Turn reimbursement opacity into negotiation leverage.
ReimburseIQ gives independent clinics and high-performing provider groups clear, actionable reimbursement signals — translating payer complexity into strategy, targets, and measurable revenue upside.
ReimburseIQ's benchmark layer is built on rates reported by health insurance companies under federal price transparency mandates (No Surprises Act / CMS rules), transformed through proprietary peer-reviewed methodology. Current coverage includes large national PPO plans — HMO and regional payer expansion underway. Data refreshes quarterly to ensure current market signals.
Small, independent practices that move fast.
Owner-led purchasing, no procurement bureaucracy, and immediate ROI from day one. Independent clinics, multi-provider groups, and private practices are the wedge — and the fastest path to traction.
Benchmarking that matters
Compare your actual payouts against local and regional peer data to understand what "good" looks like — and exactly where your payer mix is holding you back.
Contract signals
Identify underpayment patterns, optimal negotiation timing, and highest-impact payer targets — delivered as a clear action plan your team can use today.
ROI you can show
Translate per-visit reimbursement deltas into annualized revenue lift and concrete negotiation targets — numbers your team can walk into payer conversations with.
Simple input. Powerful output.
Built for fast adoption inside small, independent practices — no lengthy onboarding, no IT department required.
Select CPT codes + geography
Choose the service lines that matter most and set your market context — city, specialty, payer mix.
Receive an intelligence report
Benchmarks, payer spreads, and negotiation signals delivered in a clarity-first format you can act on immediately.
Set targets & prioritize payers
Identify where to push first, what numbers to anchor to, and which contracts to renegotiate next cycle.
Monitor & get alerted
Automated alerts when reimbursement conditions shift — so you're never negotiating on outdated information again.
Intelligence clinics can immediately act on.
The Clarity Report is ReimburseIQ's entry product — a focused intelligence snapshot showing benchmark comparisons, payer spread analysis, and a negotiation readiness signal. Designed to prove value in a single read and convert to a PRO subscription.
