Schedule a Discovery Call
Explore how Clinical Speed can help your organization evaluate payer contracts, identify and recover underpayments, and apply the same contract intelligence before and after adjudication.
Request a Discovery Call
Why Schedule a Discovery Call?
A discovery conversation can focus on 835 forensic recovery, 837 pre-submission contract intelligence, or both. The goal is to establish the relevant contract universe, available data, current workflow, and the operational and technical teams that should participate.
What We Can Review
- The payer contracts and amendments relevant to the engagement.
- The appropriate 12-to-24-month historical 835 lookback for forensic recovery.
- How contracts are validated, coded, and converted into executable financial models.
- The 835 verification, appeal, tracking, and weekly reporting workflow.
- How outbound 837P and 837I claims can be evaluated against the same contract models.
- Expected allowed amounts, contract findings, variance risk, risk indicators, and supporting evidence.
- The appropriate integration point within the organization’s existing billing environment.
- For organizations using Epic, the Epic-native, report-only deployment architecture.
What the Organization Provides
- Payer contracts and amendments for the agreed audit universe, including historical versions governing the lookback window.
- 835 remittance files for the agreed lookback, typically 12 to 24 months.
- 837 claim files or equivalent claim extracts when the pre-submission capability is in scope.
- Provider, plan, and department mappings sufficient to connect claims to the applicable contracts.
- A designated operational contact for ongoing review and verification.
What Clinical Speed Provides
- Contract coding and model validation.
- Processing of authorized 835 and 837 data.
- Forensic calculation and structured findings.
- Evidence packs and appeal generation for verified findings.
- Weekly reporting and status tracking.
- Pre-submission QA output, risk intelligence, and expected-allowed files when the 837 capability is in scope.
Time to Value
On the recovery side, contract coding and digitization typically takes four to six weeks from a complete contract submission. Once contracts and required files are ready, forensic calculation generally takes less than a week. Appeals can begin after client verification.
For Epic environments where the 837 capability is deployed, the supplied implementation model describes an initial 60-to-120-day phase for integration, live contract execution, expected-allowed output, risk reporting, and coder/biller fix lists. Organizations that have already completed contract digitization for recovery begin with the contract-modeling work already completed.
Request a Discovery Call