One engine. The whole statute.
From the first remit to the last dollar, each claim moves through six stages with a clock on every one. Humans sign the offers and briefs. The engine does the rest and shows its work.
Six stages. Every clock kept.
- Day 0
Intake and eligibility
835s, EOBs and exports, deduped in hours. Federal or state, plan type, QPA audit: each call cited.
- 30 business days
Open negotiation
Notice sent with proof; first offer from the award model. Under the 2026 rule the payer responds by business day 15.
- 4 business days
IDR initiated
Filed inside the window, batched to the 50-item cap where items qualify.
- 3 + 10 business days
IDRE and offers
Entity chosen or objected to from outcome data; offer and brief with the statutory factors and exhibits.
- 30 business days
Determination
Read the day it lands. Award, entity and due date posted to your portal.
- 30 days to cash
Collection
Payment clock, demand letter, state and CMS complaints, counsel. Every step logged.
Federal process under 45 CFR 149.510, counted from the day open negotiation starts, assuming each step on its last permitted day. BD means business day. State processes (TX, NJ, NY, FL, GA, WA and others) run on the same engine with their own clocks. Calculate your dates
Three engines. One ledger.
Humans sign. The engine does everything else, and shows its work.
- Eligibility engineRules first, model second, cited
- Negotiation and IDR engineOffers, IDRE strategy, briefs, batches
- Collections engine30-day clock, demands, complaints
write to
read by
- Portal
- Mobile app
File only what qualifies.
- Rules first, model second, every decision cited to the regulation
- QPA plausibility check against public benchmarks and our award history
- If we file an ineligible dispute, we pay the fee
Offers that maximize cash, not ego.
- Award model built on the CMS public-use files, then our own determinations
- IDRE selection and objection from entity-level outcomes
- Briefs with exhibits; batches built to the 50-item cap
Awards become deposits.
- 30-day payment clock on every determination
- Demand letter, then state or CMS complaint, then counsel
- Remits matched to awards; every dollar on your statement
What we put in writing.
Eligibility guarantee
If an IDR entity rules a dispute we filed ineligible, Revise absorbs the admin and IDRE fees. Our ineligibility rate is on your monthly statement.
Fees fronted
Revise pays every CMS administrative fee and IDRE fee when due and recoups it from the award. You never fund an operating account.
Nothing on unpaid awards
Our fee is 19% of cash that reaches your account. An unpaid award is our collections problem, not your invoice.
Your name on every filing
We act as your representative. Notices, offers, briefs and demand letters go out in your name, on your letterhead, with the authorization on file.
Audit, then pilot, then scale.
- Days 1 to 5
The audit
Send one month of out-of-network remits or an EOB export and your payer list, under a signed BAA. We return eligible claims you did not file, QPAs that do not add up and awards you were never paid.
- Days 6 to 30
The pilot
A 90-day pilot on a set of payers, or on your awarded-but-unpaid determinations at 8% with no fees. Notices go out in the first week; you watch every clock in the portal.
- Day 30 on
Full service
MSA and BAA signed, every payer in, state processes routed. Month-to-month after the first 90 days with 30 days’ notice. Export everything any time.
What do you need from us to start?
One month of out-of-network remits (835 files) or an EOB export, your payer list and a signed BAA. Within seven business days you get a free report of claims you can still file and awards you were never paid.
How long does it take?
Open negotiation runs 30 business days before IDR can start. Once an award is made, the payer has 30 days to pay it.
What if a claim is ruled ineligible?
We absorb the admin and IDR entity fees on any dispute we filed that is ruled ineligible. Your statement shows our ineligibility rate.
Do you handle state processes too?
Yes. Texas, New Jersey, New York, Florida, Georgia and Washington at launch. Each claim goes to the state or federal process that applies.
Send us one month of remits.
We’ll show you what you left on the table.
Seven business days. No cost. A line-by-line report of eligible claims you didn’t file, QPAs that don’t add up, and awards you were never paid.
Sources
- 945 CFR 149.510, determination of out-of-network rates for items and services: open negotiation, IDR initiation, IDRE selection, offers, payment determination, payment and cooling-off period. Source
- 10Revise estimate from our engine design (docs/07): about $15 fully loaded per dispute against an estimated $150 for a case-manager model. Illustrative until we publish measured costs.