Revenue intelligence & recovery

Know what the payer owed.
Prove what came back.

Most platforms tell a revenue-cycle team that something is wrong. Revitics reconstructs the financial life of every claim — what was billed, what the payer said, what the contract required, and whether the money actually arrived.

1 — Identified
Potential leakage

What the analysis says is wrong.

2 — Validated
Worth pursuing

What a person reviewed and accepted.

3 — Submitted
Sent to the payer

What left the building, byte-for-byte retained.

4 — Verified
Recovered cash

Matched to a remittance above the payment level at submission.

Four numbers, kept apart on purpose. Collapsing them is how a board hears “we found $8.7M” and a controller finds $2.4M in the bank.

The premise

For every service delivered, can you say what happened financially — and show why any of it is wrong?

Expected-versus-actual reimbursement is a mature category. The difference is whether a finding can survive being questioned.

Revenue truth

What actually happened

Claims, corrections, acknowledgments, payments, denials, takebacks and appeals, kept as a history rather than overwritten into a balance.

Contract truth

What should have happened

Reimbursement calculated from human-verified contract terms by a deterministic engine. No model produces a dollar figure.

Recovery proof

Why we say money is owed

Every finding carries the claim line, the payer's own adjustment codes and the contract term it rests on — assembled into the package that gets sent.

One claim, end to end

The financial life of a single claim

Every stage is a record, not a status field. This is what a specialist sees before deciding whether an appeal is worth making.

Claim MHP-00524 · billed to a commercial PPO
$4,351.09 short 01 Mar $25,000.00 billed 01 Jun $14,391.08 paid · CO-45 contract $18,742.17 verified term 10 Aug $4,351.09 recovered & verified
Illustrative figures from the demonstration environment. They are synthetic. No number on this site is a customer outcome, and none is a projection of what your organization would recover.
Built for scrutiny

Designed for the review a hospital will actually run

No black-box money

AI extracts, classifies, summarizes and drafts. It never determines an amount. Every calculation stores its inputs, the contract version and the engine version, so a figure can be re-derived years later.

Refuses rather than guesses

Where no verified contract term applies, the platform returns expected payment unavailable instead of inventing a rate. An appeal missing a required fact says so rather than filling the gap.

Evidence a payer can check

Packages enclose the claim as billed, the payer's own adjudication, the arithmetic and the contract term — and state plainly what is not enclosed.

Tenant isolation, tested

Every tenant-scoped resource is enforced server-side, and the boundary is covered by automated tests rather than asserted in a questionnaire.

How it starts

A scoped historical assessment, against your own data

No EHR integration required to begin. You supply 837 and 835 files and your payer contracts; we return findings you can audit line by line.

01

Secure data transfer

Historical claims, remittances and contracts, moved under a signed agreement.

02

Deterministic analysis

Expected reimbursement from your verified terms; underpayments, denials, zero-balance exposure and takebacks separated rather than pooled.

03

Findings you can audit

Every number traceable to a claim line, an adjustment code and a contract term — including what could not be computed, and why.

04

Your decision

Pursue the findings with your own team, with an RCM partner, or not at all. The assessment is yours either way.

Projected value is not recovered revenue. An assessment reports exposure found in your history. What is recoverable depends on filing windows, payer behaviour and the evidence available — and the report says so item by item.