Forged from more than a decade of experience at JPM Healthcare, building many of the nation’s largest medical groups, SCIAD Health was created to verify that you’re paid correctly and to quantify the true economic value of every contract—current and future—based on full practice and real payer contracting parameters.
SCIAD Health is a cloud-based reimbursement intelligence platform that transforms routine practice data into actionable insights, enabling your team to verify reimbursement accuracy, compare payer value, and model the financial impact of proposals—without relying on complex tools, consultants, or delayed reporting.
The Missing Layer in Healthcare Economics
Healthcare has long lacked true reimbursement intelligence, technology that can:
- Decode payer behavior
- Reconstruct payment methodologies
- Analyze payer economics using full-practice utilization
- Customize fee schedule proposals to match payer contracting parameters
SCIAD Health delivers this missing capability, giving leadership teams precise analytics in minutes providing clarity, parity, and negotiating power.
How It Works
Upload a routine practice report.
Within minutes, SCIAD Health automatically:
- Discovers and groups plans by underlying fee schedules
- Creates standardized payer comparisons
- Provides an AI Assisted modeling sandbox for proposal and renewal scenario testing
- Integrates payer transparency data for market validation
The result is a deployment-ready platform that turns raw practice data into actionable intelligence.
What You Gain
Payer Portfolio Intelligence
Identify which plans, services, and codes truly drive revenue, uncover underpayment recovery opportunities, and maximize top-line realization.
Contract Parity & Market Positioning
Benchmark agreements against a common Medicare year, locality, or proprietary fee schedule to establish breakeven equivalents and defensible parity positions.
AI-Driven Financial Modeling
Simulate contract proposals with confidence using guardrails that quantify:
- Base-year transitions and fee schedule changes
- Practice-level impact by service line
- Provider-level economic spread
Deployment-Ready Outputs
Export allowable fee schedules for direct integration into EMR and PM systems, streaming operational efficiency.
Competitor Transparency Data
Negotiate from a position of market reality – not payer assertions – using data-driven insights.
The Outcome
By combining fee schedule discovery, payer-parity benchmarking, utilization-based modeling, AI-driven analytics, and competitor transparency insight, SCIAD Health delivers a level of reimbursement intelligence leadership teams have never had – UNTIL NOW.
See your payer relationships through a reimbursement-intelligence lens.
Visit us at sciadhealth.com
Email us at getstarted@sciadhealth.com