CLINICAL SPEED
Maximizing Revenue Through
Intelligent Automation
We specialize in analyzing 835 remittance files and digitizing payer contracts, converting them into dynamic financial calculators that identify discrepancies outside contractual agreements. Through advanced automation and AI-assisted appeal processing, Clinical Speed helps healthcare providers identify and recover revenue that should have been paid under contract.
The same executable contract engine can also be applied before adjudication. Outbound 837P and 837I claims can be evaluated against the applicable payer contract to provide expected allowed amounts, contract references, variance risk, missing elements, modifier dependencies, bundling conflicts, and other actionable findings while the claim remains under the healthcare organization’s control.
835 — Forensic Underpayment Recovery
Clinical Speed applies the payer contract to historical and current 835 remittance data to identify reimbursement discrepancies at the line level. Findings are supported by the contractual basis required for client verification and recovery.
The recovery process combines contract logic, remittance analysis, structured findings, AI-assisted appeal generation, status tracking, and weekly reporting.
837 — Pre-Submission Contract Intelligence
The same executable contract models can evaluate outbound 837P and 837I claims before transmission, or immediately after generation depending on the integration point.
Outputs can include expected allowed amounts, contract references, variance risk, missing elements, modifier dependencies, bundling conflicts, risk indicators, and supporting evidence.
Clinical Speed reports the findings without automatically changing the claim. Coding, billing, documentation, revenue integrity, and compliance decisions remain with the healthcare organization.
THE CONTRACT IS THE FOUNDATION
Clinical Speed digitizes submitted payer agreements into structured, effective-dated financial models. These executable contract models can include fee schedules and rate tables,DRG and APC logic, modifiers, bundling and unbundling rules, multiple-procedure reductions, policy conditions, timely-filing requirements, documentation thresholds, carve-outs, stop-loss provisions, lesser-of provisions, case rates, per diems, percentage-of-charge terms, and other provisions that govern reimbursement.
The result is a financial calculator that can be executed against claim and remittance data.
This creates a common contract foundation for determining what should have been paid after adjudication and what should be expected before adjudication.
How Clinical Speed Works
Digitize the
Contract
Clinical Speed digitizes the payer contracts submitted for the engagement into effective-dated financial calculators, including the reimbursement terms and conditions that govern payment.
Execute the Contract Against the 835
Historical and current remittance data is cross-referenced with the applicable contract model to identify underpayments, flagged denials, and line-level variance. Findings are presented for client verification before recovery begins.
Recover Verified Underpayments
Verified findings move into a structured, AI-assisted appeal workflow with automated resubmission, status tracking, and weekly reporting.
Move the Same Intelligence Upstream to the 837
Outbound claims can be evaluated against the same contract logic for expected reimbursement, contract dependencies, risk indicators, and evidence. Clinical Speed reports the findings; the healthcare organization retains the decision.
Why Choose Clinical Speed?
More than 20 years of software and healthcare technology experience across the Beto Paredes Family of Companies.
More than 2,500 projects developed and launched across the family of companies, including major platforms for seven Inc. 500 companies.
Experience across healthcare software, medical finance, reimbursement, contract logic, and claim and remittance analysis.
Contract-executed findings designed to provide a clear contractual basis for review and verification.
One executable contract foundation supporting both post-adjudication 835 recovery and pre-submission 837 intelligence.
Report-only 837 intelligence designed to complement existing healthcare revenue-cycle operations rather than replace the organization’s billing system, coders, HIM, revenue integrity, compliance functions, or clinical judgment.
Contingency-Based 835 Recovery
The standard 835 recovery engagement is contingency-based. Clinical Speed receives 30% of recovered funds only after those dollars are reconciled and posted to the client’s accounts.
There is no upfront license fee for the standard recovery stream, and if nothing is recovered, nothing is owed on the stream. This commercial model applies specifically to the 835 recovery stream.
The Most Valuable Appeal Is the
One You Never Have to File.
Underpayment recovery remains essential when revenue has already leaked. Clinical Speed keeps that recovery capability in place while bringing the same contract intelligence upstream before adjudication.
One executable contract foundation can therefore support both historical recovery and current-period revenue integrity.
