One spine, every surface. Plug ReimburseOS into the EHR, clearinghouse, and billing stack you already run, or build it into your own product with the REST API, webhooks, and Chrome extension below.
314M+ contracted rate records from payer machine-readable files under 45 CFR Part 180. Updated monthly. The backbone of every RateScore.
9.2M+ provider profiles — name, specialty, taxonomy, location — from the CMS National Plan and Provider Enumeration System.
Public Medicare rates and RVUs by CPT/HCPCS. Used for benchmark validation and peer-group comparisons across all specialties.
Upload your ERA/835 files for ground-truth recovery tracking. Powers the AGENTic closed-loop ledger that ties every recovered dollar back to the remit that proves it.
Per-NPI, per-code billing volume from the Medicare Provider Utilization and Payment Data public file. Powers real annual uplift math.
State-level Medicaid fee schedules and managed care contracted rate disclosures — all 50 states in progress.
Read NPI + payer contract metadata via Epic FHIR R4. ReimburseOS surfaces rate gaps contextually inside your Epic workflow.
Native connector via Cerner Ignite APIs. Rate intelligence embedded in the Cerner scheduling and billing workflow.
Pull payer + code data via athenaNet Open API. One-click Leverage Memo from any claim in your athena workflow.
Connect your Kareo PM for multi-payer rate comparison and automated renewal radar across your full patient schedule.
OAuth2 connector to DrChrono EHR. ReimburseOS flags underpaid codes as claims are created — before they're submitted.
Don't see yours? Submit a connector request — we prioritize by demand. FHIR R4-compliant EHRs are fastest to onboard.
Connect your Change Healthcare clearinghouse for 835 remittance pull and automated underpayment flagging at adjudication.
Real-time eligibility + remittance through Availity's API. ReimburseOS cross-references paid rates against your TiC benchmark at claim close.
Waystar RCM connector for automated denial detection + AGENTic appeal queue population.
Batch ERA import for ground-truth recovery tracking and the AGENTic closed-loop recovery ledger.
The ReimburseOS API gives you programmatic access to the full rate intelligence stack — NPI lookup, peer benchmark comparison, RateScore generation, Leverage Memo drafting, and recovery tracking. REST + JSON. OAuth2.
The ReimburseOS Chrome extension detects NPI and CPT codes on any payer portal, clearinghouse, or billing platform and surfaces your rate intelligence in context — no tab switching, no copy-paste.
Embed ReimburseOS under your brand. Billing companies, RCM firms, and MSOs deliver rate intelligence as a core product, powered by ReimburseOS, branded as you.
One console across all your client NPIs. Spot systemic underpayment, generate portfolio-level reports, and prioritize which clients to mobilize first.
Deliver white-labeled gap reports and Leverage Memos to clients. Every document references public TiC data — professional, citable, credible.
Flat per-NPI structure by committed volume, white-label resale under your brand. Flat fees only, no percentage on any claim, ever. The numbers get structured on the walkthrough.
Drop the ReimburseOS widget into any portal or site. One JavaScript snippet brings a live gap card and RateScore to any NPI — plug it in anywhere in minutes.
Higher rate limits, SLA guarantees, dedicated onboarding, and a partner success manager. For billing companies moving 50+ practices through the system.
Whether you're a practice, billing company, EHR vendor, or building something new — we'll get you wired in fast. API keys, white-label access, and connector requests all come through the same door.
