Walk into your payer negotiation holding their own numbers.
The Leverage Memo is a payer-ready negotiation document built from your payer's federal Transparency-in-Coverage filing and the CMS Physician Fee Schedule. It shows the documented gap on every code you bill, names a defensible target rate per CPT, and ends in a formal letter ready to sign.
Five sections. Every number cited.
Each memo is built for one payer and one negotiation, from the same machine-readable filing the payer is required to publish under 45 CFR § 180.50.
Rate gap analysis
Every CPT you submit, benchmarked against the market median and 75th percentile from this payer's own federal TiC filing.
Federal MRF citation block
Plan name, plan ID, filing date, and source URL. The payer cannot dispute its own public filing.
Medicare PFS reference
CMS Physician Fee Schedule rates for your locality, so every ask is positioned against the Medicare floor.
Target rate ask
A specific, defensible dollar ask per CPT code, with the calculation shown line by line.
Formal leverage letter
A two-page letter ready to sign and submit to your payer rep, written in your chosen negotiation posture.
Talking points + objection scripts
Word-for-word responses for "rates are set by the network" and "we don't negotiate individual rates."
Four short steps. Preview before you pay.
Tell us the payer and your codes
Specialty, payer, the CPT codes you bill most, and your current contracted rates. A few minutes, no PHI, no account.
We benchmark against their filing
Your panel is analyzed against the payer's federal Transparency-in-Coverage data and CMS PFS reference rates. You see a watermarked preview first.
Your memo lands in your inbox
The full memo is built after payment and delivered within 24-48 hours. One payer, one-time , no subscription.
Start your Leverage Memo
Four steps. You will see a preview of your memo before paying anything.
Which payer are you negotiating with?
We'll pull this payer's contracted rates from their federal Transparency-in-Coverage filing — the same data they use internally — and build your negotiation case around it.
Enter the CPT codes you want to renegotiate
Add the codes you bill most and your current contracted rate for each. We'll benchmark every one against this payer's own TiC data and calculate your gap. Up to 8 codes.
| CPT Code | Description (optional) | Current Rate ($) | Annual Volume |
|---|
Build your negotiation case
Payers don't raise rates on the data alone — they raise them when a practice can show it's hard to replace and costly to lose. The more of this you give us, the stronger your memo argues for the increase.
Where should we deliver your memo?
Your memo is built after payment and delivered to your inbox within 24-48 hours. No subscription — one-time, one payer.