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The future of practice finance · Free

Get your RateScore

The credit score for how well your practice is paid. One number, 300–850, built from 314M+ public federal records — the number every practice in America is about to know. Free in about 15 seconds. No PHI.

Opens in the app · about 15 seconds · no card

$0 to start 15s to your score No credit card No PHI
RateScore Analyzing
Illustrative sample Orthopedic Surgery 75201 · Dallas, TX
A
300 — 850 · RATESCORE™
Documented annual uplift
Illustrative sample · opportunity from public benchmarks
UnitedHealthcare CPT 99214 · E/M
Your contracted
Peer median
TiC P75

Contracted rate trails peer median on high-volume E/M codes.

Autonomous agentic tracking
Live · 4 payers monitored · renewal watch on
Illustrative sample · yours in ~15s ·

Are you a group practice, DME company, or RCM billing company with multiple NPIs, or any group with more than one? Click here to schedule a call, and we will run RateScore analysis for all of your practices and NPI numbers.

9.2M+
Provider NPIs indexed
9.7M+
Normalized contracted-rate rows indexed
500+
Commercial payers live
314M+
Federal rate records identified
Backed & accelerated by AWS ActivateStartup Program member Growth Factory × Sierra CollegeStartup Accelerator · Summer 2026
The silent leak

Independent practices lose five and six figures a year to payer underpayments they can't see — and the proof was public the whole time.

The contracts are unreadable.
Payer rates live in machine-readable files the size of a library. No practice has time to parse them.
Underpayments are invisible.
You can't fight a gap you can't measure. Most leaks are never even noticed.
Legacy RCM doesn't help.
Manual EOB reconciliation and slow appeals were never built to find what you're owed.
One engine · every surface

The Stripe of healthcare reimbursement.

One normalized data engine — built from public Transparency-in-Coverage filings, the NPI registry, and CMS fee schedules — powering every tool a practice or partner needs to get paid correctly.

The ReimburseOS data engine
314M+ federal records → one live, normalized rate index

Reclaim

Run a six-month backtest on your NPI — modeled benchmark gaps, simulated agent workflows, and source-backed recovery candidates.

📊

RateScore™

A single 300–850 score for how well your practice is paid. Check it, share it, beat your peers.

📝

Leverage Memo

Payer-ready negotiation document from TiC MRF filings, NPPES, and peer benchmarks. founding ( list), one-time.

🛡️

Renewal Radar

Track every contract's renewal window so you never auto-renew a bad rate again.

How it works

The only platform that turns federal rate files into a clear number.

The government publishes every negotiated rate — in 314M+ rows of machine-readable XML no human can read. We read all of it. For you. In seconds.

📋
314M+ Federal Records
TiC MRF · NPI Registry · CMS PFS
Parse · Normalize · Index
ReimburseOS Engine
Live · Normalized · Searchable
Score · Benchmark · Alert
🏥
Your Practice
Your RateScore™ · Your gaps · Your leverage
15sGap analysis
500+Commercial payers live
$0To get your score
No PHIEver required
Reclaim · retrospective simulation

Run a six-month Reclaim backtest.

See what ReimburseOS would have surfaced for your NPI using retrospective reimbursement intelligence and modeled opportunity analysis.

Simulation only. Modeled benchmark gaps — not actual recovered dollars or live historical monitoring.

All-in-one

Built for everyone the system underpays.

🩺

Private practices

See your gaps, get your memo, walk into every renewal with proof. The fight, finally winnable.

🏢

Billing companies & RCM

Run rate intelligence across your whole book from one console. One login, hundreds of practices.

🏥

MSOs & groups

Multi-NPI, multi-location portfolio view. Spot systemic underpayment across every site at once.

🦾

DME & specialty

HCPCS and specialty fee schedules, tuned per vertical, on the same federal-data backbone.

📈

Investors & partners

A category-defining data asset in a $1T+ market. Infrastructure others will build on, not a tool.

❤️

Families & patients

The same transparency that protects practices protects the people they serve. That's the mission.

Pricing

Free to start. Convert when the gap is proven.

RateScore and the Reclaim backtest are free. Full tier details, audit pricing, and Pro live on the pricing page — the single source of truth.

Practice Snapshot + RateScoreFree · gap snapshot · no PHI
Leverage Memo founding · list · one renewal
Practice Audit founding · list · source-backed
ReimburseOS Pro · continuous monitoring
Agency wholesale to by NPI volume · white-label
See full pricing

ReimburseOS identifies documented opportunity from public contracted rates and submitted inputs. Actual recovery depends on payer response, contract terms, documentation, and negotiation outcome.

For billing companies & RCM firms

Your entire book.
One console.

Run rate intelligence across every client NPI at once. White-label it as yours. Turn one platform account into automated intelligence for 50, 100, 500 practices — without adding headcount.

ReimburseOS Portfolio · Billing Co View Growth tier
TiC index · 2026-Q1 refresh · 500+ payers · 9.7M+ rate rows · public NPPES + federal TiC only
Client roster Demo walkthrough
Documented gap (sample): $702K
8Practices
7Underpaid
38Avg payers/NPI
157Avg CPT rows
4Memos ready
Sorted by annual gap ↓ Filter Export CSV + Add NPI
Click any row for CPT × payer drill-down · upload CSV to analyze your full book
📊
Multi-NPI portfolio view

Every client. Every payer. Every CPT code. One console, refreshed monthly from federal data.

🏷️
White-label as your own

Brand it. Embed it. Your clients see your name on the reports, gap cards, and memos.

Leverage Memos at scale

Generate payer-ready leverage memos across your entire book in minutes, not months.

🏦
Flat wholesale pricing

to by committed volume. Resell at up to per NPI and keep the spread.

Book a walkthrough → See white-label pricing API & embed docs
The intelligence network is live

The Reimbursement
Rebellion

We don't ask payers for fairness. We show them the federal numbers — together. Independent practices, billing companies, DME suppliers, and MSOs use the same public TiC backbone to build collective leverage.

Provider NPIs indexed
9.2M+
From CMS NPPES, mapped to the national rate index
Commercial payers live
500+
In the live national rate index
Federal records identified
314M+
Raw TiC filings identified (not all queryable live)
UnitedHealthcare
-29% avg below benchmark
C
Cigna
-34% avg below benchmark
D
Anthem / Elevance
-27% avg below benchmark
C
Oscar Health
-9% avg below benchmark
A
⚡ Run your free Snapshot — share it →

Enter your NPI. Get a beautiful, federal-sourced RateScore in about 15 seconds. One click to share. Watch your colleagues discover what they're owed.

Billing companies & MSOs: This is your rocket fuel. White-label gap cards + leverage playbooks for every client. Turn 1 account into 100. See the Accelerator →

The mission

We're here to save the American private practice.

The independent practice is being squeezed out of existence — not by bad medicine, but by a payment system built to be impossible to read. ReimburseOS turns that opacity into leverage. We give every practice the same transparency the largest systems already use, and we put it in their hands for free. The data was always public. We just made it fight for the people who heal.

ReimburseOS · The reimbursement operating system for independent healthcare

See what you're owed in about 15 seconds.

No credit card. No email gate. No PHI. Enter your NPI for your RateScore — then run the Reclaim backtest when you're ready to prove the gap.

Run my free Practice Snapshot See pricing

15 seconds · no PHI · no card · no account