CIQ Health

Payer-Provider Contract Intelligence

Delivering financial clarity for the business of healthcare

Replace outdated and confusing methods to maximize reimbursement outcomes. We take on the complexity for 100% ROI-driven results.

Commercial rate position vs. market peers Hospital outpatient · all commercial payers Median Peers You 100% 150% 200% 250% 300% Avg. rate, % of Medicare Lower Higher Commercial claim volume → RATE LEADERS BELOW MARKET Gap to median

Rates at market median4 payers

Current
Modeled

+$480Kest. added reimbursement / yr

Your rank among 8 peers

  • Blue Cross Blue Shield

    #6 of 8

    Last1st

  • UnitedHealthcare

    #2 of 8

    Last1st

  • Cigna Healthcare

    #4 of 8

    Last1st

  • Aetna

    #7 of 8

    Last1st

Intelligence Fix Protect

We apply powerful market data to fix and protect your reimbursements

Solutions

Our Solutions Deliver True ROI

Healthcare commercial price transparency + payer-provider network intelligence means more now than ever before. More opportunities, but also more challenges. Our market-leading RealRate™ benchmark and Contract Edge™ technology combine for proven results.

For Providers

Know Your Potential and Act on Real Market Rate Insights

We're committed to supporting your practice with actionable solutions to optimize your reimbursements. By utilizing our next-gen market analysis tools, partner network of expert negotiators, and ongoing practice optimization platform, your practice will save time, accelerate financial improvement, and be well positioned for future growth. A holistic approach to payer relations.

  1. Understand your market position with advanced rate analytics

    For the first time you can have clarity on where you stand in the market via a proven data-driven approach. We have full access to ALL price transparency rates nationwide for all payers and billing codes.

  2. Build a detailed action plan that guides your practice's revenue optimization approach

    Our platform models your financial opportunities and digitizes your payer contracts for 360-degree visibility now and ongoing.

  3. Execute custom-tailored negotiation and reimbursement strategies

    We deliver the new standard in rate and contract intelligence. Leverage the best rate data and analytics for maximum reimbursements.

Are you a healthcare consultant? See how we support you and your clients

Expand your opportunities with ready-to-go analytics

As a trusted partner of healthcare providers, you're ready to make use of actionable market cost insights to support your clients. The challenge is allocating scarce resources to evaluate and process the analysis. Partner with us to scope and combine the data + practice metrics to fit your exacting requirements. We're 100% ROI-driven.

  1. We're making the massive datasets actionable to save you time

    Staying focused on your primary value to clients is essential. Leverage our healthcare analytics expertise.

  2. Interpret the reimbursement metrics in your context

    There's rarely an out-of-the-box option for reimbursement optimization analysis. We customize your deliverables for real value.

  3. Stay ahead of the competition and add value

    As a leader in your market, you're always seeking innovative solutions that meet your high standards and show direct ROI.

The analysis is where we start, not where we stop

  • See itWhere you stand with every payer, against real market rates.
  • Fix itA negotiation strategy, with expert negotiators to carry it out.
  • Protect itDigitized contracts and ongoing monitoring keep the gains in place.
Practice findings Physician group · peer rank with each commercial payer Payer A Peer rank Upper tier Payer B Peer rank Top tier Payer C Peer rank Bottom tier Payer D Peer rank Lower tier Critical finding Key risk Key opportunity
Service-line rank vs. peers Commercial · rank within peer group Top Bottom E&M Imaging Surgery Lab Cardio Ortho Anesth. Emerg. Your org. Peer A Peer B Peer C Peer D Peer E Peer F Peer G
We're a team of health tech experts focused on real results.

Committed to Advancing Your Contract Intelligence

Partner with a company that understands the complexities of payer-provider contract and network analytics. We have decades of direct experience in delivering essential healthcare insights. Explore our proven, market-leading technologies.

Ready For Answers?

Gain full visibility into how contract and network intelligence impacts your competitiveness and maximizes your reimbursement position. Take action to transform your financial outcomes.