Our contract specialists load the payment rates and terms of the healthcare providers existing Payer Agreements in the Contract Module. We work with the healthcare provider Billing Department and claim Clearinghouse to upload your ANSI ASC X12 837/835 electronically files using our HIPAA- compliant, proprietary encryption platform. (837 and 835 files are the industry standard files to submit healthcare claims and payment information electronically).

Using these two sources of critical data, our team of experts and software logic identifies variances in the payment reimbursement and the healthcare provider's contractual agreement with the Payer. The resulting data is organized in an easy-to-use, understandable format.

As the healthcare provider's partner, we will work closely with their staff to strategize and devise a plan to recover revenue lost due to underpaid, suspended, and incorrectly denied claims.