Rate Intelligence
Contracted rate by CPT × payer × locality from each payer's federal TiC file, refreshed monthly.
Reddenda AGENTic is the programmable reimbursement layer for independent healthcare. Every contracted rate monitored. Every gap surfaced. Every memo drafted. Every renewal timed. Wired into the PM, RCM, clearinghouse, or middleware you already run.
Stripe made payments programmable. Plaid made banking data programmable. Reddenda AGENTic makes payer-rate intelligence programmable.
Join the waitlist No public pricing. No self-serve checkout. Seats open in order, and we reply within one business day.
The thesis
Independent practices, billing companies, DME networks, and health-tech platforms all hit the same wall: federally mandated payer-rate data exists, but nobody can use it inside the workflows they already run. AGENTic closes that gap with full autonomy plus a connector and API layer built to embed.
What should this payer actually be paying for this code in this market? AGENTic answers that continuously, and pushes the answer into your stack.
Made payments programmable for any product surface.
Made banking data readable and embeddable through one integration layer.
Makes contracted-rate intelligence, renewal timing, memos, appeals, and recovery queues programmable across any healthcare revenue stack.
How it works
Fully autonomous. Every payer, every CPT, every renewal window monitored on a continuous cadence. Your team reviews what we surface. You sign what we draft.
NPI roster, PM/EHR, clearinghouse, or middleware. REST API, webhooks, X12, FHIR. No rip-and-replace.
Every CPT and HCPCS code, every commercial payer, benchmarked against federal TiC filings and peer bands in your locality.
Rate gaps, renewal briefs, leverage memos, appeals, recovery queues, and pre-bill scrubbing run without daily operator clicks.
Alerts, memos, and action queues land in your dashboard and inside the systems your team already lives in.
The agentic stack
Each module runs on its own cadence under AGENTic. Rate Intel watches federal files monthly. Renewal Radar scores contract windows. Recovery diffs paid claims against contracted rates. You do not manage the schedule.
Contracted rate by CPT × payer × locality from each payer's federal TiC file, refreshed monthly.
Formal rate-realignment requests citing the payer's own federal filing. Drafted, tracked, ready to sign.
Renewal Opportunity Score on every practice-payer pair. Briefs filed at 90, 60, 30, and 7 days out.
Full multi-payer reimbursement audit across your billing panel. The document you bring to payer conversations.
Appeal letters against denied or underpaid claims using the payer's published contracted rate as evidence.
Paid claims diffed against contracted rates. Underpayments routed to Appeals with federal-rate evidence attached.
Charges below contracted rate flagged before submission. NCCI, modifiers, MUE, and payer-specific quirks.
REST endpoints and webhooks push benchmarks, memos, alerts, and recovery events into your existing stack.
Integration layer
AGENTic ships with the same connector catalog as the Reddenda platform: PM/EHR, RCM, clearinghouse, DME, and middleware partners. Intelligence gets sharper as more of your stack connects.
Built for scale
Every client NPI monitored. White-label memos and renewal pipelines across your entire book. Channel economics by scope.
Per-provider variance across the roster. Group-level renegotiation power from one federal data engine.
Commercial payer gaps by HCPCS and region. MAC schedule watch. Realignment requests across product lines.
OEM and API partnerships. Put contracted-rate benchmarks and leverage memos inside products you already ship.
Pro vs AGENTic
| Capability | Pro Monthly | Reddenda AGENTicWaitlist |
|---|---|---|
| Operating model | You run modules in-dashboard | Autonomous background execution |
| Rate Intel monitoring | Alerts + prioritized actions | Fully autonomous gap watch |
| Leverage memos | Included · you trigger | Included · autopilot-ready |
| Renewal playbook | Calendar + alerts | Autonomous briefs + API triggers |
| Recovery queue | You queue work | Autonomous underpayment surfacing |
| Connectors + REST API | — | Included · X12, FHIR, REST |
| Multi-NPI scope | Single practice | Unlimited · custom scope |
| White-label deliverables | — | Billing co & MSO packaging |
| Strategy call | — | Monthly 30 min included |
| Founder's Promise | Yes | Yes |
| How you get it | Start today | Waitlist · seats open in order |
Data infrastructure
Since 2022, every commercial payer must publish every negotiated rate monthly under federal Transparency-in-Coverage rules. The raw files are massive and engineered to be unreadable. Reddenda normalized them into a queryable rate book AGENTic runs on continuously.
Public payer rate records identified across federal TiC filings.
Provider NPIs in the national rate index.
Commercial payers and all 50 states covered in the live index.
Payers must republish every month under the federal rule. AGENTic re-benchmarks on every drop.
314M+ is the identified raw universe across federal TiC files, a ceiling rather than a live queryable row count. 9.7M+ is provider NPIs in the national rate index. A raw record becomes queryable only after parsing, NPI matching, de-duplication, and outlier gating.
The waitlist
AGENTic is in controlled rollout. There is no public price and no self-serve checkout. Seats open in order, scope is set privately with each organization, and every deployment is wired in with founder-level attention. We respond within one business day.
Reddenda identifies documented opportunity based on public contracted rates and submitted practice inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome. Founder's Promise details · Methodology
Prefer a call? Schedule a working session or call 916-663-7303.
Want proof first? Run the free Practice Snapshot on any NPI. Results in about 15 seconds, no PHI, no card.
Organization type, portfolio size, and integration targets. No sales deck required.
Your place is held. Expect a reply within one business day at the email you provided. While you wait, watch the platform run.
See the live platform demo