Hospitals and Health plans are mandated by Centers for Medicare & Medicaid Services (CMS) Transparency in Care and Coverage rule to publish negotiated rates with all providers and all billing codes. Pricing is now more transparent and available for analysis.
Benchmark your rates to others.
Identify which services health plans are underpaying. Develop the right strategy to maximize your reimbursement rates.
Let our AI monitor your rates.
Our artificial intelligence engine will continuously monitor your billing codes with health plans and proactively notify you when your rates fall below rates of other providers.
Data as a Service
Directly access cloud database of In-Network and Allowed Amount negotiated rates for CPT, DRG, NDC, ICD, APC, HCPCS billing codes and providers with EIN, NPI numbers.
Insights as a Service
Use our web-based business intelligence visualization tool to view, filter, and analyze health plan and hospital negotiated rates data with drill down to billing codes detail and provider name detail.
Our Artificial Intelligence engine monitors negotiated rates for all billing codes and providers and notify you and your team when there is a change to be reviewed.
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