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See Your Contract’s True Value Instantly.

Renegotiate your insurance contracts with confidence

Our clients typically gain $20K–$50K per provider per year in increased reimbursement.
  • Test proposed contracts in seconds
  • Get the best RVU schedule for top reimbursement
  • Use with your staff, counsel, or consultants
  • Save time and money with a streamlined process
  • Works with .csv files
  • Subscription-based for flexibility
Try the Contract Visualizer

FREQUENTLY ASKED QUESTIONS

How does it work?

Please refer to our explainer video here.

Upload your current and proposed RBRVS years and Conversion Factors. The tool calculates the financial impact in seconds — so you can see exactly what each offer means in real dollars.

Why do clinics need to review contracts?

Every year that passes without renegotiation means leaving money on the table. Contract terms often lag behind real costs. Reviewing annually keeps your reimbursement aligned with your value.

What should I check before I start renegotiating?
Use this quick checklist:
  • Effective Date – When it starts
  • Term – How long it lasts and if it auto-renews
  • Termination Clause – How either side ends it
  • Filing Deadline – How long you have to submit claims
  • Conversion Factor – How much you’re paid per RVU
  • Gag Clauses – Remove anything that prevents transparency
  • Insurance Requirements – Make sure your coverage meets (but doesn’t exceed) local standards
  • Non-Covered Services – Ensure the plan allows you to offer direct-pay options
How is reimbursement calculated?
  1. CPT Code: What you did
  2. ICD-10 Code: Why you did it
  3. RVU + Conversion Factor: How much you’re paid
The Contract Visualizer automates this math — instantly showing you the impact of any proposed contract.
What’s the Resource-Based Relative Value System (RBRVS)?

Medicare created the RBRVS to assign a relative value to every medical service. It ensures pricing is based on time, complexity, and resources required — not arbitrary rates.

Each year, CMS updates the RBRVS tables. You can download the data from CMS.gov or grab our simplified version in the Medical Money Matters Toolkit.

What are Relative Value Units (RVUs)?
Every CPT code has an RVU — a number that determines how much that service is “worth.”
RVUs are built from three parts:
  1. Work RVU – the clinician’s effort and skill
  2. Practice Expense – the cost of equipment, staff, and space
  3. Malpractice – the risk factor tied to the service
These values are combined and multiplied by your Conversion Factor to calculate payment.
How are RVUs used to create fee schedules?
RVUs set the base rate. Multiply the RVU by your Conversion Factor (price per unit) to get the gross charge for a service.
 
Example:
CPT Code 99213 → 2.66 RVUs × $34.61 per unit = $92.06
The Contract Visualizer automates this for every CPT code in your data — no spreadsheets required.
What are CPT and ICD-10 codes, and why do they matter?
PT codes describe what you did for the patient.
ICD-10 codes explain why you did it.
When paired correctly, you get reimbursed. If they don’t match, your claim gets denied. The Visualizer helps confirm accuracy before you submit.
How do providers get paid for their services?
Payments are determined by how CPT and ICD-10 codes align within insurer rules.
 
Insurance systems use thousands of “edits” to verify claims. Even a small mismatch can trigger rejections — which means lost revenue.

By testing contracts in the Visualizer, you’ll know how rate changes affect your payments before they happen.
How often should clinics renegotiate contracts?
We recommend reviewing contracts annually. Costs rise every year, and if you don’t ask for an increase, you’re silently agreeing to take less.
 
If renegotiation isn’t your thing, our experts can handle it for you — start with a Discovery Call.

Pro

You’ve done this before — just need the tool.

# of Contracted Providers

  • 1 - 5
    $195
  • 6 - 10
    $395
  • 11 - 20
    $595
  • 21 - 50
    $795
  • 50+
    $995
Sign up

Lite Support

Our experts guide you while you stay hands-on.

# of Contracted Providers

  • 1 - 5
    $395
  • 6 - 10
    $595
  • 11 - 20
    $795
  • 21 - 50
    $995
  • 50+
    $1195

Includes one hour per month of lite support via email or Zoom (Additional hours billed at $195)

Sign up

Concierge

We handle it all — you sign when it’s ready.

# of Contracted Providers

  • 1 - 5
    $795
  • 6 - 10
    $995
  • 11 - 20
    $1195
  • 21 - 50
    $1395
  • 50+
    $1595

Includes renegotiating up to 12 contracts (Additional contracts billed at $995 each)

Sign up

Pro

You’ve done this before — just need the tool.

# of Contracted Providers

  • 1 - 5
    $1995
  • 6 - 10
    $3995
  • 11 - 20
    $5995
  • 21 - 50
    $7995
  • 50+
    $9995
Sign up

Lite Support

Our experts guide you while you stay hands-on.

# of Contracted Providers

  • 1 - 5
    $3995
  • 6 - 10
    $5995
  • 11 - 20
    $7995
  • 21 - 50
    $9995
  • 50+
    $11995

Includes one hour per month of lite support via email or Zoom Additional hours billed at $295

Sign up

Concierge

We handle it all — you sign when it’s ready.

# of Contracted Providers

  • 1 - 5
    $7995
  • 6 - 10
    $9995
  • 11 - 20
    $11995
  • 21 - 50
    $14995
  • 50+
    $16995
Includes renegotiating up to 12 contracts Additional contracts billed at $995
Sign up