Like autopilot for navigating the payer landscape
A smart connectivity fabric that connects electronically with payers, maintains real-time awareness of policies, contracts, pricing rules and observes payer patterns.
1,500+
connections with digital-first routing
1.25B+
YTD payer transactions processed
115K+
payer policies monitored in real time
36M+
accounts priced daily for expected reimbursement
Benefits
Working smarter just got easier. Payer Atlas brings payer context into every interaction.
Save accounts receivable time.
Reducing the time claims spend outstanding in AR by routing every transaction automatically to the best payer channels, without hopping between platforms, manual workarounds and stalled claims.
Get off the denial treadmill.
Stay current with ever changing payer policies, authorization criteria, billing guidelines and filing requirements. Payer Atlas monitors policies in real time and makes that knowledge instantly accessible to both your teams and AI agents, so claims go out right the first time.
Protect your margins from underpayments and pricing leakage.
Model complex contracts and calculate expected reimbursement at the account and line-item level. Quickly identify underpayments, pricing discrepancies and recoverable revenue.
Reduce staffing burden and increase productivity.
Standardize payer interactions and reduce repetitive work across eligibility, authorizations, claim status, attachments and appeals. Your AR teams can focus on exceptions that require human judgment.
Features
Every interaction, backed by payer context. Here’s how.
Connections
Automatically routes each transaction to the best channel—API, EDI, bots, fax, mail —based on payer capabilities and your preferences.
Knowledge Hub
Centralizes payer policies, contracts, and guidelines from PDFs—giving instant access to critical info without digging through emails or spreadsheets.
Pricing Service
Extracts rates and terms from contract PDFs—modeling 160,000 contracts and pricing 36M accounts daily—to deliver accurate reimbursement predictions and maximize recoverable income.
Behavior
Stay ahead of payer trends and be able to predict denials, overturn rates, and authorization likelihood using payer history, unwritten rules and R1’s proprietary data.
