Problem 01
Contract terms are scattered.
Rates, amendments, product details, tieback terms, and effective periods live in separate files.
Financial intelligence for specialty practices
Visualize and model how every payer contract performs.
Connect contract terms, CPT volume, and payments to monitor underpayments, forecast rate changes, and prepare for negotiations.
Connect contract terms to remittance data
Fulcrum connects unstructured contract data with payer remittance data so finance teams can analyze performance from one structured source.
Identify underpayments
Automatically detect suspected underpayments and package the supporting evidence for review.
Plan with precise, dynamic forecasts
Project revenue through changing fee schedules before new rates take effect.
Negotiate contracts with superior data
Use curated market intelligence to compare proposed rates with competitors and the broader market.
The intelligence gap
Disconnected data puts you at a disadvantage.
Payer contracts, fee schedules, and billing data are siloed, limiting your analysis and planning capabilities.
Problem 02
Underpayments go undetected.
Figuring out whether you are being paid correctly takes dozens of hours of manual effort.
Problem 03
Proposed contract changes are difficult to model.
Forecasts and renewals are difficult to keep tied to actual CPT volume and current contract terms.
Platform
Fulcrum turns disconnected contract and payment data into financial intelligence for your practice.
Ingest & structure
Connect contracts, fee schedules, CPT volume, and payment files.
Expand and map contracts
Map each patient to their exact insurance product, then structure the logic across contracts and rate tiers.
Monitor & detect
Automatically detect and review underpayments.
Model & negotiate
Test rate changes on actual volume before forecasts and renewals.
Platform views
Use case 01
Structure contract data
Turn contracts, fee schedules, and CPT volume into structured payment logic.
Underpayment review
$150,000+
Potential underpayments identified on $6.7M in claims.
Use case 02
Payment monitoring
Detect and investigate potential underpayments in an automated, accurate way.
Use case 03
PFS impact analysis
See how Medicare changes affect your codes and Medicare-tied commercial contracts.
Use case 04
Commercial negotiations
Test payer proposals against actual volume, current terms, and market benchmarks.
Use case 05
Service-line efficiency
Compare reimbursement with clinician time and work across services.
Use case 06
Service-line economics
Integrate with Fulcrum to add our unit economics tool, which shows your precise unit economics for specific CPT codes.
Let Fulcrum serve you
For finance and leadership teams managing practice performance.
Fulcrum Analysis
One focused question
For one contract, payer proposal, PFS update, or payment review.
- Fixed scope and up-front price
- Analysis built from contract terms
- Findings and next steps
Fulcrum Platform
Ongoing contract intelligence
For organizations that want contracts, payments, forecasts, and negotiations kept current.
- Payer products and fee schedules structured
- Automated underpayment detection
- Forecasting and negotiation modeling
Get in touch
Start with the question you have.
Tell us what you are reviewing. No PHI is needed for discovery.