Free test on your scenario
Your scenario, up to 50,000 claims, free
Teams that want proof on their own volume can book a 15-minute call. PayerParity then builds a realistic test set of up to 50,000 claims matched to your hospitals and scenario, runs every claim through your contract terms and returns detailed pricing for each claim, at no charge and with no contract required.
Book a 15-minute call No PHI, claims data or business associate agreement is needed to start.
How it works
- Book a 15-minute call. Tell us your hospitals, your contract terms and the claims your current pricer gets wrong.
- We build the test set. Up to 50,000 claims matched to your hospitals and scenario, with charges adjusted as you specify.
- We price every claim. Each one runs through your contract terms: percent of Medicare, case rates, stop-loss and outlier terms, compared with Medicare on the same claim.
- You get the detail back. Detailed pricing for each claim, with its worksheet: the DRG, the weight, the wage index, the add-ons and the outlier math.
Why the prices hold up
The engine behind the test is the one checked in the 5,000-claim accuracy study: 5,000 synthetic inpatient claims at 60 real hospitals, every one within $1.00 of the CMS Web Pricer, largest gap 22 cents. The study covers inpatient (IPPS) claims only, and every claim, with the difference between the two totals, is published to download.
Other ways to start
Price a claim now
The free tier needs no sign-up. Price a Medicare inpatient claim four ways, with every step shown.
A free first review, no meeting
Send 20 de-identified claim lines. Each comes back priced, step by step, next to what was paid.
A work-email account
Request an account to price every MS-DRG with a higher daily allowance. We review each account.
Questions
What do I need to send before the call?
Nothing. No PHI, claims data or business associate agreement is needed to start. Please do not send protected health information before the call: the tools need codes, dates and amounts only. If you later want to run identified claims, a business associate agreement is available on request for approved accounts, API and enterprise customers.
What does it cost?
Nothing. The test is at no charge, and no contract is required.
How is it different from the free first review?
The free first review prices 20 de-identified claim lines you send, and needs no meeting. This test is built on your scenario after a 15-minute call.
Who runs it?
PayerParity, an independent healthcare reimbursement analytics company in Sugar Land, Texas, which runs this site. It is a small, early-stage company, and the test is how you check us.
Ready when you are. Prefer email or phone? [email protected] · 281-625-7695
Book a 15-minute call