Detect and recover the revenue you're leaking to payers

RevFind is MD Clarity’s cloud-based contract optimization, denial management, and underpayment detection platform. It is built expressly for provider organizations to maximize reimbursements, improve contract terms, and automate tedious staff tasks. It integrates contract data, claim activity, and recovery workflows into one intelligent platform, so you can recover underpaid claims, fix root causes of denials, and model contract proposal scenarios without manual spreadsheets or disconnected tools.

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The platform compares each remittance at the procedure or diagnosis code level to the payer’s exact fee schedule terms stored in its contract library. If a payer reimburses less than the contracted amount, RevFind automatically highlights the variance, routes it to the appropriate worklist, and tracks resolution status. 

Most healthcare organizations manage payer contracts, denials, and underpayments only after problems surface, not before. 

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The proliferation of contracts, the growing complexity of each contract, tighter restrictions, and reimbursement ambiguity from payers have made underpayment and denial management labor-intensive. As a result, revenue cycle teams are finding it increasingly difficult to recruit enough skilled staff to manage these responsibilities effectively. 

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Modern contract management software that digitizes and analyzes contract rates and terms bridges these gaps, supporting net revenue growth. 

Yes. With RevFind’s built-in modeling engine, you can run “what-if” scenarios and see the net revenue impact of proposed payer changes before negotiations start. You can also use the modeling engine to run scenarios based on your preferred variables to inform your counterproposal. 

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RevFind’s also flags underpayments and denial patterns at the charge level, so that you can enter negotiations with evidence of payer shortfalls and a prioritized list of high-value fixes—helping you demand fairer terms, eliminate one-sided provisions, and focus on the rates and terms that matter most to your bottom line.

Yes. RevFind is built to connect seamlessly with the systems you already use. It is an integration-agnostic platform that connects with various practice management systems, clearinghouses, and data warehouses to power its workflows.

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• Unified data hub – MD Clarity pulls patient and financial data from all your source systems into one platform, giving you a single view of the revenue cycle.
• Multiple integration methods – The platform supports HL7, FHIR APIs, X12 EDI 835/837, flat-file transfers, and direct connections to reporting servers or data warehouses, ensuring connectivity with your existing systems
• Pre-built connectors – Out-of-the-box integrations exist for most major practice management solutions, minimizing setup time and IT effort.

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Its integrations include ModMed, athenahealth, NexGen, eClinicalWorks, Compulink, Nextech, Experity, and more. 

Most electronic health record (EHR) and practice management (PM) platforms were built for clinical documentation, scheduling, and claims submission—not the deep financial analytics and workflow automation required to monitor payer behavior. 

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Contract intelligence functionality of EHRs and PM systems remains limited, if it exists at all. Many systems do not have contract management capabilities in any capacity. For those that do, fee schedules are stored as static tables with no logic for escalators, carve-outs, “lesser-of” clauses, or other reimbursement methodology intricacies. Without the ability to precisely model expected reimbursement, other systems fail to deliver meaningful value.

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Other systems typically lack additional workflows that bridge the gap between insights and real business results, including:

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• Automatically routing underpaid claims to staff worklists
• Drilling down to identify root causes of underpayments and denials
• Monitoring key contract terms such as renewal dates
• Modeling the net revenue impact of contract scenarios
• Auditing expected reimbursement calculations
• Preparing appeal packages
• Tracking appeal resolution progress

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Dedicated contract management and recovery platforms such as RevFind model even the most complex payer agreements with exact precision to calculate expected reimbursements with optimal accuracy. They then manage the complete workflow from payment variance detection through to appeal, root cause fix, or contract negotiation. These tools routinely uncover the hidden net revenue that generic EHR or PM modules miss, and drive increased net revenue by facilitating the complete revenue optimization workflow.

Provider organizations typically see a positive financial impact within the first 3–6 months after go-live. Case-study results published by MD Clarity show:

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• An orthopedics MSO identified $10.3 million in underpayments alone.
• Radiology Imaging Associates validated $1.1 million in underpayments.
• Community Care Partners (urgent-care MSO) recovered $160,000 from one CPT code within 3 months of implementation. It also collected $80,000 more in the following months.

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Healthcare groups achieve positive ROI within months and compound returns as more underpayments and denials are overturned and ongoing revenue leakage issues are resolved.