We’ve created a Payer monitoring system that watches Payer behavior, detects trends others cannot see and helps you take action while others have to wait.
No Games, No Waste, Just Money
Our customers have already collected 6.4% more in provider reimbursements with 11% less staff effort.
Grace watches every move the Payers are making and shares the analytics of what she discovers.
Grace understands the connections between all of the data, giving you a full picture of the playing field.
Payers are already using Artificial Intelligence to adjudicate claims. This means they're one step ahead of you, making it more difficult to collect on behalf of your Providers.
The Medical Billing process is standardized for Providers but not for the Payers. Different health plans, varying reimbursements and changing rules make it nearly impossible for you to keep up.
If you created a perfect claim every time, would you be paid on time and in full? Payers seem to lose, reject, deny and underpay claims based on a seemingly moving target.
Grace's intelligence is installed with a clean slate to study your data.
Grace builds every pattern possible. There are millions and millions of patterns.
In order to know how every Payer affects you, Grace studies the meaning behind every set of patterns.
Thousands of providers trust us to deliver perfection every day.
President, Cape Medical Billing
“MiddleGate is a game changing technology for RCM.”
“We knew that we were going to have to invest in technology to stay competitive. Partnering with MiddleGate has been a step towards making sure we can continue to be competitive and successful in the future. Empowering my staff with Grace has me excited."
I am floored by Grace's accuracy and ability to give us a level playing field. Now we're seeing increased revenue and decreased costs.
Ron Decker, IHSI
Every time we touch a claim our costs were going up. We invested in Grace to reduce underpayments and to strategically bring our costs down.
Ginger Ryder - President, EMEDX
We were using a denial analytics system, but the problem still persisted. Grace goes way beyond denial analytics and tells us how to work smarter.
Michelle Durner - President, Applied Medical Systems
We can integrate with any billing system. As long as we can access the data we can deliver the insights.