Keeper Health provides instant, affordable access to negotiated reimbursement agreements between healthcare providers and insurers through a clean API and downloadable datasets. By processing over a million gigabytes of payer‑released data, the platform delivers up‑to‑date rate information for any provider NPI, billing code, or payer plan, enabling organizations to benchmark services, map in‑network providers, and make informed financial decisions. The service covers major insurers such as UnitedHealthcare, Blue Cross Blue Shield, Cigna, and Aetna, with additional contracts available on request.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers and payers must publish negotiated reimbursement rates, but the raw machine‑readable files are massive, unstructured, and require extensive data engineering to extract usable information. This creates high costs and delays for organizations that need accurate rate data for contract negotiations, network mapping, and financial analysis.
Solution
Keeper Health offers a cloud‑based API and downloadable datasets that provide instant, searchable access to cleaned and standardized negotiated reimbursement rates from all major insurers. By processing over a million gigabytes of payer‑released data each quarter, the platform delivers ready‑to‑use fields such as CPT/HCPCS codes, provider NPIs, payer names, plan details, and fee amounts. Users can query specific providers, codes, or plans to benchmark costs, identify in‑network providers, or support market research. The service is priced for affordability, allowing organizations to avoid the internal expense of parsing raw files while receiving up‑to‑date, compliant price‑transparency data.
Target Audience
Primary customers are physicians, ambulatory surgery centers, revenue cycle management firms, and accountable care organizations that require accurate reimbursement data for contract negotiations and financial planning.
Features
- Quarterly refreshed datasets covering >95% of commercial insurance reimbursement rates, including Blue Cross Blue Shield, UnitedHealthcare, Cigna, Aetna, Humana, Kaiser Permanente, and regional payers
- API that supports flexible searches by provider NPI, billing code (CPT/HCPCS/DRG), payer plan, place of service, and modifiers
- Clean, normalized data schema with fields for billing codes, provider names, EINs, payer details, fee schedule levels, and negotiation type
- Bulk downloadable Excel/CSV files for offline analysis and integration with revenue cycle management systems
- Cloud‑based processing pipeline that ingests, validates, and de‑duplicates raw machine‑readable files, eliminating the need for in‑house data engineering
- Pricing model focused on sustainability and accessibility, offering low‑cost subscriptions and pay‑per‑download options