Rapport

Make every healthcare dollar transparent, accurate, and fair.

Rapport turns payer contracts, claims, and reference data into an intelligent layer between payers and providers—so health systems finally see what should have been paid, where value leaks, and how to close the gap.

Payment Intelligence

Live
Expected$310,032
Paid$126,483
Gap-$183,549

Contract Signals

MS-DRG Adjustment
Outlier Threshold
Quality Incentive
Underpayment Clusters47 detected

Billions are lost in the space between contracts and cash

Fragmented contracts, dense language, fee schedules, and policy updates create an impenetrable maze. Legacy rules engines and spreadsheets can't keep up. Underpayments hide in the noise of normal operations, invisible until it's too late.

Opaque pricing logic

Dense contracts, fragmented fee schedules, and constantly shifting policy updates make it impossible to know what should have been paid.

Hidden underpayments

Billions slip through the cracks—buried in the noise of normal operations, invisible without sophisticated analysis.

Slow projects and payer escalations

Legacy rules engines and spreadsheets turn what should be instant insights into months-long projects and contentious appeals.

Operator burnout

Revenue cycle teams spend countless hours on manual audits and ad-hoc analyses that should be automated and continuous.

What we're building

Rapport is building an intelligence layer that sits across payer contracts, claims, and reference data. It doesn't replace your systems; it makes them smarter and more honest.

Understand the contract

AI that reads and structures complex contractual language and related fee schedules into machine-understandable logic.

  • Instant visibility into pricing rules and methodologies
  • Automated tracking of contract updates and amendments
  • Clear, structured representation of dense payment logic
Know what should have been paid

A pricing intelligence layer that can estimate expected payment using regulatory and commercial methodologies with explainable reasoning.

  • Accurate expected payment calculations for every claim
  • Transparent, auditable pricing logic you can defend
  • Continuous validation against actual remittance
See where value leaks

Detection and grouping of underpayments and anomalies, turning messy data into prioritized, actionable opportunities.

  • Automated identification of underpayment patterns
  • Prioritized recovery opportunities by impact
  • Real-time alerts on emerging payment issues

AI where it actually changes outcomes

Our approach to building the intelligence layer for healthcare payments

Deep domain + AI, not AI alone

Understanding healthcare payment rules, methodologies, and regulatory frameworks is as important as model architecture. We bring both to every problem.

Explainable reasoning

We care about traceable, explainable pricing logic you can audit and defend—not black-box scores that leave you guessing how we got there.

From projects to continuous intelligence

Our aim is to move organizations from one-off payer projects and reactive appeals to an always-on understanding of payment accuracy and value leakage.

Built to coexist with your stack

This is an intelligence layer that works with EHRs, RCM platforms, and existing workflows. We enhance what you have, not replace it.

Who we serve

We work with organizations that want to transform how they understand and capture healthcare payments

Health systems & IDNs

Transform payment accuracy from reactive projects to continuous intelligence.

  • Real-time visibility into expected vs. paid for every payer
  • Millions in recovered revenue from systematic underpayment detection
  • Reduced dependency on manual audits and spreadsheet-based analyses
Physician enterprises

Gain clarity and control over complex payer relationships.

  • Instant insights into contract performance and payment gaps
  • Prioritized recovery opportunities without hiring more staff
  • Data-driven leverage in payer negotiations
RCM and revenue integrity partners

Enhance your services with AI-powered payment intelligence.

  • Accelerate client value delivery with automated analysis
  • Scale expertise across more accounts without linear headcount
  • Differentiate with continuous monitoring vs. periodic audits

For builders and operators

We're a small, focused team working with leading providers and partners to rethink payment accuracy from first principles.

For operators

Revenue cycle, finance, and legal experts who want to build better tools than spreadsheets and rule files.

For builders

AI, data, and product engineers who want real-world, high-stakes problems with messy data and clear value.

What we value
Deep RCM and payments experience
AI-first engineering mindset
Bias for shipping and learning with customers
High trust, high transparency
Mission-driven: improve the economics of care
High accountability and autonomy

Interested in co-developing what comes next?

We're working with a small group of health systems, RCM partners, and builders who want to rethink how payment accuracy works.

Contact Us