Find the hidden revenue
inside your practice.
ReimburseOS audits your actual reimbursements against real local-market benchmarks — then tells you exactly which CPT codes, payers, and contracts are underpaying you, and how much you can recover this year.
Most practices are underpaid — and they never see it.
Reimbursement is deliberately opaque. Payers negotiate different rates with every practice, codes drift out of alignment with benchmarks, and no one tells you when you've been left behind. ReimburseOS turns on the lights.
Silent underpayment
Your reimbursement rates drift year after year while peer clinics renegotiate. A 4–8% gap compounds into six figures annually for most multi-provider groups.
Invisible payer mix drag
Two payers paying 20% less on your highest-volume codes can quietly wipe out an entire provider's margin. Without benchmarks, it just feels "normal."
Missed coding leverage
Under-captured modifiers, E/M level drift, and service-line blind spots leak revenue on every encounter — and never show up in your P&L.
From intake to action plan in under 12 minutes.
No IT team. No integration project. Upload or paste in your claims data and get a board-ready intelligence report in your inbox the same afternoon.
Submit a 5-step intake
Practice details, payer mix, and a small CSV of your top CPT codes + average reimbursement. No EHR integration required.
We analyze against federal data
Your rates are compared against 314M+ reported payer rates under the No Surprises Act / CMS transparency mandates — localized to your geography and specialty.
Get a board-ready snapshot
A branded PDF + live dashboard showing underpaid CPT codes, payer rankings, revenue leak alerts, and three prioritized actions with dollar values.
What you get in the first 12 minutes.
Every snapshot includes a revenue opportunity estimate, top underpaid CPT codes, payer rankings, leak alerts, and a three-step action plan — tailored to your specialty and market.
Start free. Upgrade when the ROI is obvious.
Most practices discover five-to-six-figure annual upside in their first snapshot. Pay nothing to find it.
- Up to 10 CPT codes analyzed
- All major payers in your ZIP
- CPT-level gap analysis
- Branded PDF report
- Top 3 prioritized action items
- Delivered within 48 hours
- Everything in Practice Snapshot
- 30-min 1:1 strategy call
- Payer-specific talking points
- Negotiation script template
- Delivered within 5 business days
- 90-day email follow-up access
- Up to 15 CPT codes analyzed
- Carrier-by-carrier playbook
- 45-min strategy call
- Payer-specific talking-points PDFs
- Contract renewal prep checklist
- Delivered within 5 business days
- Priority email support · 6 months
Built for the practices payers don't prioritize.
Independent, owner-led clinics move fast — no procurement, no IT committee, immediate ROI. That's our wedge.
A $4.2B+ underserved intelligence market
— hiding in plain sight.
Every independent medical practice in America is negotiating reimbursement contracts without benchmark data. The payers have the data. The enterprise hospital systems have the data. Independent practices don't — and it costs them 4–8% of collections every year.
Why now — the timing is singular
Market mapping — practice count
The money math — per practice
3-year expected valueIndependent practices are systematically underpaid on 30–50% of their high-volume CPT codes. Even at the conservative end, a 4-provider family medicine practice with $1.8M in annual collections leaves six figures on the table every year.
From zero to $1M ARR in 12 months.
The math is deliberately boring: a small number of paying customers, predictable unit economics, and a free snapshot that does the selling.
Per-customer unit economics
| ARPU — Monitoring Pro | $5,988 / yr |
| Gross margin | ~88% |
| CAC (blended) | ~$420 |
| CAC payback | < 30 days |
| Avg contract length | 30 months |
| LTV | $14,970 |
| LTV / CAC ratio | 35x |
Revenue mix — at $1M ARR
12-month ramp — conservative
from launchThe playbook is boring and proven.
No category creation required. These practices are already looking for this — we just have to be the first tool they can actually use. Four wedge channels, all already validated in adjacent markets.
Cold email to practice owners
Subject line: "Your CPT 99214 rate is 6% below your Austin peers." Personalized with specialty + market data per recipient. Free snapshot is the ask — no calls, no demo required.
Billing company partnerships
Third-party medical billing shops love this — it proves their value to clients and gives them an upsell. Rev-share: 15% of any subscription they refer, forever.
SEO — specialty landing pages
"Family medicine reimbursement benchmarks Texas" gets 3,400 searches/mo across tail keywords. We rank by publishing one real benchmark page per specialty × state — ~400 pages, all automated.
Owner-led LinkedIn + industry groups
Independent-practice owner communities (MGMA, specialty-specific state orgs, Facebook admin groups) are tightly networked. One honest snapshot + testimonial creates word-of-mouth — this is how every category-defining healthcare tool scaled.
The wedge — why the free snapshot wins
"Free snapshot of what your practice is leaving on the table" is impossible to ignore for an owner. No sales call, no commitment. The tool sells itself once they see the gap data on their own codes.
A single closed negotiation pays for 10+ years of subscription. That's a story owners tell other owners. The Pro tier effectively sells itself on ROI math, not features.
Every paid customer adds their de-identified reimbursement data to the benchmark pool. This makes the Simple Health Care partnership asymmetrically valuable — the more we sell, the better the data gets, the harder to displace.
What ships in the next 90 days.
The platform you're looking at right now is already built as an investor-grade demo. Here's the 90-day operational ramp to first paid customers.
Why this ships fast
TWINFLAME GROUPReimburseOS is built by David Hitchman, founder of TwinFlame Group — an AI platform studio. The infrastructure, design system, payment rails, authentication, and AI orchestration stack are already battle-tested across sister platforms (ReForgeHQ workforce intelligence, WarRoom CRM, ChamberOS). What would be a 9-month build for a typical seed startup is a 90-day ship for this studio. The only piece that isn't already owned is the reimbursement data itself — which is exactly where the Simple Health Care partnership turns into the operational unlock.
ReimburseOS is the distribution layer.
The data is the moat.
Every independent practice in America will eventually buy reimbursement intelligence. The question is which product they'll buy it through — and whose data it runs on. ReimburseOS is the front door. Simple Health Care's dataset is the unfair advantage under the hood. Together, this is a category-defining business that gets built in quarters, not years.
What owners say after the first snapshot.
Straight answers, no runaround.
You can't negotiate what you can't see.
Run your free snapshot.
No credit card. No EHR integration. No sales call. Your first report is free — and yours to keep.