Transactions you don’t need to explain
Healthcare runs on decades-old, fragmented transactions and workflow systems. Now, you can operate in a future where pricing, coverage, and payment are aligned from the start.
How it works
Built for the way healthcare should transact
We designed a modern infrastructure that streamlines billing, coverage, and payment. Providers get patient payments upfront. Payers get better forecasting. Both get dramatically lower admin costs. Most importantly, patients get clear, predictable pricing and no surprises.
Leave the games behind
Prevent denials
Automatically apply contract rules and SSP approvals before care is scheduled.
Approve & pay same day
Canonical rates and automated reconciliation shorten revenue cycles and cost gaps.
Forecast revenue
Tie forecast models to auditable rate lineage to ground budgeting and negotiations.
Revolutionize payments
Patients see a clear, payable price upfront, allowing them to focus on their care.
The Patients framework
Our blueprint for healthcare administrative reform
The Publicly Accountable Transparent Interoperable Efficient Non-proprietary Transaction Standard (PATIENTS) framework provides a simpler way to handle healthcare administration that puts patient care back in focus.
Start on a standard modular contract
An open, standardized contract model informed by real-world agreements. Paired with an operational playbook, it aligns stakeholders on shared terms and simplifies how agreements are applied in practice.
Price on Standard Service Packages
Healthcare services, materials, and fees consolidated into standardized, reusable packages (SSPs) that reflect the true cost of care. These power patient estimate tools and consistent pricing.
Automate utilization with UCC
Our Universal Clinical Coverage (UCC) layer defines common eligibility rules, site-of-care logic, and payer exceptions for each SSP so coverage decisions are consistent and reproducible.
Featured resources
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