106%
of Medicare was the contracted rate. The working number said 100%. Six points, in the direction that costs the provider
Stop reading your contracts. Start negotiating them.
Basalt reads your executed payer agreements end to end, puts every rate and provision on one grid, and keeps each one a click from the page it came from.
If a major payer agreement reopens in the next twelve months, someone has to read it before you sit down. That work is happening either way.
10,496
of 10,497 extracted fields carry a document and page citation
See how it works
The contract said 106% of Medicare. The working number said 100%.
Basalt reads the executed agreement and every amendment behind it, then sets each figure against the language that governs it. Click any source link to jump to the line it was read from.
Executed agreementAppendix B · 1 of 34 pp.
NORTHWIND HEALTH PLAN · HOSPITAL SERVICES AGREEMENT · APPENDIX B
Inpatient reimbursement: Plan shall reimburse Hospital the lesser of 100% of billed charges or 106% of the then-current Medicare allowable for each covered inpatient admission.
Rate adjustment: Rates adjust annually on the anniversary date in line with the Medicare allowable then in effect, with no separate notice to Hospital.
Termination: Either party may terminate for cause upon material breach, loss or suspension of licensure, exclusion from a federal health care program, or failure to maintain the insurance required under Section 9.
Claims submission: Clean claims must be received within 90 days of the date of discharge.
Appendices: Appendix B supersedes the rate schedule at Appendix A in its entirety as of the amendment effective date.
Escalator: No fixed percentage escalator is stated anywhere in this Agreement or its appendices.
What Basalt surfaces2 to resolve
✕
Risk
Rate disagrees with the working number
Contract says 106% of Medicare; the spreadsheet says 100%
source ↗
?
Review
Four grounds for termination for cause
A prior reading of this agreement had recorded one
source ↗
✓
Cited
Payer can move this rate unilaterally
Adjusts with the Medicare allowable, no notice owed
source ↗
✓
Cited
Escalator confirmed absent
Asserted from a full read of all 34 pages
source ↗Synthetic agreement, built on a real find. Every figure is read from the executed document and linked to the line it came from. Basalt surfaces the evidence; your analyst makes the call.
Why Basalt
How Basalt compares
The same executed agreement, two very different readings. One is retained, cited and reusable. The other lives in a spreadsheet and in one person's memory.
Book a demo →Basalt
The spreadsheet
Reads the full executed agreement and its amendments
Abstracted by hand, once
Every figure traces to a document and page
A person's memory
Percent of Medicare per facility, per payer
Rarely computed
Amendments supersede the rates they replace
Stale the day one lands
Confirms a term is absent after a full read
Blank either way
The reference book
Counted, not estimated.
Every figure on this page comes from one real book of executed agreements, read end to end. These are counts of what came out of it.
45
executed contracts read end to end
43
distinct payers across the book
4
facilities live on a repeatable pipeline
1,035
terms confirmed absent after a full read, never left blank
Counted from a live reference deployment at a 60+ hospital multi-state system, proven at four facilities on a repeatable pipeline.
The objections
The evidence a payer cannot wave off, already assembled.
A payer analyst can dispute your model. Disputing their own signature is harder. Here are the three things managed care teams say back to us first.
"We already have a CLM."
It stays the system of record for the paper. Basalt is the system of record for what the paper says: the rates, the escalators, the termination rights, each cited to its page. Most systems run both.
"We already know our contracts."
One reading turned up a rate recorded at 100% of Medicare where the executed contract said the lesser of 100% of billed charges or 106% of the then-current Medicare allowable. It was found because two screens disagreed.
"Our RCM tool already checks this."
An underpayment tool compares payments to a rate somebody typed in. Basalt reads the rate off the executed page, so the number the tool is checking against is the one you actually signed.
Your next cycle is already on the calendar.
Bring the contract you argue with most and watch Basalt read it. Most systems start with one payer and one negotiation cycle.