Your 835s already know what payers really pay.
Public Transparency-in-Coverage files say what the contract promises. The remittance files your team works every day say what was actually paid. Founding partners connect that proof, make the benchmark smarter across their entire book, and lock the deepest per-NPI wholesale ladder on the platform.
Flat per-NPI fees. Never a share of any claim. Founding terms hold through September 30, 2026.
BPRCLPSVCCASAMT*B6Published rates estimate. Remittance proves.
A benchmark built only on public filings can show where contracted rates lag peers. Only the 835 can show what a payer actually allowed and paid after adjudication. The strongest rate intelligence holds both sides and knows the difference.
The published rate
What the contract says you should be paid, drawn from federal Transparency-in-Coverage filings, the NPI Registry, and the CMS Physician Fee Schedule. Public, national, zero PHI.
The paid amount
What the payer actually allowed and paid, line by line, code by code. It already lives in the 835 remittance files your operation produces every single day.
Where they disagree
Stale fee schedules, silent downcoding, payment below the contracted rate. A benchmark that holds the estimate and the proof side by side is the one that surfaces documented reimbursement opportunity.
Your 835s make the benchmark smarter.
The ladder pays you back for it.
This is a trade, stated plainly. Founding partners contribute de-identified paid-rate observations from their remittance flow. In return they lock founding wholesale pricing in every volume band, for their whole book.
What your 835s teach the index
- Real allowed amounts where public filings are stale, silent, or ambiguous
- Adjudication behavior by payer and code: what gets reduced, and under which reason codes
- The spread between contracted and collected, the gap public data alone can only estimate
- Coverage depth across the specialties and regions your book already touches
What founding partners lock
- The founding ladder, under the standard wholesale ladder in every band, locked
- White-label resale, branded as yours, terms structured on the walkthrough
- Implementation fee waived through September 30, 2026
- A benchmark that compounds for your own negotiations as the cohort's data deepens
The privacy line, drawn in ink. Every connection runs under a signed BAA before a single file moves. The index ingests rate observations only: payer, code, allowed amount. Patient identifiers never enter the benchmark. Connections are scheduled with your team and never claimed live until they are. No PHI is required for any rate snapshot.
The deepest per-NPI structure on the platform.
Same volume bands as standard agency wholesale. Founding partners on the 835 track price under them in every band, locked, billed monthly, flat. The numbers get structured on the walkthrough.
Three moves. You hold the pace the whole way.
Lock the ladder
Start the 20-NPI pilot through the wholesale intake. Founding rates apply from day one, before any file is connected. You see the data quality on your own book first.
Connect on your schedule
BAA first, always. Then 835 routing from your clearinghouse, or flat-file drops if that fits your operation better. Your team controls timing, scope, and which payers flow.
The benchmark compounds
Every remit sharpens paid-rate truth for the codes and payers your book lives on. Resale stays under your brand, the founding ladder stays locked, and your own negotiations inherit the proof.
Landed here from the old performance-model page?
That page retired, and this program is its honest successor. The short version, with nothing softened:
Is there performance-based pricing today?
No. Reddenda is flat per-NPI fees only, never a share of any claim, in any state. A performance option remains a future, commercial-only possibility. It ships only after remittance data flows at scale and healthcare counsel signs a structure that works in all 50 states. It would never touch Medicare, Medicaid, or TRICARE, and never applies to a dollar that a corrected 835 and a confirmed deposit cannot prove.
Is the 835 pipeline claimed live?
Connections are scheduled with each founding partner and never claimed live until they are. That is the point of a founding-partner program: the track is built with you, on your clearinghouse reality, not announced past you.
Does any PHI enter the benchmark?
No. The index ingests rate observations only: payer, code, allowed amount. Patient identifiers never enter the benchmark, and every connection runs under a signed BAA before a single file moves. The public side of the index uses federal Transparency-in-Coverage filings, the NPI Registry, and the CMS Physician Fee Schedule, with no PHI required for any rate snapshot.
Founding terms hold through September 30, 2026.
Start the 20-NPI pilot conversation. The term sheet and a methodology walkthrough come from a person, and no call is required to see the numbers.
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 result. This page describes wholesale data-partnership terms and is not legal advice.