We find where payers pay you less than your best contract, draft the renegotiation requests, and recover underpaid claims.
Payers have contracting teams and every rate in your market. We track it for you: where each payer falls short, when each contract renews, and a request drafted before the deadline.
Compare your payers
We line up your payers service by service, so you can see which ones pay less for the same work, and by how much.
Benchmark against peers
Payers know what every practice in your market is paid. Now you can too, service by service.
| Service | Aetna today | Your best contract | Top quarter at Aetna |
|---|---|---|---|
| Knee replacement | $1,480 | $1,975 | $2,083 |
| Hip replacement | $1,483 | $1,978 | $2,064 |
| Shoulder replacement | $1,666 | $2,116 | $2,294 |
| + 246 more services | |||
Estimated value$235–312k a year
Renegotiate
Backed by each payer's own rates and timed to your renewal. Edit it to fit your practice, then send it.
Recover
The payer's payment plus the patient's share should equal your rate. We flag every claim that falls short and appeal it until it's paid.
Send us a daily 835 feed, or a monthly line-level payment report.
Three to check against your remittances
Across all 249 services
| Payer | % of Medicare | Gap a year | Priority |
|---|---|---|---|
| Aetna | 98% | $235–312k | High |
| UnitedHealthcare | 118% | $213–284k | High |
| Cigna | 123% | $61–81k | Medium |
| Per physician, per year | $19–25k | ||
| Whole group, per year | $510–680k | ||
Real groups, names removed. Rates from payer in-network files; a range means the payer publishes more than one rate. Gaps sized by Medicare volume and payer mix.
Search for your practice and add your work email. One minute.
What each payer pays you, what the gaps are worth, and which payer to start with. Typically within one business day.
Get the full review, start recovering underpaid claims, or both.
Free
A one-page summary of what each of your payers pays you, and which ones pay less than your best contract.
$150 per physician
$1,500 minimum
Every service, every major commercial payer, and the request to raise each rate.
Share of recovery
We find claims paid below your allowed amount and recover what's owed.