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Free tool

Payer underpayment calculator

If a payer pays less per unit than your contract says, the gap adds up across a year. Check up to three payers at once.

Finding the real numbers

Take a few months of remittances for each payer, divide what they paid by the units on those claims, and compare it with your contract. Make sure you compare like with like, since patient cost-sharing is part of the allowed amount. See reading an EOB or ERA and negotiating rates.

Estimates only. Your contracts and payer rules decide what you are actually paid.

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