Prism Platform
Reimbursement intelligence, everywhere decisions happen.
One foundation for the intelligence, expertise, and AI behind smarter reimbursement decisions — built to work across the healthcare revenue cycle solutions already running your revenue cycle.
SOC 2 Type II · HIPAA Compliant · HITRUST Certified
- 500M+ Annual transactions
- $80B in revenue protected
- 130+ providers fueled by Prism
Make reimbursement intelligence relevant to your organization.
Turn disparate data into context specific to your organization, with models sharpened by every claim, remittance, and outcome.
Uncover insights that matter to you.
Draw on decades of reimbursement experience across Aptarro’s network to give your team a view no single organization could see alone.
- 30kmonthly policy changes
- 500M+ transactions
Turn intelligence into the next move.
Prism turns intelligence into recommendations, backed by clear evidence and kept under your team’s control.
Access intelligence where decisions happen.
Intelligence provides recommended next steps, backed by clear reasoning and kept under your team’s control.
Know what's working
Track performance, uncover opportunities to improve, and benchmark your results against peers and the Aptarro network.
Built into the stack you already have
The Aptarro Platform
One platform for reimbursement decisions.
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RemitIntel
The remittance learning layer
50%avoidable denial reduction
Identify patterns from real payment outcomes and policy signals to sharpen new rules.
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RCx
The pre-claim optimizer
75%less manual review
Catches and corrects billing and coding errors before claims are created — logic for 36+ specialties.
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ClaimStaker
The industry's most complete claim scrubber
4A/R days removed
Find what stops payment before claims reach the payer.
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HCC
The real-time HCC code reviewer
$6MRAF value, year one
Guide coders to cases with the greatest RAF impact.
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Customer stories
Trusted across reimbursement environments.
6 results
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50% Fewer avoidable denials Specialty PracticeOphthalmology
PE-backed ophthalmology gains $1M in daily A/R velocity
RemitIntel revealed where payer behavior was creating risk, reducing avoidable denial rate to 1.5%.
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10+ FTEs reallocated Specialty practiceDermatology
U.S. Dermatology cuts two days from claim submission
RCx removed manual work upstream so claims moved faster with less staff intervention.
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15 → 1 day month-end close Medical groupBehavioral Health
Eleanor Health breaks the month-end bottleneck
RCx cut 11 hours of manual charge entry each day and shortened the close.
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2 coders supporting 53 sites Medical groupPrimary Care
ACP moves HCC review upstream for 166 providers
HCC Coding replaced six manual steps with concurrent review before submission.
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4 days out of A/R Health systemMulti-specialty
Large health system finds $22.3M hiding in claim errors
ClaimStaker increased clean claim rate 4% while reducing coding workload within three months.
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$754M saved Technology partnerPM / EHR
Partner turns claim editing into a competitive advantage
ClaimStaker scaled advanced claim logic to 7,500+ providers.
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Put intelligence where decisions happen.
A working session focused on your workflows, reimbursement challenges, and where better intelligence could change the outcome.
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