RateIQ continuously identifies reimbursement opportunities, equips providers with the evidence to recover lost revenue, and monitors future payments to prevent underpayment before it becomes a recurring problem.
"Fourteen competing clinics in your area are paid within 78 cents of each other on the same code — a standard schedule, not a range. You are paid 38.4% less than peers, $12.73 below the bottom of it."
Denial-management vendors recover the last 90 days. RateIQ reprices the next 3 years.
Nobody else does this at scale. RateIQ owns this layer outright — market rates, named competitors, negotiation leverage.
RateIQ's Underpayment Monitor compares every remittance to your contract, line by line — 15–20% contingency, no recovery, no fee.
Served by well-funded vendors — deliberately not our fight. They recover what failed; we make sure more arrives correctly the first time.
A one-page teaser built entirely from public data: your NPIs confirmed, active billers, % below the peer median on your top code, your largest single-code gap, and peers paid more in your own ZIPs. Costs you nothing. Requires nothing.
An audit-grade report across every location and top code: position bands, percentile ladder, hospital comparators, gap-to-ceiling totals, cost of inaction — plus dashboard access. Delivered in 2–3 weeks.
Your contract extracts convert directional findings into precise per-payer positions within 30 days. Tier targets, rebuttal library, negotiation support — first major payer outcome inside 6 months, then continuous monitoring.
The CEO's single pane: total recoverable opportunity, location heat strip, payer scoreboard, live alerts.
Any code, any market: the full paid distribution with you pinned on it, and every named competitor above you.
Location × code gap matrix, scenario modeling with capture sensitivity, EBITDA → enterprise-value translation.
Your rate vs the same-town hospital's negotiated rate — same payer, same code. Differentials beyond 1.5–2.5× are the argument.
Every remittance vs your contract, line by line. Worked pipeline from detection to recovered dollars.
Three-tier positions per payer per code, a six-rebuttal counter-argument library, and per-location playbook tear-outs.
First engagement, delivered as an audit-grade report and boardroom deck — every figure confidence-tiered and source-cited.
of active billers below the peer median on their top code
below the peer floor on CPT 97110 — 14 peers inside a 78¢ band
in annual reimbursement modeled across 26 locations at current volume
Per-code gap to peer median × CMS Part B service volume. Medicare volume used as a commercial proxy.
enterprise value at a 10× EBITDA multiple — rate recovery carries no incremental cost
Multiple stated as an assumption, not a valuation.
Incumbents custom-quote the enterprise and ignore the mid-market. We publish the number.
The wedge: Board Report + 90-day dashboard access. Full benchmarking across all locations and top codes in 2–3 weeks.
Dashboard, Rate Explorer, market alerts.
+ Portfolio Gap, Payer Comparison, renewal calendar.
+ Contract Vault, Negotiation Builder, dedicated analyst, white-label option.
15–20% of recovered dollars, platform included. Deliberately under the 20–35% industry norm. No recovery, no fee.
Prove it to yourself: pick your state, find your group, and your Five Numbers render live from public transparency filings.