Vivid Price offers a cloud‑native SaaS platform that integrates with practice billing systems to generate real‑time, patient‑specific out‑of‑pocket cost estimates for infusion and injection services. The solution automates No Surprises Act compliance, provides white‑labeled estimates and an accounts‑receivable dashboard, and syncs via API and FHIR with EHR and practice management software.
Funding
Funding not disclosed
Founders
Product
Problem
Patients often receive little or no information about their out-of-pocket responsibility before receiving infusion or injection services, creating financial uncertainty and increasing the risk of billing disputes. Providers must also navigate complex regulatory requirements such as the No Surprises Act, which mandates good‑faith cost estimates, adding administrative overhead to the billing workflow.
Solution
Vivid Price delivers a cloud‑native SaaS platform that integrates directly with existing practice billing systems to generate accurate, real‑time patient cost estimates for physician offices and infusion centers. The solution pulls the latest Medicare fee schedules and payer contracts, applies customizable pricing rules, and produces a clear, white‑labeled estimate that satisfies No Surprises Act compliance. Estimates are presented to patients before treatment, enabling upfront collection of responsibility and reducing surprise bills. Collected and outstanding balances are visualized on a real‑time accounts‑receivable dashboard, streamlining revenue cycle management. The platform’s API and FHIR‑compatible interfaces allow seamless data exchange with EHRs and practice management software, preserving existing workflows while adding financial transparency.
Target Audience
The primary customers are physician offices and infusion centers that administer injectable therapies and need to provide accurate cost transparency to patients while maintaining compliance with federal billing regulations.
Features
- Cloud‑based, multi‑tenant architecture with quarterly automated updates of Medicare and commercial payer fee schedules
- Real‑time cost calculator that combines primary and supplemental coverage data to produce patient‑specific out‑of‑pocket totals
- API and FHIR‑compatible integration layer for bidirectional sync with practice management and EHR systems
- Compliance engine that generates good‑faith cost estimates meeting No Surprises Act requirements and logs audit trails for regulatory reporting
- White‑labeled, customizable patient estimate documents and electronic statements to reinforce brand consistency
- Interactive AR dashboard displaying collected amounts, outstanding balances, and trend analytics for revenue‑cycle staff
- Role‑based access control and HIPAA‑compliant encryption for all patient and financial data
- Scalable SaaS licensing model supporting single‑site practices to large multi‑location infusion networks