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Health system or billing company
Underpayment Detection Agent
Checks every remittance against your contracted rate the moment it posts, and flags the gap for appeal.
<div class="hx-demo-box" style="margin-top:40px;border:1px solid #D2D2CA;border-radius:12px;overflow:hidden;background:#fff;box-shadow:0 12px 32px -12px rgba(23,25,21,.18)"><div style="background:#F7F7F3;border-bottom:1px solid #D2D2CA;padding:10px 20px;display:flex;align-items:center;gap:10px"><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="width:11px;height:11px;border-radius:50%;background:#E4E4DE"></span><span style="font-size:12px;color:#8B9086;margin-left:6px">remits.local/835/reconcile</span></div><table style="width:100%;border-collapse:collapse;font-size:13px"><thead><tr style="background:#FAFAF7"><th style="text-align:left;padding:10px 20px;font-size:11px;letter-spacing:0.06em;text-transform:uppercase;color:#8B9086;font-weight:600">CPT</th><th style="text-align:left;padding:10px;font-size:11px;letter-spacing:0.06em;text-transform:uppercase;color:#8B9086;font-weight:600">Contracted</th><th style="text-align:left;padding:10px;font-size:11px;letter-spacing:0.06em;text-transform:uppercase;color:#8B9086;font-weight:600">Paid</th><th style="text-align:left;padding:10px 20px;font-size:11px;letter-spacing:0.06em;text-transform:uppercase;color:#8B9086;font-weight:600">Status</th></tr></thead><tbody><tr style="animation:fadeUp .3s ease both"><td style="padding:9px 20px;border-top:1px solid #E4E4DE">99213</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE">$112.00</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE">$112.00</td><td style="padding:9px 20px;border-top:1px solid #E4E4DE;color:#3E4A1B">Matched</td></tr><sc-if value="{{ r2 }}"><tr style="animation:fadeUp .3s ease both"><td style="padding:9px 20px;border-top:1px solid #E4E4DE">80053</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE">$38.50</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE">$38.50</td><td style="padding:9px 20px;border-top:1px solid #E4E4DE;color:#3E4A1B">Matched</td></tr></sc-if><sc-if value="{{ r3 }}"><tr style="animation:fadeUp .3s ease both;background:#FCEFED"><td style="padding:9px 20px;border-top:1px solid #E4E4DE;font-weight:700">27447</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE;font-weight:700">$1,840.00</td><td style="padding:9px 10px;border-top:1px solid #E4E4DE;font-weight:700">$1,290.00</td><td style="padding:9px 20px;border-top:1px solid #E4E4DE;color:#8A2E29;font-weight:700">⚠ Underpaid $550</td></tr></sc-if></tbody></table><sc-if value="{{ isDone }}"><div style="padding:16px 20px;border-top:1px solid #E4E4DE;background:#FAFAF7;font-size:13px;color:#171915;animation:pop .4s ease both">Underpayment tied to contract section 4.2, Anthem BCBS fee schedule. Appeal packet ready.</div></sc-if></div>
window.HX_DEMOS=window.HX_DEMOS||{};
window.HX_DEMOS["und"]=function(Base){
const CYCLE_SEC=8;
class Comp_und extends Base {
state={t:0,name:'',email:'',org:'',formSubmitted:false};
componentDidMount(){
this._start=Date.now();
this._iv=setInterval(()=>{
if((Date.now()-this._start)/1000>=CYCLE_SEC){clearInterval(this._iv);return;}
const t=((Date.now()-this._start)/1000)%CYCLE_SEC;
this.setState({t});
},150);
}
componentWillUnmount(){clearInterval(this._iv);}
onName=(e)=>this.setState({name:e.currentTarget.value});
onEmail=(e)=>this.setState({email:e.currentTarget.value});
onOrg=(e)=>this.setState({org:e.currentTarget.value});
submit=()=>this.setState({formSubmitted:true});
renderVals(){
const t=this.state.t;
return {r2:t>=0.8,r3:t>=1.8,isDone:t>=3,
name:this.state.name,onName:this.onName,email:this.state.email,onEmail:this.onEmail,org:this.state.org,onOrg:this.onOrg,submit:this.submit,
formOpen:!this.state.formSubmitted,formSubmitted:this.state.formSubmitted,nameSuffix:this.state.name?', '+this.state.name.split(' ')[0]:''};
}
}
return Comp_und;
};
Reconcile your own remits →
Free to start. No credit card.
How the Underpayment Detection Agent works
1
Ingests remittance data
Ingests remittance data
Pulls 835 remittance files as payer payments post.
2
Compares to contract
Compares to contract
Checks the paid amount against the contracted rate for that payer, code, and modifier combination.
3
Flags the gap
Flags the gap
Surfaces underpayments above a set threshold, with the dollar amount and the contract clause behind it.
4
Step label
Packages the appeal
Assembles the supporting documentation needed to dispute the underpayment with the payer.
5
Step label
100%
of remittances checked, not a sample
1 quarter
typical time for the agent to pay for itself
Same day
appeal packet ready after a flag
Find the money already owed to you.
Start free, we'll reconcile a batch of your real remits against contract.
✓
Checked against your actual contracted rates, not a benchmark
✓
Every flag includes the appeal packet, ready to send
✓
Free for your first 90 days of remits, no credit card
Starts free
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