Underpayment

Detect and Recover Missed Revenue

Automate contract checks, uncover hidden discrepancies, and empower teams to recover cash faster with smarter appeals and stronger payer compliance.

Challenges

Where Traditional Methods Falls Short

Heavy manual review: Staff sift through contracts, EOBs, and remits line by line to find short-pays.

Hidden Complexity: Underpayments can result from modifiers, bundled services, fee schedule discrepancies, or carve-outs.

Late discovery: Many short-pays surface only after appeal windows close.

Revenue Leakage: Small gaps across thousands of claims add up to millions lost each year.

Solutions

Detect Underpayments in Real-time

Continuous payment reconciliation compares actual reimbursements against contracted rates, flagging discrepancies instantly to prevent revenue leakage and identify hidden financial risks.

Line-Item Validation: Match payments to contracted rates at detailed claim level.

Error Detection: Catch incorrect rates, bundling issues, and missed add-ons.

Real-Time Alerts: Surface discrepancies before appeal deadlines expire.

Automate Contract Intelligence and Parsing

Proprietary LLM interprets complex payer contracts, fee schedules, and carve-outs, building a dynamic rules engine that reflects negotiated terms accurately and consistently.

Contract Parsing: Interpret reimbursement terms, modifiers, and bundled services.

Rules Engine: Apply payer-specific logic for accurate comparisons.

Contextual Accuracy: Bridge clinical coding and financial requirements.

Recover Revenue through Smarter Appeals

LLM-powered drafting generates contract-specific, evidence-backed appeal letters, helping providers overturn underpayments quickly while strengthening payer compliance and negotiation leverage

Appeal Generation: Create tailored letters with payer contract citations.

Evidence Support: Include clinical and coding references automatically.

Negotiation Insights: Provide CFO-ready reports to strengthen payer discussions.

Business Impact

Key Advantages of Underpayment Analysis

Automated detection and contract intelligence uncover missed revenue, reduce manual burden, and equip providers with the leverage to enforce payer compliance.

Recover Missed Revenue

Identify missed payments and discrepancies against contracted rates, ensuring providers capture every dollar they are owed.

Strengthen Payer Negotiations

Equip leadership with accurate variance reports and evidence, giving leverage to renegotiate contracts and enforce compliance.

Reduce Manual Burden

Automated detection and letter drafting save staff hours, enabling focus on higher-value financial and strategic priorities.

Proven Results that Speak Louder than Words

Recover Lost Revenue

2-5%

Identify hidden underpayments and convert missed dollars into recovered cash

Save Staff Time

35%

Automation reduces manual claim checks, freeing staff for higher-value tasks.

Improve Payer Compliance

40%

Evidence-backed reports strengthen contracts and hold payers accountable.

Stop Revenue from Slipping Away

Take control of your healthcare financial recovery with Neuriphy's precision underpayment solutions. Our AI-driven platform turns potential losses into guaranteed revenue.