Connected capability

Underpayment Detection

Compare adjudication to contract terms and expected reimbursement.

Connected to Celeris OSProvider · Organization · Location · Relationship · Workflow
CELERIS / CINEMATIC STATE 02Revenue NetworkRevenue Network · interactive operating model
Revenue NetworkRecovery & IntelligenceUnderpayment DetectionConnected outcome

Complete operating model

Underpayment Detection is more than a task.

A production-grade capability must coordinate information, people, rules, systems, evidence and downstream consequences.

01

Complete financial context

See the patient, provider, payer, encounter, contract and claim relationships behind every task.

Underpayment Detection
02

Rules before rework

Apply coverage, coding, payer, contract and filing logic at the earliest useful moment.

Underpayment Detection
03

Prioritized work

Route action by value, urgency, deadline, cause, skill and probability of resolution.

Underpayment Detection
04

Closed-loop resolution

Preserve every correction, response, follow-up and outcome in the same operational story.

Underpayment Detection
05

Learning revenue cycle

Feed exceptions and results back into prevention, forecasting and next-best action.

Underpayment Detection

End-to-end workflow

From initiation to measurable outcome.

01AccessInitiate underpayment detection
02VerifyPreserve context and advance work
03DocumentPreserve context and advance work
04CodePreserve context and advance work
05SubmitPreserve context and advance work
06AdjudicatePreserve context and advance work
07PayPreserve context and advance work
08ImproveFeed results into intelligence

Information model

Every decision needs context.

Underpayment Detection operates with the same master healthcare entities as the rest of Celeris. That means work never loses the organization, provider, location, payer, patient, team or relationship that gives it meaning.

Underpayment DetectionProviderOrganizationLocationPayerRelationshipWorkflow

Connected before and after

No dead-end workflows.

Designed across healthcare

One capability, different operating realities.

01Independent practices

Celeris adapts underpayment detection to this organization’s scale, relationships and workflow requirements.

02Multi-specialty groups

Celeris adapts underpayment detection to this organization’s scale, relationships and workflow requirements.

03Facilities

Celeris adapts underpayment detection to this organization’s scale, relationships and workflow requirements.

04RCM organizations

Celeris adapts underpayment detection to this organization’s scale, relationships and workflow requirements.

05Enterprise care networks

Celeris adapts underpayment detection to this organization’s scale, relationships and workflow requirements.

Underpayment Detection

Design this capability around the whole operation.