Underpayment identification — done for you

Every underpaid claim.
Found. Prioritized. Appeal-ready.

ClaimParity is a done-for-you service. We match your 835 remittances against your contracts and hand you a prioritized, appeal-ready worklist — appealable claims on the filing clock, and systematic shortfalls to recover. No software to run.

$2.1M
underpayment identified in a typical 400-bed book
2
kinds of underpayment, separated — appealable & systematic
~90d
typical window to appeal before revenue is written off
835
ERA files in — no integration, no EMR access
The problem

Payers underpay routinely. At scale, nobody notices.

Your contracts define exactly what each CPT code should pay — by payer, by location, by effective date. But at hundreds of thousands of service lines per month, no team can verify every payment manually.

Payers know this. Short-pays accumulate silently for months — and appealable claims quietly age past the filing window, becoming revenue you can never get back.

$890K
Example: Calidon Health Plan — systematic E/M underpayment, 14 months undetected across 1,840 claims
Temporal drift detected — Calidon Health Plan
Paying 99213 and 99214 at 82% of contracted rate since March 2025. Pattern consistent with a unilateral fee schedule update.
High priority — $412K variance
Modifier gap — Westmark Health Plan
99214-25 paid correctly. 99214 without modifier underpaid by 11% across 380 claims.
Medium priority — $74K variance
How it works

Low lift for your team. We deliver the worklist.

No software to run, no integration, no IT ticket. You provide your contracted rates and your 835 ERA files — our team does the analysis and hands back money you can act on.

1

Onboard — BAA & data

We're set up to handle your PHI. You sign a BAA, then hand over your contracted rates (fee schedules, one per payer) and your 835 ERA files for a defined lookback period.

2

We run the analysis

We match every service line against your contracts and classify each underpayment — claim-level appealable short-pays vs. systematic contract shortfalls — across every payer, location and CPT code.

3

You get an appeal-ready worklist

A prioritized worklist you can act on: appealable claims ranked by filing deadline and dollars, plus systematic recovery cases for provider relations. Evidence and contract citations included.

What you get

Two tracks, one worklist.

ClaimParity doesn't just flag a number — it separates the money you can appeal now from the money that's already slipping away, and tells you exactly where to focus.

Appeal-ready worklist

Every appealable underpayment, ranked by filing deadline and dollars — with the CARC evidence and contract citation your team needs to file. Plus a hard number on what's already aged out of the window.

Systematic recovery cases

Where a payer pays consistently below contract, aggregated by payer × code — “paid X% of contract” — the contractual money your team takes to provider relations to negotiate back.

Executive report

A boardroom-ready summary: appealable now, lost to time, and systematic recovery — with prioritized recommendations by payer, ready to bring to leadership.

See what your payers are keeping.

We run ClaimParity against your remittances and walk you through exactly what we find — appealable now, lost to time, and systematic. Done for you.

The live demo is open — no signup required.