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FAQ · honest by design

Straight answers.
No spin.

Where the data comes from, what a RateScore means, what the memo holds, what everything costs, and the things we will never do. If your question is not here, email us and a human answers.

01 · Where the data comes from

Public federal filings. Nothing else.

Every benchmark traces to a federal source file you could download yourself, if you had the storage and the patience.

01Where does your data actually come from?

Three public federal sources. First, the machine-readable files that commercial payers are required to publish under the federal Transparency in Coverage rule: these contain the actual negotiated rates payers have contracted with providers. Second, the NPI Registry (NPPES), the public directory of every provider’s identifiers, taxonomy, and practice address. Third, the CMS Physician Fee Schedule, which anchors every comparison with the Medicare allowed amount for each code in your locality.

We ingest the payer files directly from each payer’s federally mandated endpoint. No private aggregator sits between the raw federal source and your screen. The full pipeline is documented on the methodology page.

02Is it really legal to see negotiated rates?

Yes. Since July 2022, the federal Transparency in Coverage rule has required most commercial payers to publish their negotiated rates in public machine-readable files. The data has always been yours to read.

The catch is scale. The filings we are indexing span 314M+ raw rate records across files covering all 50 states, republished monthly, in formats that take a data engineering team and terabytes of storage to open. Reddenda exists because reading them should not require building that team yourself.

03How fresh is the data?

Payers republish their files monthly, and we refresh the index on the same cadence. Every benchmark you see carries its refresh period, so you always know which filing month you are looking at.

04What if there is not enough data for my NPI?

We tell you. When a code or payer has thin coverage, the result is labeled “unavailable” or “low confidence” instead of being papered over with a specialty average dressed up as your number. Every figure in a Reddenda output carries a data-basis label, so you know exactly how it was calculated before you rely on it. The four labels are documented on what data we use.

02 · Your RateScore

One number for how your contracts pay.

300 to 850, on purpose. You already know how to feel about a 580 versus a 720.

Demo sample · not a real practice
05What is a RateScore?

A single number from 300 to 850 that summarizes how your contracted rates compare with same-specialty peers in your market. Higher means your rates sit closer to the top of your peer range; lower means payers are keeping more of the gap.

It deliberately reads like the credit-score scale because that scale is already intuitive. To be precise about what it is not: a RateScore is a benchmark summary built from public rate data. It is not a financial rating, and it has no connection to credit of any kind.

06How is the RateScore calculated?

We benchmark the contracted rates we can match to your NPI against peer percentile bands for your specialty and state, weight the comparison toward your highest-impact codes, and normalize the result to the 300-850 scale. The formula is published on the methodology page. Nothing about it is a black box, because a score you cannot interrogate is a score you cannot take into a negotiation.

07Can my RateScore change?

Yes. The index refreshes monthly, so your score moves when payers republish their files, when your contracts renew, or when your peer band shifts around you. Pro includes continuous monitoring and alerts, so a moving score is something you hear about rather than something you discover.

03 · The Leverage Memo

The document you hand across the table.

Built to be verified, not just believed. Every number cites the federal filing it came from.

08What exactly is in a Leverage Memo?

A payer-ready negotiation document for one payer relationship. It lays out your contracted rates next to documented peer benchmarks for your highest-impact codes, shows the percentile you currently sit at, quantifies the gap to the peer median in dollars, and cites the federal filing every benchmark came from, so the payer can verify each number against their own published file.

It closes with the renewal framing and the specific asks, written to be handed across the table as is. No editing homework, no template feel.

09Will the memo guarantee a rate increase?

No, and be suspicious of anyone who says otherwise. The memo documents reimbursement opportunity from public rate data. What happens next depends on payer response, contract terms, documentation, and how the negotiation goes.

What the memo changes is the conversation. You arrive holding the payer’s own published numbers instead of asking blind, and that is a different meeting.

10Does one memo cover all my payers?

A memo is scoped to a single payer negotiation, because that is how renegotiations actually happen. If you want the full picture first, the Practice Audit reviews every payer and code in one report, and Pro includes Leverage Memos on demand as your renewals come up.

04 · The 15 seconds

About 15 seconds. We mean the “about.”

Honest delivery promises survive contact with a stopwatch.

11How fast do I see results, honestly?

Results appear in your browser in about 15 seconds. The pipeline typically runs 8 to 15 seconds: NPI Registry lookup, rate-index query, benchmark math, then render. We say “about 15 seconds” because that is what the pipeline actually does, not a number marketing picked.

12What do you need from me to run a Snapshot?

A 10-digit NPI. That is it. Practice name and specialty auto-fill from the public registry record. Email is optional, used only if you want a copy sent to you. No credit card, no account, no sales call, no required email gate, no PHI.

05 · What we never do

The lines we do not cross.

These are product architecture, not marketing posture. Hold us to every one.

// never, on any plan

  • Ask for PHINo patient names, dates of birth, claim numbers, or diagnoses. The pipeline runs entirely on public data.
  • Take a percentageNo percentage fees, no cut of your recovery. Every price is a flat fee.
  • Guarantee outcomesWe document reimbursement opportunity. We do not promise payer behavior.
  • Invent numbersThin data is labeled unavailable or low confidence, never replaced with a lookalike average.
  • Sell your email or drip youEmail is optional, never sold, never shared. No drip sequence.
  • Overclaim complianceThe honest statement is “no PHI required,” and that is the only one we make.
13Do you need PHI? Will you ever ask for it?

No. The Snapshot, RateScore, Audit, and memo workflows run entirely on public business identifiers and public rate filings. Nothing patient-level exists anywhere in the pipeline. That is a design decision, not a policy promise: there is no PHI to breach because none is collected.

On compliance language, the honest claim is “no PHI required.” There is no government-issued HIPAA certification for vendors, so we will never market one. Workflows that do involve claim-level data are a separate, privately onboarded mode with its own compliance terms, described on the HIPAA-aligned workflow page.

14Do you take a percentage of what I recover?

Never. Every Reddenda price is a flat fee: one-time for the memo and the Audit, flat monthly for Pro and Growth. If your renegotiation wins you six figures of annual reimbursement, that money is entirely yours.

Percentage-based pricing puts your vendor’s incentives inside your contract economics. We want no part of that, on any tier, ever.

15Do you guarantee results?

No. We use the words “documented reimbursement opportunity” deliberately: opportunity that traces to a public filing, documented so you and the payer can both verify it. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.

Anyone promising you a payer’s answer in advance is guessing with your time.

06 · Pricing

Flat, predictable, and free to start.

At a glance. Full detail lives on the pricing page.

Practice Snapshot + RateScore Any NPI. About 15 seconds. No PHI, no card, no account.
Leverage Memo Payer-ready negotiation memo for a single renewal. one-time · founding
Practice Audit Every code, every payer, one strategy. Fully sourced. one-time · founding
Reddenda Pro Continuous monitoring, alerts, saved snapshots, renewal support.
Pro, billed annually Same Pro, one annual payment.
Growth Portfolio Multi-NPI, multi-location portfolio command. Structured on the walkthrough
AGENTic Rate Monitor Autonomous rate watching across your whole payer mix.
16What does each product cost?

The Snapshot and RateScore are , forever. The Leverage Memo is one-time at the founding price (list ). The Practice Audit is one-time at the founding price (list ). Pro is , or billed annually. Growth Portfolio pricing is built around your book, structured to NPI volume and scope on a twenty-minute walkthrough. For the AGENTic Rate Monitor: .

Every figure above is a flat fee. There is no percentage of anything, on any tier.

17I run a billing company or MSO. What is wholesale pricing?

Flat per-NPI pricing by committed volume, and the rate steps down at each band: 20-49 NPIs, 50-99, and 100+. You can resell it under your own brand, fully white-labeled. The numbers get structured on the walkthrough: twenty minutes, and we run your book live on the call. Implementation fee waived through September 30, 2026.

It starts with a 20-NPI pilot, runs monthly after the first month with a 30-day out, and because the data is public and zero-PHI, no BAA is needed. See how the partnership works, or schedule a walkthrough.

18Can I cancel? What is the commitment?

Pro is monthly and you can cancel anytime; the annual option is a single payment for the year ahead. Agency wholesale runs monthly after the one-month pilot, with a 30-day out and no exclusivity. The memo and the Audit are one-time purchases. And the free Snapshot never requires a card or an account, so trying Reddenda commits you to nothing.

Still have a question?

Email a human, or skip the reading and look at your own numbers. Your NPI is the only input.

About 15 seconds · no PHI · no card · no account

Reddenda identifies documented reimbursement opportunity from public contracted rates and submitted inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome. No guarantee of a specific outcome. Sources: federal Transparency in Coverage machine-readable files, the NPI Registry, and the CMS Physician Fee Schedule. Full detail on the methodology page.