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?

Sapphire Joins NVIDA and Google, AI, Cloud, Healthcare RCM, Revenue Optimization,

Sapphire Joins NVIDIA™ and Google™ as Technology Partners

Sapphire Is proud to be accepted for membership with these great companies that nurture startups revolutionizing industries with technological advancements. These programs provided us the opportunity to collaborate with industry-leading experts and other AI-driven organizations during critical stages of our product development, prototyping and deployment.

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.

Sapphire Wins Competitive Pitch Contest!

After pitching our product to an esteemed panel of judges that included Global Health Impact Fund, Munich Re Ventures, GoingVC, and bene : studio, we were chosen as the best.

Our prize includes a coaching session from Runway Innovation Hub and a Product Boost and Product Acceleration from bene : studio.

Walter Larkins HealthTech Networking Club member and winner of the HealthTech Startup Award in February), spoke with the bene’ studio steam about our story, service offerings, and what the future holds.

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.

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Claims immediately denied by Payors

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Claims never paid

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Average Hospital Net Operating Margin

How Big is the Problem?

Sapphire addresses the cause, not the symptoms.

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3 Solutions Cure That Problem

  1. AI Technology

  2. Block Chain

  3. Systems that improve top line revenue/ NPR and operating efficiencies

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 Shouldn't a solution pay for itself?

 
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We Think So!

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.

Sapphire Technology is Proven