While many systems flag outright denials, the bigger loss often lies in what’s not seen: claims paid below contract, reimbursed incorrectly, or silently reduced by modifiers and policy rules buried deep within payer agreements.
Clinical Speed addresses this hidden revenue gap through a forensic underpayment audit system that digitizes all payer contracts, converts them into structured financial calculators, and cross-analyzes them against 835 remittance data — line by line, claim by claim.
The result? A high-precision platform that detects and prepares underpaid claims for appeal with minimal time required from your team.
All payer contracts are scanned, coded, and transformed into structured calculators. Every modifier, rate, carve-out, and term is captured — including updates and contract-specific variations.
12–24 months of remittance data is run through the digitized contracts. This flags discrepancies between expected and actual payment across all services and payer types.
Discrepancies are compiled into structured reports identifying each underpaid claim, the variance, and the contractual basis for appeal.
Approved claims are passed directly into the appeals engine — routing submissions to payer compliance teams with real-time status tracking.
Clients receive weekly updates with active claim status, recovery totals, and insights to reduce future underpayment risk.
Most providers lack tools to reconcile contracts at scale. Even top-tier billing platforms fail to detect silent underpayments — often due to:
Modifier misinterpretations
Shifted contract timelines
Carve-out oversights
Claim adjudications based on outdated rates
Clinical Speed closes these gaps, ensuring that you collect exactly what was agreed in your contract — nothing less.
100% Contract Digitization Captures every term, value, policy rule, and modifier into precise, machine-readable models
Remittance Analysis EngineWorks with your 835/837 data to audit payments and adjustments against contractual expectations
AI-Driven Appeal Generation Once underpayments are confirmed, Clinical Speed generates and submits appeals automatically, without delay
Real-Time Dashboards Track recovery progress, identify high-discrepancy payers, and stay informed with weekly updates
Seamless Workflow to Claim Axis Underpayments that require escalation are routed directly into Claim Axis for full-cycle pursuit and resolution
Contingency-based: you only pay after recovery is reconciled and received
Clinical Speed handles on boarding, digitization, audit, appeals, and tracking
60% of recoveries are typically achieved within the first 60 days
Ideal for hospitals, surgery centers, revenue cycle teams, and specialty clinics across all payers
Identifying missed revenue in large commercial contracts
Auditing older claims without triggering payer retaliation
Resolving small-balance underpayments that accumulate over time
Supporting CFO-level audits and board-level revenue projections
