Feel like your not
Playing on a Even
Playing Field with your
Payers?
We have the solution.
What We Do?
We Optimize Providers Payer NPR, by
Improving Contract Negoiations,
Uncovering, Recapturing and Preventing Revenue Leakage
Impacting Patient Outcomes, by
Leveraging Big Data, AI Enhanced Analytics and Proprietary Algorithms & Processes.
Who are our technology partners?
Are we Proven?
$50M in Managed Care and Fee Schedule Based NPR Recaptured From On Hosptial System!
Sapphire's platform Leverages over 5 Years of Claims, Contract and Financial Data to Uncover, Reactivate, Recapture, and Prevent Revenue Leakage.
The Problem:
How much are you leaving on the table? Massive inefficiencies and complexities in hospitals relationship with payers are causing them to leave $5-10 million on the table each month.
Claims immediately denied by Payors
Claims never paid
Average Hospital Net Operating Margin
How Big is the Problem?
Sapphire addresses the cause, not the symptoms.
3 Solutions Cure That Problem
AI Technology
Block Chain
Systems that improve top line revenue/ NPR and operating efficiencies
Shouldn't a solution pay for itself?
Sapphire’s solutions impact contract performance and net patient revenue by up to 10% and reduce operating expenses by at least 50%
Hospitals are faced with several rapidly evolving and revolutionary changes that will impact healthcare providers’ sustainability and patient care:
Lower reimbursements based on defined outcomes
Rapid transition to complex private and government payor leveraged contracts requiring additional discounts in exchange for the hope for more patients.
The emergence of government mandated complex billing methodologies.
What is Sapphire's Impact?
Improve Contract compliance, audit and negotiation (2% Impact)
Uncover revenue leakage Underpayment, Late Payments with P&I
Reactivate and recapture 3-5 years of NPR (2% - 10% NPR impact)
Prevent NPR Leakage providing continuous contract compliance audits to discover claims that need immediate action to stay within contracted timelines to appeal. (Minumum 2% NPR impact per month).
Rapid 60-90 Day Implementation
Minimal disruption to operations.