payerset

JSON twin: https://www.healthaidb.com/software/payerset.json

Company Name

Payerset

Product URL

https://www.payerset.com/rateexplorer

Company URL

https://www.payerset.com

Categories

Summary

Payerset provides cleaned, standardized payer-negotiated rate and allowed-amount datasets and self-service tools to enable price-transparency analysis, benchmarking, and contract negotiation support.

Description

Payerset ingests payer machine-readable files (MRFs) and other payer sources, normalizes negotiated rates and allowed amounts into consistent data models (by payer, state, provider, service), and delivers these via data products (Rate Explorer, Data Lake, APIs) updated regularly to support price transparency, analytics, and commercial decision-making.

Api Available

yes

Certifications

Company Founding

2022

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1257

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial/proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; enterprise tiers and custom contracts available; documentation notes AWS Marketplace listing and trial/onboarding resources—vendor quote required.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2022

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Payerset",
  "company_url": "https://www.payerset.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2022",
  "product_url": "https://www.payerset.com/rateexplorer",
  "categories": [
    "Price Transparency Data",
    "Data Lake / Data Integration",
    "Analytics",
    "Benchmarking",
    "Contracting / Negotiation Support"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.payerset.com",
    "https://www.payerset.com/rateexplorer",
    "https://www.payerset.com/datalake",
    "https://docs.payerset.com",
    "https://www.payerset.com/pricing",
    "https://www.payerset.com/get-started",
    "https://www.payerset.com/privacy",
    "https://www.payerset.com/terms-of-use",
    "https://elion.health/products/payerset",
    "https://www.linkedin.com/company/payerset"
  ],
  "summary": "Payerset provides cleaned, standardized payer-negotiated rate and allowed-amount datasets and self-service tools to enable price-transparency analysis, benchmarking, and contract negotiation support.",
  "description": "Payerset ingests payer machine-readable files (MRFs) and other payer sources, normalizes negotiated rates and allowed amounts into consistent data models (by payer, state, provider, service), and delivers these via data products (Rate Explorer, Data Lake, APIs) updated regularly to support price transparency, analytics, and commercial decision-making.",
  "target_users": [
    "payers",
    "provider strategy teams",
    "managed care analysts",
    "health system finance leaders",
    "revenue cycle teams",
    "healthcare consultants",
    "researchers"
  ],
  "specialties": [
    "healthcare finance",
    "health policy",
    "price transparency",
    "payer-provider contracting",
    "population health analytics"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; enterprise tiers and custom contracts available; documentation notes AWS Marketplace listing and trial/onboarding resources—vendor quote required.",
  "license": "commercial/proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Self-service negotiated rate exploration",
    "Comparison analysis and fee schedule generator",
    "All-payer claims layering (volumes, billed amounts, remits)",
    "Historical rate trending",
    "Dynamic filters and data slices",
    "Enriched metadata for apples-to-apples comparisons",
    "Pre-built templates for contract benchmarking and trending",
    "Automatic insights and recommended actions",
    "Exportable fee schedules and comparisons",
    "Provider and plan normalization (Plan ID / Plan Name)"
  ],
  "optional_modules": [
    "Upgraded Pricing Intelligence with claims data",
    "Data Lake access (bulk normalized datasets)",
    "Snowflake Marketplace delivery"
  ],
  "integrations": [
    "Snowflake (Marketplace)",
    "NPPES (NPI enrichment)",
    "NUCC taxonomy data",
    "Medicare (CMS inpatient/outpatient datasets)",
    "UnitedHealthcare (normalized payer MRFs)",
    "Major commercial payers (normalized MRFs across many payers)"
  ],
  "data_standards": [
    "CPT",
    "HCPCS",
    "MS-DRG",
    "NPI",
    "TIN/EIN",
    "CMS place of service codes"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [],
  "certifications": [],
  "security_features": [],
  "privacy_features": [
    "Data normalization and de-duplication for privacy-preserving sharing",
    "Academic research usage restrictions (per vendor terms)"
  ],
  "data_residency": "",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [
    "documentation"
  ],
  "release_year": "2022",
  "integration_partners": [],
  "id": "P1257",
  "slug": "payerset",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/payerset.json"
  }
}