Negotiate from evidence. Enforce every dollar.
Lumivera is Autonomous Revenue Defense for healthcare providers. A payment intelligence system that enforces contracts, so providers get the cash they are promised
Illustrative. CPT 99214. Your contract shown against four peers and six payers.
Your contract: 5th of 5. Below the 10th percentile of allowed amounts.
Illustrative.
Day one
Policy change net revenue impact on day one.
Accuracy
100% of rates verified to the penny against hospital disclosures.
Clean data
90% of a payer’s rate file is noise. We deliver the 10% you can use.
Payers negotiate with data.
Most providers negotiate with hope.
Unreadable benchmarks
Trillions in published payer rates sit buried in files too large and messy to use. You can't price what you can't read.
Blind renewals
Walking into a renewal without knowing where you rank against peers leaves millions on the table.
Silent underpayments
Algorithms deny claims in seconds and quietly underpay against your own contract terms. Most of it is never appealed. And the small ones below the write-off threshold that nobody has time to work.
Medicare reimbursed hospitals 83 cents on the dollar in 2024.
SOURCES: AHA, Costs of Caring (2026)
Lumivera turns payer evidence into a finished negotiating position, living rules, and enforcement on every claim and every payment.
Hospitals spent $43B in 2025 to collect money insurers already owed.2,300 hospitals still lost $48B to final denials and bad debt.
SOURCES: AHA, Costs of Caring (2026) • Kodiak Solutions, State of the Healthcare Revenue Cycle (2026)
Build the position. Encode the agreement. Defend the revenue.
One evidence chain from the negotiating room to contract performance and claim-level defense.
Build the finished position
Combine internal rate spreads, market evidence, payer behavior, and confidence-graded exhibits into one defensible Rate Intelligence Report.
Turn contracts into living rules, as they stood on any date of service.
Rates, carve-outs, escalators, exceptions and effective dates become rules the system can run. Every version is kept, so the rule that governed a claim on its date of service is always the one applied.
Enforce the contract.
Flag the variance. Prove it with the clause, the policy version and the remit line. Appeal it. Recover it. Before the claim leaves and after the payment lands.
One Payment Intelligence Layer across contracts, utilization, revenue cycle and finance.
We make heroes of the administrators who keep hospitals open. One system of action unifies contracts, utilization, revenue cycle and finance, without rebuilding the systems you already run.
Receive the finished negotiating position
Package internal rate spreads, market evidence, payer behavior, and concession targets into an executive-ready Rate Intelligence Report.
Know which evidence survives challenge
Use four-tier confidence grades to separate directly verified facts from directional findings and legal-review requirements.
Time Travel: the rule as it stood on the date of service.
Ask what governed a claim on the day of care. Get the clause, the version and the policy that applied then, not the one in force today.
Forecast revenue impact before you decide.
Model a proposed rate, a policy change or an appeal strategy against your own volumes and service mix before you commit.
Appeal evidence in minutes, not hours.
Clause, policy version, remit line and market rate, in one packet, ready for your team or your recovery partner to file.
Reads your systems in place. No migration.
Lumivera reads Epic, Oracle Health, your clearinghouse and your warehouse where they are. Nothing is copied. Nothing is moved.
Pre-Submission Payment Integrity.
The hospital's own prepay check. Every claim is tested against the contract rule in force before it goes to the clearinghouse.
No Write-Off Threshold: Agents Work Every Dollar.
Agents work every dollar. The small short pays that fall under your team's attention line are found, proved and appealed too.
Start where you are.
Start with a finished report or usable payer-rate data today. Add living rules and enforcement as each phase ships.
Live
Get a finished negotiating position with confidence-graded exhibits
See Rate Intelligence ReportsNext
Turn payer agreements into living rules, as they stood on any date of service.
See Contract IntelligenceLiving rules without another migration.
Contract Intelligence reads your EHR, revenue cycle and finance systems in place and adds the contract, policy and regulatory rules on top. No data is copied. No system is replaced. Your teams keep the tools they have and gain the answers they did not.
Surface opportunities with evidence.
Bring one payer contract and one month of remittances. Leave with the rule as it stood on the day of care and the dollars it changes.
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