Built on public federal payer-rate data — no PHI, ever. See how it works
Live rate index · 5.3M+ contracted rows

Payers are required by law to publish what they pay you. They didn't tell you — and buried it in files no practice can open.

Since 2021, the federal Transparency in Coverage rule has required every major health plan to publish every contracted rate. Insurance companies never announced it. The data exists — but UnitedHealthcare's file exceeds a terabyte. Blue Shield's runs over 100 gigabytes. Payers counted on the files being impossible to read. ReimburseOS built the infrastructure to parse 314 million records so your practice can finally see what they've been paying — and what they should be.

🎁 WE'LL GIVE YOU ONE FULL CPT CODE ANALYSIS — FREE

Enter your NPI below. We'll run your numbers and hand you a complete rate breakdown on one of your codes — your rate, peer median, gap, annual uplift — on us. No strings.

No PHI  ·  No credit card  ·  1 code gift included  ·  ~15 sec See the platform →
5.3M+ Rate rows indexed
55,849 Provider NPIs in index
27 Commercial payers live
20 States live
app.reimburseos.com/practice-snapshot

Practice snapshot · Roseville Spine & Sport

CA · 226+ CPTs tracked · 27 payers live
Illustrative example
Rate gap identified $14,820 /mo undercollected vs CA peer-50 ($177,840/yr)
You collect
$29.70 /claim
CPT 98941 · Aetna CA avg
CA peer-50 gets
$38.00 /claim
+$8.30 you are leaving behind
CPTs underpaid
11 / 20
55% of your panel below market
Your percentile
P32
below CA median — 68% of peers earn more
Gap by CPT · CA
$ below peer-50 per claim · top 8 codes · red = underpaid
-$8.30
-$51.77
-$52.19
-$9.20
-$15.07
+$0.22
-$5.10
-$3.40
98941971409711098942 97014989409703597112
Payer gap table · CPT 98941
Your rate vs CA peer-50 · underpaid
PayerYou getPeer-50Gap
Aetna CA$29.70$38.00−$8.30
Blue Shield CA$30.82$35.77−$4.95
Anthem BCBS$32.36$36.22−$3.86
Cigna CA$36.31$38.45−$2.14
UHC$41.49$41.08+$0.41
Source: federal TiC MRF · multi-specialty group, illustrative example

You negotiated the contract.
You treated the patient.
You submitted the claim.
Did you get paid what the data says you should?

The data exists. It has existed since 2021. The problem is that a single payer's machine-readable file can exceed a terabyte in size. Parsing it requires infrastructure most practices will never have access to — and until now, nobody was building that infrastructure for independent providers.

ReimburseOS built the pipeline. 314 million raw records normalized. Your gap, in about 15 seconds.

Built on public federal data sources
CMS Transparency in Coverage NPI Registry · NPPES CMS Physician Fee Schedule Federal TiC Machine-Readable Files CMS Public Use Files CMS Transparency in Coverage NPI Registry · NPPES CMS Physician Fee Schedule Federal TiC Machine-Readable Files CMS Public Use Files
5.3M+
Contracted-rate rows indexed
55,849
Provider NPIs in rate index
314M+
Raw TiC records identified
27
Commercial payers live
20
States live
~15s
Analysis renders in your browser

The ReimburseOS Rate Index

Individual payer machine-readable files run from tens of gigabytes to over a terabyte each. ReimburseOS built the parsing infrastructure to normalize 314 million raw records into a queryable index — CPT by CPT, payer by payer, geography by geography. Every number on your analysis traces to a source row. No substituted averages. Unavailable means unavailable, not fabricated.

How it works

NPI in. Negotiation brief out. Fifteen seconds.

No setup, no configuration, no consultant required. Just your provider identifier and the federal data that was always there.

Step 01
Start with your NPI
Start with your NPI. Add CPT/HCPCS codes, payer mix, ZIP, volume, and optional reimbursement rates for a sharper analysis. No login, no credit card, no PHI. 🎁 One code analyzed completely free — your rate, peer median, gap, and annual uplift.
Step 02
We match you against the index
ReimburseOS matches your NPI against 5.3M+ normalized contracted-rate rows indexed from 314M+ publicly mandated TiC records. 27 commercial payers live nationwide. The data exists. We made it searchable.
Step 03
Your gap appears
In about 15 seconds, your rate gap renders in the browser. The free analysis uses public-rate intelligence and benchmark methodology. Paid audits unlock deeper payer-file matching where available.
Step 04
Decide what to do next
The free analysis tells you whether the gap is real. The full audit and counteroffer memo tell you exactly what to ask for, citing the payer's own filings. Your call.
Rate gap intelligence

The data became public in 2021. The files are so large that almost no one can use them.

Health plans now publish machine-readable contracted-rate files under federal law. A single payer's file can run over a terabyte. Parsing the index file alone — just to find which URLs contain your provider's data — requires significant engineering infrastructure. ReimburseOS built that infrastructure and normalized the output into a queryable index, so you can see where each payer sits relative to your local market without a data team.

Transparency in Coverage Local-market median Peer benchmarking CPT-level precision
Rate gap by CPT · CA 11 of 20 codes underpaid
You collect
$29.70
CPT 98941 · Aetna CA
vs
CA peer-50 gets
$38.00
multi-specialty group, illustrative example
Gap per claim
-$8.30
200 claims/mo = $1,660/mo lost
CPT 98941 rate distribution · illustrative example
P75 $76.25
You: $29.70
P50: $38.00
P75: $76.25
Top gaps across your panel · illustrative example
98941
-$8.30 Aetna CA 97140
-$51.77 BSCA 97110
-$52.19 BSCA 98940
+$0.22 BSCA
Payer scorecards

The dashboard your team opens every Monday.

Peer-benchmarked rate gaps, ranked by dollar impact. See which payer is your worst performer, which CPTs are dragging it down, and what the spread looks like against the local benchmark. The priority lever for the next contract conversation.

Payer-by-payer rankings Dollar-gap per claim Local percentile
Payer scorecard · CPT 98941 4 of 5 payers underpaying
Aetna gap/mo
$1,660
200 claims · $8.30 each
Panel total gap/mo
$3,760
98941 across 4 payers
If at peer-50
+$45,120
annual uplift · this CPT alone
Aetna CAn = 3,048 rows · WORST PAYER
−$8.30
Blue Shield CAn = 12,488 rows
−$4.95
Anthem BCBSn = 6,712 rows
−$3.86
Cigna CAn = 4,190 rows
−$2.14
UnitedHealthcaren = 8,210 rows · above median
+$0.41
Illustrative example · source: federal TiC MRF filings · multi-specialty group
Leverage Memo · $199 one-time

Your payer filed the evidence. We write the argument.

Aetna, UnitedHealthcare, and every major commercial payer is required by federal law to publish every rate they pay every provider. We pull your payer's own MRF filing, calculate where you sit against the peer-50 for your geography and specialty, and write the formal rate-realignment request — citing numbers the payer themselves submitted to the federal government. Payer-filed, source-attributed data.

Cites the payer's own MRF data — evidence-backed rate realignment request
45 CFR § 147.212 citation included — federal law, not opinion
Peer-50 gap calculated CPT by CPT, payer by payer, your geography
Addressed to Provider Relations. Formatted for immediate use.
Documented opportunity · illustrative example
$199 memo vs. $14K–$35K avg. first-year renegotiation outcome
Based on published first-year outcomes from data-backed renegotiations with top-3 commercial payers on a $350K–$500K annual panel. Actual outcome depends on payer response and contract terms.
Leverage Memo · Generated by ReimburseOS Ready to send 8 pages · PDF
Pacific Coast Chiropractic Group
NPI 1234567890 · 4801 J Street, Sacramento, CA 95819
Tax ID 94-2811043 · Group ID: AET-7820144
ReimburseOS
Leverage Memo v2026.05
May 16, 2026
Provider Relations · Aetna Health Inc.
RE: Contract Rate Realignment Request — CPT 98941, 98942, 99213
This letter formally requests upward rate realignment for the CPT codes listed below under the above-referenced contract. Rate evidence is sourced from Aetna's federally mandated Transparency-in-Coverage MRF (March 2026, Schema 2.0). Current contracted rates place this practice at or below the 12th percentile of California market distribution for equivalent-complexity practices — a documented gap of $28,332 annually across the codes below.
Exhibit A — Contracted Rate vs. Market Peer-50
CPT Description Current CA P50 Gap/yr
98941 CMT · 3–4 regions $48.50 $72.80 −$14,580
98942 CMT · 5 regions $61.20 $88.40 −$9,792
99213 E&M Office · Level 3 $84.10 $97.30 −$3,960
We respectfully request rates be realigned to the California peer-50 as documented above. Per 45 CFR § 147.212, all rate data cited herein is sourced from Aetna's own published MRF and is verifiable by your contract management team. Row IDs and file hash are attached as Exhibit B.
Dr. Sarah Chen, DC
Clinic Director · Pacific Coast Chiropractic Group
sarah.chen@pccg.com · (916) 555-0182
Download PDF
8 pages
Renewal calendar

No contract resets at last year's rate by default.

Every payer agreement has an effective date, an expiration date, and a negotiation window. ReimburseOS tracks all three, so the renegotiation starts on your schedule with the benchmark data already queued.

Effective and expiration dates 90-day renewal alerts Leverage windows
Renewal calendar 2 contracts in leverage window now
Aetna at risk
$19,920
renews at last year's rate if you miss window
BSCA potential
$37,800
if re-aligned to peer-50 this window
Aetna CA · inside 90-day window
Expires Jul 31, 2026 · file rate review now or renew at $14.00
76 days left
Aetna CA -$19,920/yr gap
Expires Jul 31, 2026
76 days · file now to negotiate before reset
Blue Shield CA -$37,800/yr gap
Expires Aug 15, 2026
61 days · largest dollar opportunity in panel
Anthem BCBS
Expires Jan 01, 2027
Alert queued · Oct 3 · 90-day window opens
UnitedHealthcare
Expires Feb 28, 2027
Alert queued · Dec 1 · monitoring rate shifts
How we know

Every number on your analysis traces back to a public filing.

No customer quotes. No fabricated reviews. The credibility comes from the dataset, the method, and a source row you can audit.

5.3M+
normalized contracted-rate rows indexed
55,849
provider NPIs in rate index
27
commercial payers live
50
states + DC (nationwide)

Public federal data

Built on machine-readable Transparency-in-Coverage rate files, the NPI Registry, and the CMS Physician Fee Schedule. No PHI is required, anywhere in the pipeline.

Transparent methodology

Each CPT is compared to its local-market 25th, 50th, and 75th percentile. The method is published, repeatable, and the same one your analysis runs.

Attributable to the source

Every benchmark figure links to the payer filing it came from. If a number cannot be sourced, we mark it unavailable rather than substitute an average.

Source vocabulary: 314M+ raw public payer rate records identified across federal TiC files; 5.3M+ normalized rows currently indexed inside ReimburseOS (27 commercial payers live · all 50 states · 55,849 provider NPIs in rate index · as of 2026-05-18). Every figure source-attributed or marked unavailable. No PHI required at any tier.

Who it's for

Built for every team getting squeezed by payer contracts.

The same public contracted-rate data. The same platform. Sized to your operation.

Independent Practices

You negotiate alone against payers with actuarial teams and legal departments. ReimburseOS gives you the same data they have — their own publicly filed contracted rates, benchmarked against your local market.

Analyze My CPT Codes →

Billing Companies

You see underpayments every day across dozens of clients. ReimburseOS lets you prove them with the payer's own TiC filings and generate client-ready leverage memos without touching a single PHI record.

Portfolio pricing and demo →

DME Suppliers

Allowed amount variance compounds across thousands of HCPCS claims. ReimburseOS surfaces which codes and which payers are the problem, by geography, by payer, by claim volume — without a billing audit or consultant.

DME rate intelligence →

Specialty Groups and MSOs

Multi-location rate variance is invisible until it becomes a revenue problem. ReimburseOS makes it visible before that — payer by payer, location by location, renewal window by renewal window.

See Growth tier →

ReimburseOS is not a billing company and does not replace your billing team. It is reimbursement intelligence software that helps you see where the gap is and arm you for the next contract conversation.

Pricing

Start free. Pay only when you want the full picture.

Three ways in. The analysis is free forever; the paid tiers carry the Founder's Promise.

Free snapshot
Free Snapshot
$0

See whether a rate gap exists against the peer benchmark. No credit card, no required email gate.

  • Estimated annual rate-gap range
  • Top 3 below-benchmark CPT codes
  • Your peer percentile in the index
Analyze My CPT Codes
Continuous coverage
ReimburseOS Pro
$299/ month

Always-on monitoring, rate-shift alerts, saved analyses, and renewal support across every payer.

  • Unlimited CPT codes tracked
  • Real-time rate-shift alerts
  • Renewal calendar with 90-day automation
Compare all plans

Not sure which tier fits? Start with the free analysis — no card, no email required, no commitment.

All opportunity figures are estimates based on public contracted-rate data and business-level inputs. Actual recovery depends on payer response, contract terms, and negotiation outcome.

Common questions

Direct answers to the questions buyers actually ask.

Do I need to upload patient data?

No. The free analysis does not require PHI. Optional inputs are business-level only: specialty, payer mix, CPT codes, volume estimates, ZIP code, and your average reimbursement amounts. Advanced claim-level workflows require private onboarding and compliance review.

Is this only for chiropractors?

No. ReimburseOS supports independent practices, specialty clinics, physical therapy groups, DME suppliers, billing companies, and healthcare operators managing payer contracts. Chiropractic is the first commercial focus. The platform is specialty-agnostic.

Are these my exact contracted rates?

Sometimes. When exact public contracted-rate data from federal TiC filings is available and matched to your NPI, geography, and payer, we label it as such. When benchmark estimates or user-entered rates are used, those are labeled too. We never present an estimate as a confirmed rate.

Can this guarantee recovered revenue?

No. ReimburseOS identifies methodology-backed reimbursement opportunity so your team can prioritize the highest-value next steps. Actual recovery depends on payer response, contract terms, documentation, volume, and negotiation outcome. The Founder's Promise covers the audit fee, not recovery outcome.

What if the data is unavailable for my practice?

ReimburseOS labels unavailable or low-confidence results instead of substituting a guess. You will see "Unavailable," "Thin sample," or "Benchmark estimate only" rather than a fabricated number. You can enter your own rates as a baseline and we will compare them against the available benchmark data.

What happens after the free analysis?

You review your top 3 CPT gaps and peer percentile position. From there you can unlock the full 20-CPT Practice Audit, generate a payer-ready leverage memo for your worst payer, or start a Pro subscription for continuous monitoring and renewal alerts. No decision required at the analysis stage.

The Founder's Promise
$10,000 /mo

If your paid Practice Audit does not identify at least $10,000/month in documented, methodology-backed reimbursement opportunity across your submitted CPT and payer panel, we refund your audit fee.

A signed promise, not a marketing line. The number is the anchor. If the opportunity is not there based on available data, we say so — we will not inflate figures to justify a sale.

The promise applies to documented opportunity identified through public-rate and benchmark analysis, not guaranteed cash recovery. Actual recovery depends on payer response, contract terms, documentation, volume, negotiation timing, and workflow type.

The data is already public

Find out where your rates stand. It takes about 15 seconds.

Start with your NPI. Add specialty, payer mix, and CPT codes to sharpen the analysis. Results appear in your browser. No PHI, no credit card, no required email gate.

Public-rate data only. No PHI. Nothing charged, nothing stored without your consent.