Payer Performance

JSON twin: https://www.healthaidb.com/software/payer-performance.json

Company Name

Rivet Health

Product URL

https://www.rivethealth.com/payer-performance

Company URL

https://www.rivethealth.com

Categories

• revenue Cycle
• payer Solutions
• administrative Operations
• health Data Analytics
• Revenue Cycle Management
• Payer Contract Management
• Claims Analytics
• Denials Management
• Administrative
• Revenue Intelligence
• Benchmarking
• Ai Denials Management

Summary

Rivet Health's Payer Performance centralizes payer contracts, benchmarks rates, and automates underpayment detection to enhance revenue recovery.

Description

Payer Performance is a contract management and analytics platform that centralizes payer fee schedules and contracts, provides benchmarking, models contract negotiation scenarios, auto-detects underpayments, groups similar underpaid claims into recovery projects, and offers dashboards and exportable reports to streamline appeals and revenue recovery.

Api Available

unknown

Certifications

• SOC 2 Type 2
• HIPAA

Company Founding

2018

Company Offices

• United States

Compliance

• SOC 2
• HIPAA

Customers

Data Residency

United States

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Payer contract centralization
• Payer benchmarking
• Contracted rate modeling
• Auto-payment variance detection
• Underpayment detection and grouping into recovery projects
• Worklists and claim assignment/tracking
• Line-item claim drilldown and analytics
• Appeal/project-based recovery workflows
• Customizable saved views and filters
• Exportable reports and CSV download
• Audit/history of payment variance detection
• AI-assisted aggregation and analysis of contract data

Id

SW1993

Integration Partners

• Zelis
• TriZetto Facets
• Veradigm Revenue Cycle Services
• NaviNet Open
• Simple Fractal
• TriZetto QNXT
• Veradigm Payerpath
• intelliPath ePA

Integrations

• athenahealth
• AdvancedMD
• eClinicalWorks
• Clearwave
• Practice management systems (integration-agnostic)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial proprietary

Market Segment

• enterprise
• smb

Optional Modules

• Benchmarking (Rivet Benchmark)
• Contract modeling/negotiation tools
• Underpayment recovery project manager

Os Platforms

• Web

Pricing Details

Contact vendor for pricing, demos, and trial information.

Pricing Model

enterprise_quote

Privacy Features

• Privacy Policy (controls and disclosures)
• CSV export for data portability

Product Code

SW1993

Product Name

Payer Performance

Ratings

• 4.0/5 (Capterra)
• 4.2/5 (G2)
• 4.5/5 (ModMed)
• 4.1/5 (Tebra)
• 4.4/5 (WebPT)
• 3.7/5 (NextGen Healthcare)
• 4.4/5 (Waystar)
• 4.6/5 (Rectangle Health)
• 3.4/5 (athenaOne)
• 4.3/5 (Personify Health)

Regions Available

• United States

Related Urls

• https://elion.health/products/payer-performance

Release Year

2020

Security Features

• Audit logs / claim audit trail

Specialties

• Orthopedics
• Oncology
• Pediatrics
• Ophthalmology
• Gastroenterology
• Ambulatory Care
• Multi-specialty Practices

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• billing teams
• revenue cycle managers
• practice administrators
• contract managers
• payers
• consultants
• hospitals
• medical group leadership

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Very easy for the user! Also help is needed with an awesome chat feature!
• Estimate form is professional compared to what I was using—able to e-mail it to the patient; customer service is great.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Payer Performance",
  "company_name": "Rivet Health",
  "product_url": "https://www.rivethealth.com/payer-performance",
  "company_url": "https://www.rivethealth.com",
  "related_urls": [
    "https://elion.health/products/payer-performance"
  ],
  "product_code": "SW1993",
  "summary": "Rivet Health's Payer Performance centralizes payer contracts, benchmarks rates, and automates underpayment detection to enhance revenue recovery.",
  "description": "Payer Performance is a contract management and analytics platform that centralizes payer fee schedules and contracts, provides benchmarking, models contract negotiation scenarios, auto-detects underpayments, groups similar underpaid claims into recovery projects, and offers dashboards and exportable reports to streamline appeals and revenue recovery.",
  "categories": [
    "revenue Cycle",
    "payer Solutions",
    "administrative Operations",
    "health Data Analytics",
    "Revenue Cycle Management",
    "Payer Contract Management",
    "Claims Analytics",
    "Denials Management",
    "Administrative",
    "Revenue Intelligence",
    "Benchmarking",
    "Ai Denials Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "billing teams",
    "revenue cycle managers",
    "practice administrators",
    "contract managers",
    "payers",
    "consultants",
    "hospitals",
    "medical group leadership"
  ],
  "specialties": [
    "Orthopedics",
    "Oncology",
    "Pediatrics",
    "Ophthalmology",
    "Gastroenterology",
    "Ambulatory Care",
    "Multi-specialty Practices"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing, demos, and trial information.",
  "license": "commercial proprietary",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2018",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Payer contract centralization",
    "Payer benchmarking",
    "Contracted rate modeling",
    "Auto-payment variance detection",
    "Underpayment detection and grouping into recovery projects",
    "Worklists and claim assignment/tracking",
    "Line-item claim drilldown and analytics",
    "Appeal/project-based recovery workflows",
    "Customizable saved views and filters",
    "Exportable reports and CSV download",
    "Audit/history of payment variance detection",
    "AI-assisted aggregation and analysis of contract data"
  ],
  "optional_modules": [
    "Benchmarking (Rivet Benchmark)",
    "Contract modeling/negotiation tools",
    "Underpayment recovery project manager"
  ],
  "integrations": [
    "athenahealth",
    "AdvancedMD",
    "eClinicalWorks",
    "Clearwave",
    "Practice management systems (integration-agnostic)"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "SOC 2",
    "HIPAA"
  ],
  "certifications": [
    "SOC 2 Type 2",
    "HIPAA"
  ],
  "security_features": [
    "Audit logs / claim audit trail"
  ],
  "privacy_features": [
    "Privacy Policy (controls and disclosures)",
    "CSV export for data portability"
  ],
  "data_residency": "United States",
  "customers": [],
  "user_reviews": [
    "Very easy for the user! Also help is needed with an awesome chat feature!",
    "Estimate form is professional compared to what I was using—able to e-mail it to the patient; customer service is great."
  ],
  "ratings": [
    "4.0/5 (Capterra)",
    "4.2/5 (G2)",
    "4.5/5 (ModMed)",
    "4.1/5 (Tebra)",
    "4.4/5 (WebPT)",
    "3.7/5 (NextGen Healthcare)",
    "4.4/5 (Waystar)",
    "4.6/5 (Rectangle Health)",
    "3.4/5 (athenaOne)",
    "4.3/5 (Personify Health)"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2020",
  "integration_partners": [
    "Zelis",
    "TriZetto Facets",
    "Veradigm Revenue Cycle Services",
    "NaviNet Open",
    "Simple Fractal",
    "TriZetto QNXT",
    "Veradigm Payerpath",
    "intelliPath ePA"
  ],
  "id": "SW1993",
  "slug": "payer-performance",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/payer-performance.json"
  }
}