Spot underpayments and surface opportunity for renegotiation.
Retroactively analyze adjudicated claims against current market rates and flag outdated fee schedules, recover missed revenue, and start renegotiation conversations that benefit everyone.
Direct API integration available on request.
THE CHALLENGE
Outdated fee schedules slow the revenue cycle.
Sick of updating fee schedules 15 codes at a time? Download them all in seconds with PayerPrice via API.
THE SOLUTION
Access every payer's fee schedule instantly
Complete access to verified rates for every code, plan, and provider group.
Pull entire fee schedules by billing code, plan, or provider—in seconds
Benchmark claim-level rates against verified allowed amounts
Identify underpaid services and trigger renegotiation opportunities
Integrate up-to-date fee schedules and benchmarks directly into your workflow. Flag underpayment, renegotiation opportunities, and recover more revenue.
Fee Schedule API
Pull payer-verified rates by code, plan, or provider in real time—no portals, no requests. Your systems stay in sync with current reimbursement terms.
Automatic Benchmarking
Compare adjudicated claims to percentile benchmarks by payer, region, or specialty. Flag underpaid services and push renegotiation automatically.
Rate Update Notifications
Set up alerts for when reimbursement rates change across the market. Give clients real-time visibility into shifting contracts and negotiation opportunities
Payer Contracting & Benchmarking
Compare reimbursement rates across payers, providers, and markets to negotiate stronger reimbursement, faster.
New Market Expansion & Business Development
Understand reimbursement before entering a new market. Use payer data to support expansion, de novo builds, and diligence.
RCM, Payment Integrity, & Contract Compliance
Pull up-to-date fee schedules in seconds. Automate payment integrity and contract management at scale.
Used by top negotiators to win better rates in less time.
"PayerPrice has transformed the way my clients approach reimbursement. Having real-time insight into payer behavior has allowed us to identify trends faster, negotiate more effectively, and make smarter revenue decisions."
"In one instance, we were prepared to accept sub-optimal rates based on flawed rate assumptions, and reversed course once we got access to PayerPrice."
"To succeed in healthcare, you need to understand how the system works. Legislation has made more data available. PayerPrice makes this data usable, and has become an invaluable resource to us and our clients."
