Independent practices
Bring clarity to outpatient payments without piecing together contracts, remittances, and follow-up notes.
FOR INDEPENDENT OUTPATIENT PRACTICES & BILLING TEAMS
Check payer payments.
Keep the contract in view.
RemitGuard helps independent practices and their billing teams review contract terms, compare EDI 835 allowances, and prepare evidence-backed follow-up in one workspace.
Helpful AI. Human decisions. Traceable numbers.
Explore the workflow with fictional data. No documents or account needed for a demo.
R RemitGuardPAYMENT REVIEW
THE FULL PICTUREReady for review
One service.
One clear next step.
Juniper Ridge Rehabilitation
Procedure 73221 · 1 unit
Expected allowance$1,200.00
Payer allowance$950.00
Potential difference$250.00
Why this was flagged
The payer allowance is $250 below the reviewed contract calculation.
Illustrative review · A difference needs verification before follow-up.
01 FROM CONTRACT TO CLARITY —
WHO WE HELP
Built for independent
outpatient practices.
For primary care practices, dental offices, physical therapy and rehabilitation clinics, ENT practices, and other specialty offices with fixed-fee payer contracts.
Practice administrators
See what needs attention and give your billing team the context to take the next step.
Billing & revenue-cycle teams
Review potential differences with the supporting contract terms and payment details in one place.
WHY PAYMENT REVIEW MATTERS
A closer look at payer payments.
Industry reporting highlights the value of checking payments against contracted rates.
30%
Reported auditing monthly
In a February 11, 2025 MGMA poll, 30% of medical group practice leaders said they checked payer payments against contracted rates monthly.
193 applicable responses. This is a poll result, not a measure of all practices.
Source: MGMA Stat · February 2025 ↗1–11%
Estimated annual net-revenue loss
A Clear Health-sponsored webinar description published by MGMA reports that healthcare organizations lose 1–11% of net revenue annually to payer underpayments.
A broad industry estimate from sponsored content; it does not establish an average loss for independent practices or expected RemitGuard results.
Source: MGMA-hosted webinar · April 2026 ↗These figures provide industry context. Your practice’s results depend on its contracts, payments and verified findings; recovery is not guaranteed.
A CONNECTED WORKFLOW
From the agreement
to the follow-through.
Keep the source, the calculation and the next action together.
Review your contract
Upload the complete agreement. Check extracted rates and conditions against their source before approving a supported schedule.
Compare your remittance
Upload an EDI 835. Compare payer-reported allowances with approved contract calculations, with payment and patient responsibility shown separately.
Follow up with evidence
Investigate potential differences, prepare a letter and evidence packet, and track follow-up and verified receipts. Your team decides what to submit.
WATCH THE WALKTHROUGH
See the workflow in action.
Explore contract review, payment comparisons and follow-up in three minutes.
INSIDE REMITGUARD
Every finding needs context.
Every team needs a next step.
A focused workspace for reviewing the details and keeping the work moving.
EXPLORE THE WORKFLOW
From contract to follow-up
Your contract review
Harborstone Health Plan · Outpatient agreementCheck extracted rates and conditions against the source before approving a fee schedule.
Proposed rate
Page 173221 · No modifierUSD 1,200.00 per unit
Limited to the billed charge“The negotiated unit price for 73221 without modifiers is USD 1,200.00. The allowance is the lesser of the unit price multiplied by units and the billed service-line charge.”
Illustrative contract passage · Effective January 1–December 31, 2026
A saved review is not an approved fee schedule. Missing information and unsupported terms must be addressed before activation.
Contract allowance comparison
Harborstone outpatient agreement · v1 · Approved scheduleJR-1042
73221 · 2026-09-15 · 1 unitExpected allowance$1,200.00
Payer allowance$950.00
Actual paid$750.00Line PR: $200.00
Allowance difference$250.00
Why this was flagged
The expected allowance is $1,200.00 and the payer-reported allowance is $950.00. The payer allowance is $250.00 lower.
Source evidence
Approved agreement · page 1 · 73221 without modifiers
$1,200.00 × 1 unit · billed charge $1,500.00 · cap does not reduce the allowance.
A potential variance is a review flag, not an amount owed. Patient responsibility is separate from the allowance difference.
Review case · JR-1042
Harborstone Health Plan · 73221Potential allowance difference
$250.00Check contract applicability and remittance adjustments before deciding whether to follow up.
Review the evidence
Keep the saved comparison, contract source and remittance details with the case.
Prepare a packet
Review the recipient details, letter and supporting evidence before generating a PDF for your team to submit.
Track the outcome
Save follow-up activity and record verified receipts when payment is received.
Creating a case does not send an appeal or confirm a recovery. Your team controls follow-up.
See what needs attention
Keep review work visible alongside potential differences and confirmed receipts.
Keep the evidence close
Move from a finding to the contract, remittance, and decision history behind it.
Pick up where you left off
Return to saved cases, follow-up activity, and previously generated evidence packets.
HELP SHAPE REMITGUARD
Start with a demo.
Explore a pilot together.
We’re looking for independent outpatient practices and billing teams willing to evaluate the workflow and share practical feedback.
We provide sample contracts and payment statements using fictional data, so you can explore the software without uploading anything.
GUIDED PILOT PROGRAM
A small, focused start
Tell us about your practice and the payment-review problems you want to solve. We’ll discuss fit, supported workflows and a limited pilot scope together.
Express pilot interestPilot participation is by arrangement. Dates, fees if any, data scope and agreements are confirmed before participation. We are currently inviting demo requests and arranging pilots.
YOUR PRACTICE. YOUR INFORMATION.
Protection is part
of the workflow.
Individual accounts, two-step verification and separate practice access help protect your workspace. Your team reviews and approves contract terms before they become payment rules.
Start with a demonstration using fictional data. If we agree on a pilot involving practice records, we will confirm the scope and agreements before that work begins.
Payment review without medical-chart access
Compare payer contracts and remittance payments without providing full medical charts or clinical notes. Payment records may contain patient identifiers, which still require PHI protection.
Read about security and privacyBEFORE YOU START
A few practical answers.
Who is RemitGuard for?
Independent outpatient practices and the teams reviewing their payer payments. Billing companies can contact us about the right agreement and workspace setup.
What do I need for a demo?
Just your questions. Join a 20-minute screen-share demo from anywhere. We provide sample contracts and payment statements using fictional data. No documents or uploads are needed.
Does it recover money automatically?
No. RemitGuard identifies potential allowance differences and helps you prepare supporting evidence. Your team verifies the finding and decides whether to contact the payer.
Will it handle every contract?
It supports fixed fees and defined calculation rules. Unsupported terms and unresolved ambiguities stay visible; the software does not invent rates to complete a comparison.
Can my practice join the pilot?
We welcome interest from independent outpatient practices with fixed-fee payer contracts. We’ll discuss your workflow and agree on a manageable evaluation. Expressing interest does not enroll your practice or create a charge.
Is the free trial available now?
This website now focuses on demos and guided pilots. Request a demo now; we plan to revisit self-service trials after pilot validation.
YOUR FIRST STEP
Start with one contract.
Follow one payment.
See the contract-to-remittance workflow with fictional data, then discuss whether a pilot fits your practice.
Request a demo
Fill out the form with your practice name, specialty and preferred meeting times. Please do not include patient information.