ReimburseOS

Platform How it works Methodology What data we use What happens after upload HIPAA-aligned workflow Founder's Promise

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ReimburseOS  /  What data we use

Public data only.
Zero PHI required.

You give us four fields. We compose the rest from public federal datasets that have always been there — your contract just bet you'd never look.

Inventory snapshot · 2026-05-12

We never ask for, see, or store PHI.

Not patient names. Not DOBs. Not claim numbers. Not diagnoses. Not encounter notes. Our entire dataset is composed of public business identifiers (NPI) and public commercial rates (federal MRF filings). HIPAA-aligned by architecture, not by policy.

// our dataset

ReimburseOS owns and operates a normalized reimbursement dataset built on public federal filings.

We ingest, parse, and normalize federal Transparency-in-Coverage machine-readable files directly from each payer's CMS-mandated CDN. No private aggregator stands between the raw federal source and our index. TwinFlame Group owns and operates ReimburseOS. See the full methodology for the formulas and refresh cadence.

The inventory

What we ask you for · what we pull ourselves.

// from you · 4 fields

What you provide

  • NPI10-digit identifier
    Your National Provider Identifier. Already public in the federal NPI Registry. Required.
  • Emailwork address
    Where to send your Snapshot link. We never sell it. We never share it. We don't drip-market you.
  • Practice nameauto-filled from NPI
    Auto-populated from the NPI Registry response. Editable if your DBA differs from your legal entity.
  • Specialtyauto-detected · taxonomy code
    Auto-detected from the primary taxonomy code on your NPI record. Editable if you bill under a secondary taxonomy.
// public datasets · auto-composed

What we compose for you

  • NPI Registry recordNPPES · CMS
    Practice address, taxonomy, credentialing date, sole-proprietor flag. Refreshed weekly.
  • Contracted ratesTiC MRFs · 27 payers
    Your in-network negotiated rate from every commercial payer's published MRF. 2,441,528 rows indexed.
  • CMS PFS 2026RVU file · conversion factor
    Medicare allowed amount per CPT, the locality-adjusted floor for commercial comparison.
  • GPCI vector112 CMS localities
    Geographic Practice Cost Index for your locality. Normalizes for cost-of-practice variation across metros.
  • Peer percentile bandspecialty · state
    25th / 50th / 75th percentile commercial rates among same-specialty peers in your state.
// we do not collect

Things we'd refuse if you tried to upload them.

  • Patient names, addresses, phone numbers, emails
  • Patient dates of birth, SSN, MRN, member ID
  • Claim numbers, encounter IDs, prior auth numbers
  • Diagnosis codes (ICD-10) tied to a patient
  • Procedure notes, chart entries, imaging files
  • Remittance advice (835), claims files (837)
  • Billing-system credentials, EHR exports
  • Anything else that could re-identify a patient
  • Private payer portal scrapes or proprietary aggregator panels
// compliance posture

ReimburseOS is designed so the Free Snapshot does not require PHI. The platform uses public NPI records and public payer rate files. If a future workflow requires protected health information, it must be handled under the appropriate agreements and controls before use. We do not currently process PHI. Snapshot results appear in your browser in about 15 seconds.

Four fields. About 15 seconds. Zero PHI.

Type your NPI. See your underpayment matrix. Everything else is composed for you from public data.

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Read the full methodology or the HIPAA workflow.