Contract rate verification & underpayment recovery

Every underpaid claim.
Every payer. Found.

ClaimParity matches your 835 remittance data against contracted rates and surfaces every line paid below what your contract requires — automatically, at any scale.

$2.1M
avg underpayment identified per client
7.3%
of service lines are underpaid on average
65%
industry recovery rate on identified underpayments
835
ERA files — no integration required

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 before anyone catches a pattern — if they ever do.

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

Three steps to your recovery opportunity

No integration required. No EMR access needed. Bring your contracted rates and your 835 ERA files — ClaimParity does the rest.

1

Upload your contracted rates

Import your fee schedules as a CSV — payer name, CPT code, contracted amount, effective dates. We handle multi-payer, multi-location contracts.

2

Upload your 835 ERA files

Drop in your remittance files — standard X12 835 format or CSV export from your clearinghouse. Any date range, any volume.

3

See every underpayment

ClaimParity matches every service line against your contracted rates and surfaces underpayments, patterns, and recovery opportunity in minutes.

What you get

The full picture, not just a number

ClaimParity doesn't just flag underpayments — it identifies the patterns behind them so you know exactly where to focus recovery efforts.

By-payer analysis

See which payers account for the most underpayment and exactly how their payment rates compare to your contracted amounts — across every CPT code.

Pattern detection

Automatically identify systematic short-pays, temporal drift, location-specific gaps, and modifier issues — the patterns no human team can find at scale.

Executive PDF report

Export a boardroom-ready report showing total underpayment, recoverable estimate, top findings, and prioritized recommendations by payer.

Bring your biggest payer's data.

See what you're missing in under 10 minutes — no commitment, no integration, no IT ticket.

Currently in early access. Demo available immediately upon request.