Revenue integrity platform

Contract intelligence
for modern healthcare.

Contract management, underpayment detection, and recovery on one platform. Model every payer agreement, catch every line-level variance, and work every dollar back, with the evidence attached.

Contract portfolio

Variance monitor

Live

Underpayment trend

Weekly variance volume across all modeled payors.

  • BlueShield PPO
    Needs reviewUnderpaid
  • UHC Choice+
    Auto-resolvedOn terms
  • Aetna Commercial
    Appeal pendingDisputed

The blind spot

Billions leak through the gap between contract and remit.

Most organizations sit on hundreds of active payor agreements they can't reconcile against reality. Rates drift. Terms expire. Underpayments post silently. No one can point to a single number and say this is what we're owed.

How Contracto closes it

Remit reconciliation · Q3

BlueShield PPO

Live
  • CPT 99285$842.1 → $712$130.10
  • DRG 470$18,420 → $16,975$1445.00
  • CPT 45378$612.5 → $612.5Match
  • CPT 93000$28.4 → $21.15$7.25
  • CPT 71046$118.9 → $96.3$22.60
  • CPT 80053$41.75 → $41.75Match

Built for providers

For the teams that actually collect the cash.

Health systems

Get paid what your contracts say.

Automate variance detection, appeal generation, and rate benchmarking so your revenue team stops chasing spreadsheets and starts recovering dollars.

  • Contract modeling
  • Underpayment recovery
  • Renewal intelligence
Learn more

Physician groups

Stop leaving money on the table.

Line-level remit reconciliation surfaces underpayments that manual reviews miss, with the evidence and appeal language ready to send.

  • Line-level 835 reconciliation
  • Auto-generated appeals
  • Payer dispute tracking
Learn more

Revenue cycle leaders

One operating picture for every contract.

Give finance, rev cycle, and contracting a shared, modeled source of truth for every payer agreement, amendment, and fee schedule.

  • Shared contract ledger
  • Amendment tracking
  • Defensible pricing
Learn more

The platform

Four modules. One contract engine.

Contract terms, variance detection, recovery workflows, and renewal modeling all read from the same source, so a rate change in one place updates expected pay, appeals, and benchmarks everywhere.

Contract Management

Digitize every payer agreement into executable logic. Track amendments, fee schedules, and expirations in a single auditable source of truth.

Underpayment Detection

A variance engine reads every 835 and flags line-level discrepancies against modeled contract terms, with root cause and dollar impact attached.

Recovery & Appeals

Auto-generated appeal packets, dispute tracking, and payer follow-up workflows route every flagged claim to resolution.

Rate Modeling & Renewals

Model rate changes across service lines and negotiate renewals with real contract performance data, not spreadsheets.

Core capabilities

From contract to cash, on one system.

Contract Management

Every payer agreement, modeled and machine-readable.

Contracto ingests PDFs, fee schedules, and amendments and turns them into executable contract logic. Terms, carve-outs, effective dates, and rate tables live in one auditable ledger the whole revenue cycle can query.

  • PDF, Excel, and API contract ingestion
  • Amendment and effective-date tracking
  • Fee schedule and carve-out modeling
  • Full audit trail on every term change

Contract

Aetna Commercial · v4.2

Active
  • § 3.1 Inpatient DRG base rateDRG × 1.084
  • § 4.2 Outpatient APC multiplierAPC × 1.15
  • § 5.4 Implant carve-outCost + 12%
  • § 7.1 Timely filing180 days
  • § 9.0 Annual escalator+2.0% (eff. 01/2026)

Underpayment Detection & Recovery

Catch every variance. Work every dollar.

The variance engine reconciles every 835 against the modeled contract at the line level, isolates root cause, and pushes the claim into the right recovery workflow, with an appeal packet, evidence, and payer-specific language already assembled.

  • Line-level 835 vs. contract reconciliation
  • Root cause: term, code edit, or policy change
  • Auto-generated appeals with contract citations
  • Dispute tracking through payer resolution

Variance · Claim 8842-A

DRG 470 · BlueShield PPO

Underpaid

Expected

$18,420

Paid

$16,975

Variance

$1,445

Root cause · Implant carve-out §5.4 not applied

Appeal · Packet ready · cites §5.4, §3.1

Status · Queued for submission

The ledger

One operating picture for every contract.

Contracto rolls every claim, every payer, and every term into a shared ledger, so your team knows which variances need action and which are already resolved.

PayorStatusAction
BlueShield PPOUnderpaidNeeds review
Aetna CommercialUnderpaidAppeal pending
Humana MAOn termsAuto-resolved
Cigna Open AccessUnderpaidEvidence ready
UHC Choice+DisputedIn negotiation

Revenue integrity

Surface the gap between expected and actual reimbursement before it ages out.

Faster recovery

Route every flagged variance straight to the right appeal or negotiation workflow.

Shared truth

Give finance, rev cycle, and contracting one modeled source for every payer agreement.

Defensible pricing

Negotiate renewals with actual contract performance, not anecdote.

FAQ

Questions we hear on the first call.

  • PDF, Excel, or direct API, our modeling team parses your payer agreements into executable terms in days, not months.

See what your contracts are really worth.

Book a 30-minute demo. We'll model a sample of your remits and hand you a real recovery estimate, whether you buy or not.