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

• administrative Operations
• health Data Analytics
• price Transparency
• contract Management
• Administrative
• Analytical
• Pricing

Summary

Payerset's Rate Explorer is a self-service platform that provides comprehensive healthcare price transparency, enabling users to analyze negotiated rates and claims data for informed pricing strategies and negotiations.

Description

Payerset's Rate Explorer offers a self-service platform that integrates all-payer claims data with negotiated rates, allowing users to analyze combinations of payers, providers, and services without coding. It provides historical rate access, enriched metadata for comparisons, and flexible templates for contract benchmarking and trending. The platform is refreshed quarterly and supports direct data integration or self-service exploration.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO

Company Founding

2018

Company Offices

• United States

Compliance

• HIPAA
• GDPR
• HITECH
• SOC 2
• ISO 27001

Customers

Data Residency

US-only

Data Standards

• CPT
• HCPCS
• MS-DRG
• NPI
• TIN/EIN
• CMS place of service codes

Deployment Model

• SaaS

Features

• Self-service exploration of payer-negotiated rates
• Comparison analysis and fee schedule generation
• 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)

Id

SW1996

Integration Partners

Integrations

• Snowflake (Marketplace)
• NPPES (NPI enrichment)
• NUCC taxonomy data
• Medicare (CMS inpatient/outpatient datasets)
• UnitedHealthcare (normalized payer MRFs)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Data Lake

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• consent mgmt
• anonymization
• data minimization

Product Code

SW1996

Product Name

Payerset

Ratings

Regions Available

• United States

Related Urls

• https://elion.health/products/payerset

Release Year

Security Features

• Encryption
• RBAC
• SSO/SAML
• audit logs
• 2FA
• DLP

Specialties

• Healthcare Price Transparency
• Contract Benchmarking
• Rate Analysis
• Claims Data Integration

Support Channels

System Requirements

Target Users

• managed care directors
• finance teams
• pricing analysts
• healthcare providers
• payers

Training Options

Type

product

User Reviews

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Payerset",
  "company_name": "Payerset",
  "product_url": "https://www.payerset.com/rateexplorer",
  "company_url": "https://www.payerset.com",
  "related_urls": [
    "https://elion.health/products/payerset"
  ],
  "product_code": "SW1996",
  "summary": "Payerset's Rate Explorer is a self-service platform that provides comprehensive healthcare price transparency, enabling users to analyze negotiated rates and claims data for informed pricing strategies and negotiations.",
  "description": "Payerset's Rate Explorer offers a self-service platform that integrates all-payer claims data with negotiated rates, allowing users to analyze combinations of payers, providers, and services without coding. It provides historical rate access, enriched metadata for comparisons, and flexible templates for contract benchmarking and trending. The platform is refreshed quarterly and supports direct data integration or self-service exploration.",
  "categories": [
    "administrative Operations",
    "health Data Analytics",
    "price Transparency",
    "contract Management",
    "Administrative",
    "Analytical",
    "Pricing",
    "Contract Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "managed care directors",
    "finance teams",
    "pricing analysts",
    "healthcare providers",
    "payers"
  ],
  "specialties": [
    "Healthcare Price Transparency",
    "Contract Benchmarking",
    "Rate Analysis",
    "Claims Data Integration"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2018",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Self-service exploration of payer-negotiated rates",
    "Comparison analysis and fee schedule generation",
    "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": [
    "Data Lake"
  ],
  "integrations": [
    "Snowflake (Marketplace)",
    "NPPES (NPI enrichment)",
    "NUCC taxonomy data",
    "Medicare (CMS inpatient/outpatient datasets)",
    "UnitedHealthcare (normalized payer MRFs)"
  ],
  "data_standards": [
    "CPT",
    "HCPCS",
    "MS-DRG",
    "NPI",
    "TIN/EIN",
    "CMS place of service codes"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "GDPR",
    "HITECH",
    "SOC 2",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "consent mgmt",
    "anonymization",
    "data minimization"
  ],
  "data_residency": "US-only",
  "customers": [],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "SW1996",
  "slug": "payerset",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/payerset.json"
  }
}