Your system, your clearinghouse and your payer can all agree — and you can still be underpaid. CuraPay Health's job is to find the difference: every claim checked against what you were owed, every dollar traced to a claim line, an expected rate, and the payer's own payment record.
They have every rate, every rule, every adjudication. You have reports that don't agree with each other. Practices hold the evidence — but nobody has the time, the tooling, or the join to check it. So money leaves quietly, three ways.
The claim gets paid, so it looks finished. But the payment came in under your contracted or published rate — and the same short-pay repeats on every claim like it, month after month.
Some write-offs are correct. Many aren't — missing information, authorization, duplicates, and timely-filing deadlines that quietly pass. Nobody separates the two, so it all gets written off together.
A claim leaves your system and is rejected upstream, or simply never returns a payment record. If nothing is matching what you sent to what came back, nobody notices it's gone.
"Gross charges are billing theater. The only number that matters is what you were owed versus what you were paid."
Your PM system and clearinghouse are built to make sure events happened and agree. Neither one checks whether the payer's decision was right — the payer's own output can't prove the payer's output.
Every charge, claim, acknowledgment, payment and posting — nothing lost in transit.
The claim, the remittance and the posting tie out to each other. Balance: $0.
Checked against evidence from outside the payer: your contract, published rates, payer policy, Medicare rules.
"Expected" never means "this payer usually pays about that." It means a rate we can cite.
Every claim you send and every payment you receive passes through your clearinghouse as standard electronic files. That's where we connect — so we don't need your EHR vendor's permission, and we never touch your live workflows.
Stays exactly as it is. Your clinical and billing system of record.
The 837 claims you send and the 835 remittances payers return.
Applies its rules and rates — and decides what you get paid.
Your contracts and fee schedules, payer-published price files, and Medicare as an anchor.
These files are an industry standard — so it doesn't matter which EHR you run.
We prove before we act. Nothing changes in your practice until you've seen the evidence and said yes.
We connect to your clearinghouse files and the rates you're owed. Nothing is changed, submitted, or re-keyed.
Every claim is matched to its payment and to an expected rate. Same data in, same answer out — deterministic math, not a guess.
You get a ranked worklist, not a dashboard. We prepare the evidence for each recovery — your team stays in control of every action.
Matched to the claim, the rate, and the payment. Ready to act on.
Strong signal, one source short. We say so, and say what would prove it.
We can't see it yet. We show you exactly which file closes the gap.
A no-cost read of your own data. You keep the findings whether or not you become a customer.
If a dollar can't drill to a claim line, an expected rate, and a payment record, we don't print it.
Nobody can tell you what you're losing before they've seen your claims. We'll show you — then you decide.
Reconciliation is deterministic math. Every finding carries its source, its date, and its confidence label.
We start read-only. Clinical decisions, coding judgment, and charge entry stay with your providers and your team.
Large health systems have contract-management departments. Independent practices have a billing team that's already at capacity.
Specialty groups bill complex procedures to a handful of large payers — so a small short-pay per claim compounds into real money, and a single missed deadline is expensive.
Our reps work East and West with practice owners, administrators, and billing leads.
For tribal and urban Indian health programs, every dollar a third-party payer should cover — and doesn't — lands on a finite budget or on the patient. Getting third-party claims paid correctly is a care-access issue.
Practice owners have been told for decades to trust the number their system reports. Most of those numbers have never been checked against what the payer actually owed.
We built CuraPay Health on 20+ years of revenue-cycle work, so a practice doesn't need a consultant's retainer to get a straight answer.
Our rule is simple: before we automate anything, we prove everything.
Send us 90 days of files. We'll show you where money is leaving, what we can prove, and what it would take to prove the rest. No cost, no obligation.
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