ReimburseOS

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// Product demo · live with real public data

See ReimburseOS in action
no signup required.

One anonymized California chiropractic practice. Real federal Transparency-in-Coverage rate data. Real peer benchmarks. The same view you would see for your own practice on the Free Snapshot, end to end.

No PHI. No credit card. No required email gate. Public payer rate data only. The Free Snapshot renders in your browser in about 15 seconds.
// 01 · Dashboard overview

What the practice owner sees on day one.

One scrollable dashboard. Five cards summarize the practice's position against public peer rates inside the rate index. Every value below is computed from real federal Transparency-in-Coverage filings for this specific NPI.

NPI 19••••2219 · Chiropractic · Northern California · Taxonomy 111N00000X
// 01 · profile
Chiropractic
Northern California · Locality 99 · NPI 19••••2219 · solo provider
// 02 · data coverage
150 rows
19 CPTs · 2 payers indexed (BSCA, Anthem CA) · Aetna · UHC · Cigna still landing
// 03 · documented opportunity
$65K - $120K
Annual reimbursement opportunity range. Peer-50 floor to peer-75 ceiling.
// 04 · worst payer
Anthem CA
CPT 98941 paid $14.00. CA peer-50 = $35.45. Gap of 60% below benchmark.
// 05 · next action
Anthem 98941
Open the counteroffer memo. Cite Anthem's own Schema 2.0 MRF filing.
Source: /api/audit-demo-data?persona=7 · federal TiC MRF · CMS PFS 2026 · NPI Registry (federal public)
// 02 · CPT analysis

Top CPT codes vs the California peer-50.

The five codes with the largest gap against the California peer median. Each row pairs this practice's contracted rate with the live peer-50 percentile from the rate index. No specialty defaults. No averaging. Per code. Per payer.

Top 5 CPTs · CA chiropractic · vs peer-50
5 codes · 5 rows · all from real public TiC filings
CPT This practice gets Peer-50 (CA) Gap per claim Bar
98941
Spinal manipulation · 3-4 regions · Anthem CA
$14.00 $35.45 -$21.45
97140
Manual therapy · 15 min · BSCA
$23.39 $75.16 -$51.77
97110
Therapeutic exercise · BSCA
$23.39 $75.58 -$52.19
98940
Spinal manipulation · 1-2 regions · BSCA
$25.52 $25.30 +$0.22
97014
Electrical stim · BSCA
$16.97 $32.04 -$15.07
Peer percentiles drawn from payer_contracted_rates · CA chiropractic taxonomy · n = 34,914 distinct rates on 98941 alone
// 03 · Payer comparison

Same practice. Two payers. Very different reality.

Each payer's median rate for this practice, ranked against the CA peer-50 across covered CPTs. Hover-equivalent metadata is rendered inline: row count, CPT coverage, weighted delta against the public benchmark.

Anthem Blue Cross CA16 covered CPTs · 3 contracted rates indexed
-58% vs peer-50weighted across CPTs · worst payer
Blue Shield of California16 covered CPTs · 16 contracted rates indexed
-31% vs peer-50weighted across CPTs · room to negotiate
Aetna · UHC · CignaMRF indexed · rate-matching in flight · <48h
processingdata coming soon
No averaging across payers. Each row is one payer's true contract median for this NPI.
// 04 · Ranked contract actions

The order to attack the contracts, with receipts.

Ranked by leverage, not by gap-size alone. Each action carries its own data citation. No vague advice. No generic playbook.

// rank 01 of 05 urgent

Re-negotiate 98941 with Anthem Blue Cross CA. 60% below CA peer-50.

Anthem's contracted 98941 rate is $14.00. The CA chiropractic peer-50 is $35.45 across 34,914 distinct rate rows in the federal TiC index. Top-quartile peers receive $76.25. Anthem's own Schema 2.0 MRF (March 2026 filing) is the citation.

Source: Anthem CA TiC MRF · Mar 2026 Peer n = 34,914 +$28,400 / yr documented opportunity
// rank 02 of 05 urgent

Bundle 97140 + 97110 renegotiation across BSCA. Both 69% below peer-50.

BSCA pays both codes at $23.39. CA peer-50 is $75.16 for 97140 and $75.58 for 97110. Together these two codes represent roughly 31% of billable minutes for a typical chiropractic visit.

Source: BSCA TiC MRF Peer n = 33,927 + 32,565 +$24,150 / yr documented opportunity
// rank 03 of 05 medium

Add modality codes 97012, 97014, 97035 to next negotiation cycle.

Each is paid 50 to 67 percent below peer-50. Per-unit dollars are small, $16 to $32 per claim. Bundling them into the same negotiation packet keeps the leverage compounding instead of bleeding incremental rounds.

Source: BSCA + Anthem CA TiC MRF +$12,540 / yr documented opportunity
// rank 04 of 05 insight

Maintain BSCA relationship on 98940. You are 15% above peer-50 there.

BSCA pays 98940 at $25.52 against a peer-50 of $25.30. Do not surface BSCA on 98940 in renegotiation packets. Use it as the reference baseline when negotiating Anthem.

Source: BSCA TiC MRF
// rank 05 of 05 next step

Generate the 2-page Counteroffer Memo for Anthem CA.

Combines actions 01 and 03. Memo cites Anthem's own Schema 2.0 MRF filing inline. $199 one-time on the Counteroffer Memo tier, or included with Practice Audit.

Combined documented opportunity +$40,940 / yr
Documented opportunity is computed as (peer-50 - this rate) x estimated annual volume per CPT, sourced from federal TiC filings and the practice's submitted top-CPT mix. Actual recovery depends on payer response, contract terms, documentation, and negotiation.
// 05 · Counteroffer memo · page 1 preview

The memo your office manager hands the payer rep.

Two pages of formal, payer-ready language. CPT-level, contracted-rate-cited, peer-benchmarked. The negotiator on the other side is looking at it for the first time. You aren't.

Counteroffer memo · page 1 of 2 · prepared by ReimburseOS

RE: Commercial fee schedule re-alignment request, NPI 19••••2219, effective Q3 2026

To: Network Management, Anthem Blue Cross of California.

The contracted rate currently in effect for CPT 98941 (chiropractic manipulative treatment, 3 to 4 spinal regions) under our agreement is $14.00 per claim. This rate sits at the 5th percentile of the public California chiropractic distribution as published in Anthem's own Transparency-in-Coverage machine-readable file (filing reference: Schema 2.0, March 2026).

The California chiropractic peer-50 for CPT 98941, calculated across 34,914 distinct contracted rates in the federal TiC index, is $35.45 per claim. The peer-75 is $76.25.

Our request is a re-alignment of CPT 98941 to the California peer-50 of $35.45 per claim, effective the next contract renewal cycle. We are similarly requesting re-alignment on CPT 97140 and CPT 97110, both currently paid at $23.39 against a peer-50 of $75.16 and $75.58 respectively.

Supporting data, percentile distributions, and source filings are attached as exhibits A through C.

Sourced from federal TiC MRF filings + CMS Physician Fee Schedule 2026 + public NPI Registry. No PHI used. Public payer rate data only.
Full 2-page memo unlocks with the Counteroffer Memo tier ($199 one-time) or the Practice Audit ($497 list, $297 founding).
// 06 · What unlocks at each tier

What is free, what is paid, what is included.

Free Snapshot stays free. Paid tiers unlock the actionable artifacts: the counteroffer memo, the strategy call, the contract renewal calendar. Founding pricing locked for life on the first 50 practices.

// Free

Free Snapshot

$0 · 90 seconds
See where your contracted rates may sit against the peer benchmark. No credit card.
  • Top 3 below-benchmark CPTs against local benchmarks
  • Annual rate-gap range in dollars
  • Worst-paying payer in your ZIP
  • Percentile rank vs peer practices in the index
  • Renders in your browser in about 15 seconds
Run my Free Snapshot
// Memo only

Counteroffer Memo

$199 · one-time
One payer. One negotiation. The 2-page payer-ready memo with CPT-level peer-benchmarked citations.
  • Single-payer counteroffer memo
  • CPT-level peer-50 and peer-75 citations
  • Exhibits A to C with source TiC filings
  • Editable copy for your billing team
See Memo details
// Founding · 40% off

Practice Audit

$497$297 · one-time
The full picture. 20 CPT codes. Strategy call. Payer scorecard. Pays for itself in the first renegotiation.
  • Everything in Free Snapshot
  • 20 CPT codes analyzed
  • Full payer performance scorecard
  • 30-min strategy call with an analyst
  • Payer-specific negotiation scripts
  • Contract renewal prep checklist
  • Founder's Promise · find-or-refund on documented opportunity
Reserve Founding slot
// Continuous coverage

ReimburseOS Pro

$299 · /month
Continuous reimbursement intelligence. Real-time rate-shift alerts. Quarterly benchmark refreshes.
  • Everything in Practice Audit
  • Unlimited CPT codes tracked
  • Real-time rate-shift alerts
  • Contract renewal calendar with 90-day automation
  • Quarterly benchmark refreshes
  • 2 user seats included
See Pro details
Growth tier available for billing companies, MSOs, multi-NPI groups, DME suppliers, and distributors. Talk to David.
PHI

No PHI required. Public data only.

ReimburseOS uses the public NPI Registry, federal Transparency-in-Coverage rate filings, and the CMS Physician Fee Schedule. We are not a HIPAA-covered entity because we do not touch PHI. The Free Snapshot intake never asks for patient data. See the methodology for the full source list, refresh cadence, and aggregation rules.

See it on your NPI.

The same view you just walked through, computed against your own contracted rates. The Free Snapshot renders in your browser in about 15 seconds. No required email gate. No drip sequence. No sales call. No credit card.

Questions? Talk to David.