Platform

Three engines, one ledger. Two screens.

Engines do the work, a ledger records it, and a portal and app show it. Every number traces back to a document.

In build with our first design partners. Status is marked on each part.

The engines

Three engines. Each one shows its work.

Every output is structured, cited and scored for confidence. All three are in build with design partners.

  1. Engine 1: Decides what qualifies

    Reads 835s, 837s, EOBs and exports. Rules each claim federal, state or ineligible, cites the rule and audits the QPA.

  2. Engine 2: Negotiates and files

    Sends notices, proposes offers from the award model, picks or objects to IDR entities, batches to the 50-item cap and drafts briefs.

  3. Engine 3: Collects the award

    Runs the 30-day payment clock on every award, matches remits to awards and escalates the unpaid: demand, complaint, counsel.

Readouts show illustrative claim IDs.

Architecture

Humans sign. The engine does the rest.

People review only when confidence is low or the money is high. Their decisions train the next version.

Three engines, one ledgerThe eligibility, negotiation and IDR, and collections engines each write to one ledger of claims, clocks and payments, which feeds the portal and the mobile app.Eligibility engineRules first, model second, citedNegotiation and IDR engineOffers, IDRE strategy, briefs, batchesCollections engine30-day clock, demands, complaintsONE LEDGEREM-20931Paid$2,140AN-11870IDR$1,120EM-21002Award$2,310RA-40318Notice$880PortalMobile app
  • Eligibility engineRules first, model second, cited
  • Negotiation and IDR engineOffers, IDRE strategy, briefs, batches
  • Collections engine30-day clock, demands, complaints

write to

One ledger
EM-20931Paid$2,140
AN-11870IDR$1,120
EM-21002Award$2,310
RA-40318Notice$880

read by

  • Portal
  • Mobile app
Every engine writes to the same ledger. The portal and the app read from it, so what you see is what the engine did. Illustrative claim IDs.
Where you see it

One ledger, three ways in.

Each view reads from the same ledger, so what you see is what the engine did.

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.

Start the free auditBook a demo