Every remit, read. Every line routed.
For services from January 2027, out-of-network remits must carry NSA remark codes.18 We read each line, route it to the right process and flag QPAs that do not add up.
Free audit now, full product in early access
- Eligible lines started on time, with the deadline for each
- Remark codes read on every line: federal, Texas or outside the NSA
- QPA questions sent to the plan with the rule cited
- Missing codes and missing QPA disclosures flagged
The problem
A code on every line
Plans must put one of nine NSA remark codes on every out-of-network remit line for services from January 1, 2027.18
Ineligible filings cost you
19% of the federal disputes closed in the second half of 2025 were found ineligible.19
The QPA rules changed
On August 11, 2026 the full Fifth Circuit upheld striking the QPA rules on ghost rates and incentive payments.20
What you get
- A route for every line: federal IDR, the Texas process, or outside the NSA, with the code and rule cited.
- Open negotiation started inside its 30-business-day window.
- A QPA check on every eligible line, and the information request the plan must answer.
- Payer scorecards from your own remits: who pays late, who leaves out codes.
- A monthly report you can hand your CFO.
How it works
- 01
Connect your remits.
835 files from your clearinghouse or billing system, after a BAA.
- 02
We read every line.
Each out-of-network line gets a route, a deadline and a QPA check.
- 03
You approve what goes out.
Notices and requests above your threshold wait for your approver.
- 04
Cash lands in the ledger.
Every dollar matched to its remit.
Who it is for
- Groups that file IDR in-house or through another vendor
- Revise IDR clients (included)
- Billing companies, under their own brand
What we never do
- File a dispute without a cited eligibility check
- Hold your money
- Contact your patients
Pricing
Included for Revise IDR clients. For in-house teams and billing companies, pricing at early access.
What does Revise Remit check?
Every out-of-network line on your remits: the NSA remark code, which process applies (federal IDR, the Texas process or outside the NSA), the deadline to start open negotiation, and whether the QPA adds up.
How is it different from the free audit?
The free audit is a one-time report on one month of remits. Revise Remit reads every remit as it arrives and tracks each deadline from that day.
Do we need Revise IDR to use it?
No. If you file disputes yourself, through another vendor or through your billing company, Revise Remit tells you what to file and when.
What do you need to start?
A signed BAA and one month of out-of-network 835 files or an EOB export. Your first report is the free audit, within seven business days.
What does it cost?
It is included for Revise IDR clients. For in-house teams and billing companies, pricing is set at early access.
What if a payer leaves out the code or uses the wrong one?
We flag it, and it goes on that payer’s scorecard. Under CMS guidance you keep your right to start open negotiation, and you can still file if you disagree with the code.
Sources
- 18CMS, guidance on required RARCs related to the No Surprises Act, July 17, 2026: one of nine NSA remark codes on every remit line to a non-contracted entity for items and services furnished on or after January 1, 2027. Source
- 19CMS, Federal IDR supplemental background, July 1 to December 31, 2025: 19% of closed disputes found ineligible. Source
- 20Texas Medical Association v. HHS (TMA III), U.S. Court of Appeals for the Fifth Circuit, en banc, No. 23-40605, August 11, 2026. Source
Help us build it. Use it first.
We are taking a small number of design partners for each new product. Tell us what you need. We reply within one business day.