The infrastructure behind every provider contract in your network
The infrastructure behind every provider contract in your network
Structure, validate, and execute complex provider agreements at scale
Structure, validate, and execute complex provider agreements at scale
The infrastructure behind every provider contract in your network
Structure, validate, and execute complex provider agreements at scale
Provider Network & Contracting + Finance & Claims Operations
Provider Network & Contracting
+ Finance & Claims Operations
You have the contracts.
But do you have the intelligence
to manage them?
You have the contracts. But do you have
the intelligence to manage them?
You have the contracts.
But do you have the intelligence
to manage them?
You manage provider contracts that are too complex to track manually and too consequential to get wrong. Your team knows what was agreed to, but there's no reliable system connecting those contract terms to what actually gets paid, provider by provider, claim by claim.
Kubera is built for the payment operations and managed care teams accountable for closing that gap.
You manage provider contracts that are too complex to track
manually and too consequential to get wrong. Your team knows
what was agreed to, but there's no reliable system connecting
those contract terms to what actually gets paid, provider
by provider, claim by claim.
Kubera is built for the payment operations and managed care
teams accountable for closing that gap.
You manage provider contracts that are too complex to track manually and too consequential to get wrong. Your team knows what was agreed to, but there's no reliable system connecting those contract terms to what actually gets paid, provider by provider, claim by claim.
Kubera is built for the payment operations and managed care teams accountable for closing that gap.
Challenges
Payment disputes are a contract clarity problem, not just a billing one
Payment disputes are a contract clarity
problem, not just a billing one
Payment disputes are a contract clarity
problem, not just a billing one
Enforcement errors compound
across every agreement.
Enforcement errors compound
across every agreement
Enforcement errors compound
across every agreement
Commercial claims processing errors run close to 20%. Without contract-level payment validation, that error rate becomes a structural cost - one that scales with every provider you add to your network.
Commercial claims processing errors run close to 20%. Without contract-level payment validation, that error rate becomes a structural cost - one that scales with every provider you add to your network.
Increasing your network should not multiply complexity.
Increasing your network should not multiply complexity
The more providers you contract with, the more contract complexity you manage. Without a system to structure and connect every agreement, scaling your network means scaling manual processes and their inefficiencies.
The more providers you contract with, the more contract complexity you manage. Without a system to structure and connect every agreement, scaling your network means scaling manual processes and their inefficiencies.
Without contract performance history and payment variance data, both sides enter renewals without a clear picture of how agreements are actually performing - and decisions get made on incomplete information.
Disputes start before a single claim
is processed.
Disputes start before a single claim is processed
Disputes start before a single claim
is processed
When contract terms aren't structured and machine-readable, payment disagreements are inevitable. Without pre-payment clarity on what each contract requires, disputes accumulate and provider relationships erode.
When contract terms aren't structured and machine-readable, payment disagreements are inevitable. Without pre-payment clarity on what each contract requires, disputes accumulate and provider relationships erode.
In Their Words
The system they'd been looking for
The system they'd been looking for
The system they'd been looking for
“ As a P&L leader, I couldn’t even tell you what we're paying which provider organizations for which populations. We needed a system that would make contract economics legible.
Strategic Finance Leader · Regional Managed Care Organization
“ As a P&L leader, I couldn’t even tell you what we're paying which provider organizations for which populations. We needed a system that would make contract economics legible.
Strategic Finance Leader · Regional Managed Care Organization
“ As a P&L leader, I couldn’t even tell you what we're paying which provider organizations for which populations. We needed a system that would make contract economics legible.
Strategic Finance Leader · Regional Managed Care Organization
Payor Use Cases
One connected contract intelligence layer across your entire network
One connected contract intelligence layer
across your entire network
One connected contract intelligence layer across your entire network
Portfolio Intelligence
Contract Management and Configuration
Contract Management
and Configuration
Every contract, amendment, fee schedule, and provider manual structured into computable logic - queryable across your entire network.
Every contract, amendment, fee schedule, and provider manual structured into computable logic and codified - queryable across your entire network.
Portfolio Intelligence
Contract Management
and Configuration
Every contract, amendment, fee schedule, and provider manual structured into computable logic and codified - queryable across your entire network.
Portfolio Intelligence
Contract Management
and Configuration
Every contract, amendment, fee schedule, and provider manual structured into computable logic - queryable across your entire network.
Contract Modeling
Provider Contract Modeling
Provider Contract Modeling
Model proposed rate changes and carveout structures against real claims data before signing - see the financial impact of every term.
Model proposed rate changes and carveout structures against real claims data before signing - see the financial impact of every term.
Contract Modeling
Provider Contract Modeling
Model proposed rate changes and carveout structures against real claims data before signing - see the financial impact of every term.
Contract Modeling
Provider Contract Modeling
Model proposed rate changes and carveout structures against real claims data before signing - see the financial impact of every term.
Payment Accuracy
Pre-Payment Contract Validation
Pre-Payment Contract Validation
Pre-Payment Contract Validation
Kubera continuously compares every payment received against what your contracts required - classifying each discrepancy by type and surfacing high-value recovery opportunities automatically.
Kubera continuously compares every payment received against what your contracts required - classifying each discrepancy by type and surfacing high-value recovery opportunities automatically.
Dispute Prevention
Provider Dispute Reduction
Provider Dispute Reduction
Connect contract logic to payment expectations upfront - fewer provider surprises, fewer escalations, less administrative overhead on both sides.
Connect contract logic to payment expectations upfront - fewer provider surprises, fewer escalations, less administrative overhead on both sides.
Dispute Prevention
Provider Dispute Reduction
Connect contract logic to payment expectations upfront - fewer provider surprises, fewer escalations, less administrative overhead on both sides.
Network Scaling
Provider Relationship Management
Bring consistent and accurate reporting to negotiations and Joint Operating Commission meetings without manual labor, making relationships more collaborative.
Compliance
Price Transparency Reporting
Price Transparency Reporting
CMS price transparency compliance becomes a single automated output - not a multi-week manual project.
CMS price transparency compliance becomes a single automated output - not a multi-week manual project.
- All providers pricing extracted
- Standard charges validated
- Claims utilization data added
- CMS schema validated
- Ready · 18 days before Oct 1 deadline
Compliance
Price Transparency Reporting
CMS price transparency compliance becomes a single automated output - not a multi-week manual project.
- All providers pricing extracted
- Standard charges validated
- Claims utilization data added
- CMS schema validated
- Ready · 18 days before Oct 1 deadline
Dispute Prevention
Provider Dispute Reduction
Connect contract logic to payment expectations upfront - fewer provider surprises, fewer escalations, less administrative overhead on both sides.
- All providers pricing extracted
- Standard charges validated
- Claims utilization data added
- CMS schema validated
- Ready · 18 days before Oct 1 deadline
Network Scaling
Provider Relationship Management
Provider Relationship Management
Bring consistent and accurate reporting to negotiations and Joint Operating Commission meetings without manual labor, making relationships more collaborative.
Network Scaling
Provider Relationship Management
Bring consistent and accurate reporting to negotiations and Joint Operating Commission meetings without manual labor, making relationships more collaborative.
Compliance
Price Transparency Reporting
CMS price transparency compliance becomes a single automated output - not a multi-week manual project.
Payor Impact
Payment accuracy. Less reconciliation.
Full contract visibility.
Payment accuracy. Less reconciliation.
Full contract visibility.
Payment accuracy. Less reconciliation.
Full contract visibility.
1K+ contracts configured
1K+ contracts configured
1K+ contracts configured
Thousands of contracts ingested, structured, and made queryable in under one day - turning complex, non-standard documents into computable contract intelligence at scale.
Thousands of contracts ingested, structured, and made queryable in under one day - turning complex, non-standard documents into computable contract intelligence at scale.
1M+ claims modeled
1M+ claims modeled
1M+ claims modeled
Millions of claims loaded and modeled against your real contract logic in under one week, giving your team a complete picture of payment accuracy across every provider relationship.
Millions of claims loaded and modeled against your real contract logic in under one week, giving your team a complete picture of payment accuracy across every provider relationship.
40+ hrs reclaimed/week
40+ hrs reclaimed/week
40+ hrs reclaimed/week
Over 40 hours reclaimed per organization every week. Contract, claims, and payment data unified within one system means no reconciliation across platforms, no version conflicts, and no reporting overhead.
Over 40 hours reclaimed per organization every week. Contract, claims, and payment data unified within one system means no reconciliation across platforms, no version conflicts, and no reporting overhead.
“ Kubera transformed what was once two months of reporting work into two clicks.
We were wading through spreadsheets, manual data pulls, and reconciliation. The time
savings and speed to answers we’re experiencing now is groundbreaking.
" Kubera transformed what was once two months of reporting work
into two clicks. We were wading through spreadsheets, manual data pulls,
and reconciliation. The time savings and speed to answers we’re experiencing
now is groundbreaking.
" Kubera transformed what was once two months of reporting work into two clicks. We were wading through spreadsheets, manual data pulls, and reconciliation. The time savings and speed to answers we’re experiencing now is groundbreaking.
National Healthcare Network
National Healthcare Network
“ Kubera transformed what was once two months of reporting work into two clicks.
We were wading through spreadsheets, manual data pulls, and reconciliation. The time
savings and speed to answers we’re experiencing now is groundbreaking.
National Healthcare Network
“ Kubera transformed what was once two months of reporting work into two clicks.
We were wading through spreadsheets, manual data pulls, and reconciliation.
The time savings and speed to answers we’re experiencing now is groundbreaking.
National Healthcare Network
Security
Scale with security
Kubera is fully secure & compliant
Scale with security
Kubera is fully secure & compliant
Scale with security
Kubera is fully secure & compliant
Enterprise-grade security
Enterprise-grade security
HIPAA
HIPAA
HIPAA
SOC2
SOC2
SOC2
✓ BAA Support
✓ BAA Support
✓ Modern & secure practices
✓ Modern & secure practices
✓ Audit logs
✓ Audit logs
✓ Encrypted end-to-end
✓ Encrypted end-to-end
✓ No training on PHI
✓ No training on PHI
✓ Modern & secure practices
✓ Modern & secure practices
Enterprise-grade security
HIPAA
SOC2
✓ BAA Support
✓ Modern & secure practices
✓ Audit logs
✓ Encrypted end-to-end
✓ No training on PHI
✓ Modern & secure practices
Don't let contract complexity outpace
your ability to manage it
Don't let contract complexity outpace
your ability to manage it
Don't let contract complexity outpace your ability
to manage it
Find out which agreements are creating disputes, where
payment validation is breaking down, and what to fix first
Find out which agreements are creating disputes, where
payment validation is breaking down, and what to fix first
Find out which agreements are creating disputes, where payment validation is breaking down, and what to fix first
Copyright © Kubera Health
Address
33 Irving Place, Floor 5
New York, New York 10003
33 Irving Place
New York, New York 10003
33 Irving Place
New York, New York 10003
Copyright © Kubera Health
Address
33 Irving Place
New York, New York 10003