AI-Powered Contract Management & Underpayment Recovery
Get paid what your contracts say, on every line.
BlackBook 2026 #1 : AI-Powered Claims Automation (9.67/10)
1 in 16
Remit lines caught paying off-contract
2 days
From signed contract to live rate model
$900K
Recovered per $100M of revenue, every year
AI that works every payer contract end to end from clause-by-clause modeling to line-level variance detection to recovery and renegotiation. Underpayments post as paid. Every line gets priced anyway.
The Underpayment Crisis
Payer rates change every quarter. Your remits get checked for paid, not paid right.
Every underpayment is already in your 835s, next to the contract that proves it. The claim posts as paid and the shortfall books as contractual. What's missing is the time to recompute every remit, the data to price each line against every contract, and the payer-specific expertise to know when a take-back breaks your lookback clause.
1/50
contracted dollars short-paid. On a $100M book, that's $2M a year written down as contractual.
1/3
of underpaid dollars trace to a rate loaded late or wrong. Not bad faith. Just a stale rate table.
How RapidContracts works
Read. Price. Detect. Recover. Renegotiate.
Read & Model
Every contract read clause by clause. Every rate sourced.
Upload the agreement, rate exhibits and every amendment. RapidContracts builds a live rate model: fee schedules by CPT, modifier and place of service, percent of Medicare, case rates, carve-outs and drug books, plus lesser-of, stop-loss and sequestration rules. No rate table keyed by hand.
2 days from signed contract to live model · Confidence score on every clause
Price & Trace
Every remit line priced. Every step cited.
Nightly, every 835 line is priced against the contract in force on its date of service. The expected amount returns as a trace, one step per clause. The same engine prices the patient estimate, so your front desk and your dispute letter quote the same number.
One trace step per clause · PFS, ASP and NCCI versioned by date of service
Detect & Classify
Every variance named. Including the ones marked paid.
Underpayments rarely arrive as denials. They arrive as a short line, a silent $0 line or a take-back three remits later. Every gap lands in one of thirteen variance classes, repeat signatures batch into one payer project, and only the cases that need judgment reach a person.
13 variance classes · Silent $0 lines inside paid claims
Recover & Defend
Every demand carries the clause. Every take-back gets tested.
Patterns go to the payer as projects with the claim inventory, contract citation and rate exhibit attached. Take-backs are tested against lookback, notice and reason before anyone accepts them. Prompt-pay interest is billed quarterly, and recovered means posted.
Lookback, notice and reason tested on every take-back · Prompt-pay interest billed quarterly
Renegotiate & Compound
Every dispute becomes a clause you ask for at renewal.
Repeat variances are contract problems, not claim problems. They become renewal asks with the dollars attached, and your counter is backtested against twelve months of your own claims. Each renewal closes a leak the last one left open.
Claim-level backtest on trailing 12 months · Integrated with RapidRecovery + Rapid Eligibility
Results
What our customers recover.
$900K
Underpayments recovered in the first 12 months Multi-Specialty Group · $100M net revenue
1 in 16
Remit lines caught paying off-contract Large Health System · 3.2M remit lines/year
2 days
From signed contract to a live rate model Community Health Center Network · 9 payer contracts
Why RapidContracts
Not another contract repository. A complete contract-to-cash engine.
The same escalator miss every January is a contract problem. Fix it once.
Every Dispute Becomes a Renewal Ask
Every underpayment tool ends at the dispute, so the same escalator gets missed every January. RapidContracts sorts each root cause: fixable on the claim, or only in the contract. The second kind becomes renewal language with its annual cost attached, so each renewal shrinks next year's leakage.
Root cause on every variance · Contract fixes priced in annual dollars
Your contracts, modeled this week. Your contract manager checks the hard clauses.
Contracts Live in Days
Legacy modeling means analysts keying rate tables for months, stale by the time they load. RapidContracts reads every agreement, exhibit and amendment, scores its confidence on each clause, and routes the uncertain ones to a named reviewer with the source text beside the extraction.
2 days, signed contract to live model · Redlines checked before they go out
The claim says PAID. Line two says $0.
Paid Claims Get Checked Too
Denial tools see what the payer calls a denial, and underpayments come back marked paid. Because every line is compared with the contract, the silent ones surface with the evidence already assembled: the 835 segment, the rate exhibit row, the clause and the calculation.
Evidence pack on every variance · 835 segment, exhibit row, clause, math
A $3.82 line inside a $48,230 pattern. A $90 dispute that closes in 13 days.
Ranked by Dollars and Deadline
Most underpayment lists sort by claim amount, burying small misses that repeat across hundreds of claims. RapidContracts ranks by dollars times pattern size, weighted by the days left in each dispute window, with renewal notice dates on the same calendar.
Dollars × pattern × days to deadline · Renewal notice dates on the same calendar
Purpose-Built
Built for your organization
FQHCstrust RapidClaims
FQHCs
Medicaid MCO carve-outs and capitation terms checked on every remit. Recover the services a payer zeroed as covered by capitation. Runs with the billing team you already have.
Community Health Centers
Medicaid managed care and marketplace contracts held to their own terms. Recover wrong-plan and late-paid claims, prompt-pay interest included.
Accountable Care Orgs
Network contracts checked at every participating practice, TIN by TIN. One contract model for the whole network.
Physician Groups
Fee schedules, escalators and E/M re-leveling rules checked payer by payer. Your billing system stays the system of record.
Hospitals and Health Systems
DRG, per diem, outlier and percent-of-charge terms priced with stop-loss thresholds. Protect high-dollar surgical, oncology and infusion revenue from stale rate tables.
Don't see your org type?
Get in touch with our team
If you manage payer contracts at scale, RapidContracts can help. Tell us how your team works.
Talk to us
Price it once. Collect it in full.
RapidContracts works alongside RapidRecovery™ and Rapid Eligibility™. Every material variance opens in the underpayments queue with the clause attached, and the patient estimate is priced on the rate the payer actually owes.
BlackBook 2026 #1 : AI-Powered Claims Automation (9.7/10)
Frost & Sullivan 2025 : Technology Innovation Leader
BlackBook 2025 #1 : AI-Powered Claims Automation (9.61/10)
Works with your existing systems.
RapidContracts integrates with your EHR, billing system and 835 and 837 files. No rip-and-replace. No workflow disruption.
