Know where you stand in the market.
Access payer-reported rates from Machine Readable Files (MRFs) and use our Procedure Code Comparison tool to view and compare reimbursement across all your payers. SuperScore rate analysis helps you understand your competitive positioning, while market benchmarking identifies rate gaps against competitors locally, statewide, and nationally—giving you the data you need to negotiate from a position of strength.
See the revenue impact before you negotiate.
Rivet's Contract Modeler lets you simulate "what if" scenarios using your actual claims history. Model the revenue impact of proposed rate changes, compare scenarios side-by-side, and export detailed analysis for leadership review and payer meetings. Bring quantified evidence to every contract conversation instead of estimations and guesswork.
Stop leaving money on the table.
Rivet projects dashboard automatically prioritizes recovery opportunities by dollar value, while batch appeal capabilities let you work similar issues simultaneously. Track team workflows with assignment and status management, identify systematic payment patterns through match rate analysis, and generate exportable recovery reports. Pattern detection helps you prevent repeat underpayments before they cost you revenue.
Manage renewals, track terms, and stay ahead.
Keep all your contract data in one place with renewal tracking and expiration alerts, fee schedule management with version control, and timely filing deadline monitoring. Store administrative clauses in a searchable repository, add notes and reminders for follow-up actions, and filter everything by business unit, financial class, or specific payers—ensuring you never miss a critical contract deadline or opportunity.
“I just fell in love with the underpayments solution. I loved the analytics piece, the reporting, that it was so easy to use, that you could drill down different ways, and that it integrated with our practice management system. I knew this is what we had to do and it’s been a great investment for us. ”
Tonia Bateman
Business Office Director
“ It's been a really great tool to maintain our contracts and identify underpayments. It's nice that everything lives in one place, and I'm not going all over to find what I need or opening all these different spreadsheets. I have one central tool that I can track and monitor payments and move them into worklists depending on their completion status. The current list of underpayments I’m working on will pay for the tool by itself and that’s huge.”
Travis Seymour
Contract Management Specialist
“With how quickly Rivet responds [an average 30 seconds wait time!] we feel like their team is right in our office.”
Kellie Ickowski
Practice Administrator
“Medical contracting is like the biggest black box. It’s confusing on our side as the providers, and it’s confusing on the payer’s side as they adjudicate claims. There is no way to know how well your contracts are performing without a tool like Rivet. The analytics and data aggregation tools in Rivet are great: we can sort and display claims data in ways you’d never be able to do on your own. It’s awesome. Rivet’s software is a necessity to manage medical practices of any size.”
Peggy Harris
Chief Financial Officer
“Everything I need to work a claim is in Rivet. I can analyze an individual claim without jumping through hoops and going through the payer’s website. It’s all there for me. I can customize my worklist and my team can customize theirs. We work on our own lists and even assign one another to a claim we’re working on, just to get a second pair of eyes on the claim. ”
Angela Phillips
Medical Billing Specialist
Rivet payer contract management software maintains contract terms and agreements, audits claims for improper payment, optimizes provider charge pricing, analyzes contracts against proposed changes, and compares contracts to providers and insurance carriers anywhere in the U.S. Gain a centralized location for all contracts to track renewal timelines and prepare for upcoming negotiations or new contracts. Compare contracts to each other in seconds for maximum payer contracting efficiency.
For upcoming payer contract renewals, Rivet manages negotiation/renewal timelines to know when to prioritize a specific contract, models proposed contract changes and compares rates to previous contracts with the same payer or a practice’s other contracts, contrasts a practice’s current rates with every other healthcare provider across the U.S., and analyzes key performance indicators (KPIs) to allow for payer contract negotiation fodder.
Underpaid claims are best recovered in a project with several similar claims attached. Rivet audits all claims and groups similar underpaid claims into projects and then estimates the value of each project for simple prioritization. Rivet payer contract software offers the proof needed to fight the battle of improper insurance payment. All underpayment projects in Rivet are downloadable in CSV format for easy insurance send.