
What the average pilot surfaces in the first 30 days
Based on analysis across billing companies and MSOs in our beta cohort. Actual numbers will vary — often significantly higher — depending on specialty mix, geography, and payer concentration.
$4,200Avg opportunity per NPI per year identified
3.1 payersAvg underpaying systematically across the book
6 CPTsAvg codes with actionable rate gap ≥ 15%
Live on call
Per-NPI Rate Score
RateScore™ for every provider in your book
Each NPI scored 1–10 against local peer benchmarks for their exact specialty. Score = where their negotiated rates land relative to peers in their market. The lower the score, the higher the opportunity. You'll see every provider ranked at a glance.
Live on call
Payer Gap Map
Which payers are underpaying — and by how much
Every payer your NPIs are contracted with, mapped against the peer benchmark for their top CPT codes. Color-coded: green = at or above benchmark, yellow = 10–20% below, red = 20%+ below. One view to see exactly where the leverage is.
Live on call
Total Opportunity Estimate
Documented annual dollar opportunity across the book
We multiply the rate gap per CPT × CMS volume data for your specialty and geography → total documented opportunity per NPI per year. Rolled up to a portfolio total. This is what you can take into a payer negotiation as documented evidence.
Live on call
CPT Code Deep Dive
Top codes ranked by dollar opportunity
For each NPI, the top CPT codes with the largest rate gap sorted by impact. Includes: your current rate, peer P25/P50/P75, the gap in dollars, and estimated annual impact at your volume. This is the shortlist your team takes to the renegotiation.
Live on call
Leverage Memo
Payer-ready negotiation brief for your top opportunity
A formatted, payer-ready document for your #1 rate gap. Cites peer benchmarks, documents the gap, states the ask. Written to be attached to a payer renegotiation request without modification. We prepare one per pilot — more on expansion.
Live on call
Renewal Calendar
Upcoming contract renewal windows across the book
Where contract data exists in the federal TiC filings, we surface expiration dates. You'll see which NPIs have upcoming renewal windows — those are the leverage moments where the negotiation is expected, and payers can't stall. Priority-ranked by dollar opportunity.
Requires 835
835 Reconciliation Report
What payers promised vs. what they actually paid
We compare your 835 allowed amounts to the contracted rates we've indexed for the same CPT + payer combinations. Systematic underpayment shows up as a payer consistently paying below their own published contracted rate — different from a rate gap, and in some cases recoverable retroactively.
Requires 835
Adjudication Pattern Scan
Systematic CO-45 / CO-97 patterns by payer
We scan your 835 adjustment reason codes for patterns. CO-45 (charges exceed fee schedule) and CO-97 (service included in another payment) are the two most common systematic underpayment reasons. A pattern = a denial strategy. We surface which payers are using which reason codes and how often.
Requires 835
Collection Rate Map
Actual collection rate by payer vs. expected
From your 835 claim-level data: billed vs. paid per payer. We show you which payers are collecting at the expected rate and which are systematically short. Useful for internal reporting and as evidence in payer negotiations — "your collection rate from Payer X is 72%, your contract calls for 84%."
Live on call
Live Dashboard Access
Full platform access, all NPIs unlocked — pilot window
Every NPI, every payer, every CPT — live in the dashboard for your pilot window. You can run new NPIs, download reports, share views with your team. This is the full product, not a sandbox. We walk through it together on the call so you know exactly how to use it.
How The Call Goes
Tomorrow's agenda — built around your results
The call runs about 45–60 minutes. No slides. No generic demos. We open your actual dashboard and walk through your numbers together.
-
0–5 min
Portfolio overview — your book at a glanceWe open with the total opportunity number and the top 3 findings from overnight analysis. You'll see the full picture in 5 minutes.
-
5–20 min
NPI-by-NPI walkthrough — your worst gaps, rankedWe go through your lowest-scoring NPIs and show exactly which payers are underpaying and by how much, with the CPT-level evidence.
-
20–35 min
835 reconciliation review (if files submitted)We show the difference between what your contracts say and what your 835s prove was actually paid. This is often the most eye-opening 15 minutes in the call.
-
35–45 min
Leverage Memo walkthrough — your first negotiation briefWe open the ready-to-send payer letter for your #1 opportunity. Review it, adjust if needed, and discuss how your team would use it.
-
45–60 min
Questions + next stepsPilot structure, pricing, timeline for annual expansion, and how your team plugs in on an ongoing basis.
Questions before the call? Reply to our email or text the number you have.
This page is private and not indexed by search engines.
This page is private and not indexed by search engines.