AI-assisted contract intelligence
Turn scattered payer terms into a negotiation process you can see
Integrity RCM helps practices locate and organize their payer agreements, compare documented terms with actual reimbursement, prepare evidence-backed increase requests, and track whether approved changes reach the remittance.
The operating model
AI accelerates the analysis. People own the decision.
The goal is not an automated promise of higher rates. It is a repeatable way to find the right documents, test the economics, prepare a defensible request, and measure what actually changed.
Find and verify
Inventory executed agreements, amendments, fee schedules, payer portals, and credentialing records. Every rate is labeled by source and effective date.
Compare and prioritize
Use the practice’s own allowed amounts, volume, payer mix, and contract terms to identify the opportunities that deserve attention first.
Prepare the case
AI assists with organizing evidence and drafting the request. An authorized person reviews every position before it goes to a payer.
Track the result
Record the ask, payer response, counteroffer, effective date, loaded fee schedule, and realized reimbursement change over time.
When the contract is missing
Not knowing where the agreement lives is part of the problem we solve
A solo or long-established practice may have no clean contract library. We can begin with the systems and records the practice does have, while keeping every unverified term clearly labeled. Inferred reimbursement from remits is a working baseline—not a substitute for the signed agreement.
Search the practice’s contracting and credentialing folders, payer portals, email archives, e-signature records, and prior billing-vendor handoff.
Request the current agreement, amendments, and fee schedule from payer provider relations or contracting.
Use available remittance and claim history to build a clearly labeled inferred reimbursement baseline while documents are being recovered.
Keep the item open until the executed terms and effective dates are verified; inferred reimbursement is never presented as the signed contract.
Built to prove itself
Track the negotiated change through to payment
Each opportunity keeps its source, baseline, request, response, effective date, and realized outcome together. Work completed before this system can be backfilled as a historical verified outcome when the prior terms, approved change, effective date, and paid remits support it. Public results are shared only after client approval and aggregate verification.