PriceMedic provides analytics-ready transparency data on healthcare reimbursement, delivering up-to-date payer fee schedules and coverage information through a Snowflake‑based platform. Small to mid‑size practices can use the Provider Analysis Portals to benchmark rates, identify underpayments, and strengthen payer negotiations, while Managed Service Organizations gain a scalable analytics infrastructure for broader market insights. The service updates monthly, ensuring users work with the most current market data.
Funding
Funding not disclosed
Founders
Product
Problem
Medical practices and managed service organizations often lack timely, comprehensive data on payer fee schedules, making it difficult to benchmark rates, detect underpayments, and negotiate effectively with insurers.
Solution
PriceMedic delivers an analytics-ready reimbursement transparency dataset hosted on Snowflake, aggregating monthly‑updated fee schedule information from over 200 payers. The platform provides a searchable portal where practices can compare their own rates against competitors, pinpoint discrepancies, and directly reference the source payer documentation. Managed service organizations can integrate the dataset into their analytics pipelines to support large‑scale pricing strategy and negotiation workflows. By centralizing this data in a cloud‑native environment, users gain quick, reliable access without the need to manually compile disparate sources.
Target Audience
Primary customers are small to mid‑size medical practices and managed service organizations that need accurate reimbursement data to inform payer negotiations and pricing strategies.
Features
- Monthly refreshed coverage data covering more than 200 payers for up‑to‑date market insight
- Snowflake‑hosted, analytics‑ready dataset enabling seamless integration with existing BI tools
- Side‑by‑side rate comparison tool allowing users to benchmark against any selected practice
- Direct citation links to payer websites for verification and compliance during negotiations
- Dedicated provider analysis portals tailored for small to mid‑size practices and MSOs