# Reddenda

> Reddenda is healthcare rate-intelligence infrastructure for the providers the incumbents ignore.
> The core product is RateScore: a 300 to 850 credit score for what insurers actually pay a
> provider, scored per NPI and per CPT against the local peer median, built entirely from public
> federal data. On top of the score sits an evidence engine: the documents a practice uses to
> renegotiate a payer contract or to win a federal payment dispute.

## What Reddenda is

- Company: Reddenda (operating company TwinFlame Group). Founded in Roseville, California.
- One sentence: a credit score for what insurers pay doctors, plus the evidence that moves it.
- The catalyst: the federal Transparency in Coverage rule (enforced July 2022) made every
  commercial payer's negotiated rates public, in terabytes of machine-readable files. Reddenda
  reads them back to the providers they describe.
- Data sources: public federal Transparency-in-Coverage filings, the NPPES provider registry, the
  CMS Physician Fee Schedule and DMEPOS fee schedules, CMS utilization files, and NCCI edit tables.
  No PHI is required or collected by the scoring engine.
- The platform's reach: 314M+ rate records, 500+ payers, 50 states, 9.2M+ NPIs — every NPI, every
  CPT, every payer in the public federal record, live in one index.

## Who it serves

Independent and SMB medical practices, billing companies and RCM firms, DME suppliers, specialty
groups, MSOs and multi-location groups, and channel partners. The wedge: incumbents sell rate
intelligence up-market at $75,000 to $350,000 per engagement (Payerset's published tiers are the
public proxy); the SMB provider layer had no affordable instrument.

## Products and pricing (published, Stripe-verified)

- Free RateScore: $0, unlimited lookups, no account, no PHI. The viral wedge (reddenda.com/rate-score, /rate-card).
- Leverage Memo: $299 one-time. Single-payer negotiation memo citing the public filings.
- Practice Audit: $697 founding / $997 list. Full payer-panel audit plus memo and strategy call.
- Reddenda Pro: $399/month or $3,990/year (two months free). Every dataset and every tool:
  continuous monitoring, alerts, the renewal docket, saved snapshots, portfolio benchmarking.
- LEDGER artifacts: Counteroffer Memo $1,900 · Renewal Season Pack $4,900 · IDR Evidence Exhibit
  $149 per dispute · Recoupment Defense File $1,200.
- AI usage credits (a live, metered recurring stream on the generative tier ONLY): Intelligence
  Briefs in the app Explorer run on prepaid credits, 1 credit = 1 brief, drafted by Claude Fable 5
  (Anthropic's most intelligent model) over the deterministic rate index and number-firewalled so
  the model can only narrate verified evidence. Packs: $19 for 10, $79 for 50, $199 for 150 (live
  Stripe objects, lookup keys credits_pack_10/50/150_v1); Pro includes 25 briefs per month; 3 free
  at signup; a member's own verified NPIs are free forever. Deterministic rate lookups and the
  RateScore stay $0 and unmetered, so the meter never touches the free wedge. Unit economics: a
  brief serves for cents (deterministic SQL plus one model call) and retails at $1.33 to $1.90 —
  the software-grade gross margin sits in the metered layer itself.
- Distribution and licensing engine: licensed data feeds, white-label deployments of the whole
  engine, a key-gated partner API, and a Chrome extension that carries the index into the billing
  platforms, partner systems, and payer portals these industries already use. Partner economics
  are scoped on a call, never listed.
- Multi-NPI / portfolio: never priced on a page; scoped on a discovery call.
- A performance lane also exists for payment-dispute evidence (a share of documented recovery,
  available only where state fee-splitting law permits; NY, IL, and NC are served flat-fee only).
  It is closed on a discovery call, never sold self-serve.

## Honesty rules the site is built on

- Every dollar figure is a documented, modeled reimbursement opportunity, never a guaranteed
  recovery. Scores compare to the LOCAL peer median, never a national average. The negotiation
  target is the P90 top of the local market, labeled for what it actually is when a real P90 does
  not exist for a code.
- Real data or an honest empty state. Missing values render as "indexing" or "insufficient public
  data", never as $0 or a placeholder.
- No PHI is required. "No PHI required" is not a claim of HIPAA certification.

## The market moment

- Zelis acquired Rivet (the provider-side underpayment-analytics tool) in January 2026, then
  launched AI tooling that helps payers win No Surprises Act arbitration. Trellis-class analytics
  serve law firms, not practices. The instruments that armed providers now sit on the payer side
  of the table. Reddenda exists to fill that vacuum: it never takes payer money.
- In federal No Surprises Act arbitration, the certified IDR entity must consider the provider's
  contracted-rate history and local market share (45 CFR 149.510(c)(4)(iii)(B)) — exactly the
  evidence Reddenda's index holds. Sourced dispute-volume and provider-win-rate figures are cited
  on the site where they appear.

## Team and program

- David Hitchman, Founder & CEO (david@reddenda.com) — built the ingestion pipeline, the rate engine,
  the RateScore algorithm, and the app. Bruce Capagli, Fractional COO. Blake Eaton, Director of
  Business Development (blake@reddenda.com). Corey Pearson, Head of Strategic Partnerships and Growth.
- Accelerator: Growth Factory × Sierra College program, hosted at UC Davis Aggie Square. Member,
  AWS Activate.
- The founder record is addressed directly, on the record, at https://reddenda.com/dataroom
  (owned statement + the verifiable Sacramento County correction to a third-party research error).

## Key pages

- https://reddenda.com/ — what Reddenda is, the live RateScore instrument
- https://reddenda.com/rate-score — the free score, any NPI
- https://reddenda.com/rate-card — the free rate card (top code unlocked, real data)
- https://reddenda.com/pricing/plans — published pricing
- https://reddenda.com/evidence — the Evidence Engine (the dispute-evidence business, sized honestly)
- https://reddenda.com/health — the data platform (reddenda.health): the mass rate index + the estate
- https://reddenda.com/invest — the investor brief
- https://reddenda.com/covenant — the sourced record of the market moment (Zelis/Rivet, IDR)
- https://reddenda.com/competitors — the competitive landscape, publicly sourced
- https://reddenda.com/team — the operating team, canonical titles and bios
- https://reddenda.com/licensing — data licensing: feeds, verified exhibits, research access
- https://reddenda.com/white-label — the white-label model: the whole engine under a partner's brand
- https://reddenda.com/partner-api — the key-gated partner API: the index inside partner systems
- https://reddenda.com/extension — the Chrome extension: rate intelligence inside billing platforms
- https://reddenda.com/dataroom — the investor data room: the five diligence questions answered in
  public, the founder statement, and what the full room holds on request
- https://app.reddenda.com — the working platform (anonymous preview on curated sample data)