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AI-Native Platform for Managed Care Contracting and Payer Policy Management
RevOptix helps hospitals automate payer policy tracking, optimize reimbursement, and strengthen negotiation outcomes through intelligent contract analysis and real-time policy management.
RevOptix is building the contract and policy intelligence layer that transforms fragmented payer relationships into a unified source of financial strength for hospitals
RevOptix is the first AI-native platform built from the ground up for managed care contract and payer policy management. Unlike legacy systems that simply store documents, our intelligent platform ingests, parses, and standardizes complex contract terms and payer policies — enabling hospitals to automate tedious policy tracking, benchmark reimbursement against industry standards, and dramatically improve negotiation outcomes.
Healthcare organizations face immense contract complexity, leading to lost revenue from fragmented payer relationships, evolving policies, and manual processes. RevOptix brings clarity by unifying this intelligence for modern revenue cycle teams.
Features and Capabilities
RevOptix delivers three core capabilities that work seamlessly together to revolutionize how healthcare organizations manage their most valuable financial relationships.
Automated Contract Intelligence
Our AI interprets complex contract terms, converting legal language into structured, actionable data with precision. Automatically extract rates, obligations, and exceptions.
  • Natural language processing for contract terms
  • Automated rate extraction and validation
  • Exception and carve-out identification
Dynamic Policy Mapping
Real-time payer policy integration ensures your team never misses critical updates. Our system continuously monitors over 100 payer sources, automatically flagging changes and assessing their financial impact on your contracts.
  • Continuous policy monitoring
  • Proactive change detection
  • Automated compliance tracking
Predictive Revenue Modeling
Model financial impact instantly across your entire contract portfolio. Run what-if scenarios, compare rate structures, and quantify negotiation leverage — all in real-time to guide more strategic, data-driven negotiations.
  • Instant impact analysis
  • Scenario modeling tools
  • Negotiation optimization
From Documents to Decisions — in Four Intelligent Stages
Our intelligent architecture seamlessly transforms your raw contract data into actionable insights through a four-stage process. This methodology combines cutting-edge AI with enterprise-grade data management practices, ensuring both powerful analytics and rock-solid reliability.
01
Upload & Sync
Import contracts from any source. Our system automatically detects new versions and updates, maintaining a complete audit trail.
02
Parse & Analyze
Our AI extracts key terms, financial obligations, and rate structures with unmatched accuracy, understanding healthcare-specific language.
03
Ingest & Store
Secure, HIPAA-compliant cloud infrastructure for lightning-fast querying. All data is encrypted with granular access controls.
04
Generate Insights
Real-time dashboards, conversational AI chat, and sophisticated financial simulations inform strategic decisions in seconds.
Driving Financial and Operational Results
70%
Reduction in Manual Analysis
Eliminate weeks of tedious contract review work
50%
Faster Contract Turnaround
Accelerate negotiations with instant data access
95%+
AI Extraction Accuracy
Trust your data with industry-leading precision
100+
Payer Sources Monitored
Real-time tracking across your entire payer network
The result? Revenue cycle teams gain faster insights, finance leaders secure stronger contract terms, and CFOs see measurable financial lift across their entire payer portfolio.
Enterprise-Grade Security from Day One
RevOptix is built for healthcare data security. We treat your sensitive contract data with foundational security, not an afterthought.
Adhering to HIPAA and HITRUST frameworks, RevOptix provides comprehensive end-to-end protection for PHI and confidential terms.
HIPAA-Ready Architecture
Full BAA coverage with HIPAA compliance built into every layer of our infrastructure.
HITRUST Alignment
Comprehensive controls aligned with HITRUST CSF for the highest standard of healthcare information security.
Role-Based Access Controls
Granular permissions and full audit logging for data access.

Security and compliance are foundational to RevOptix. Trust us with your sensitive contract and financial data from day one.
The RevOptix Difference
What sets RevOptix apart isn't just our technology — it's our singular focus on solving the unique challenges of managed care contract management. While generic contract management platforms try to serve every industry, we've built deep expertise in the specific needs of healthcare revenue cycle teams.
Purpose-Built for Healthcare
Every feature designed specifically for managed care contracts and payer policies, not adapted from generic business tools.
AI That Understands Context
Healthcare-specific AI that understands DRGs, APCs, stop-loss provisions, and the complex language of managed care agreements.
Rapid Deployment
Start generating value in weeks with minimal IT resources required, not the months-long implementations of legacy systems.
AI-Native Architecture for Healthcare-Grade Intelligence
RevOptix employs an AI architecture purpose-built for healthcare. It leverages large language models fine-tuned for healthcare contract language, computer vision for document analysis, and proprietary ontologies to understand managed care agreements. This isn't generic AI; it's intelligence designed exclusively for contract and policy management.
Every insight from RevOptix is explainable and fully auditable. Our AI transparently cites specific contract clauses, policy sections, and data sources, allowing managed care teams to defend their analyses and negotiations.
Healthcare-Tuned LLMs
LLMs fine-tuned for healthcare contracts understand industry terminology and relationships.
Advanced Computer Vision
Extract data from any format — scanned PDFs, complex tables, handwritten amendments — with accuracy that surpasses manual review.
Healthcare Focused
Connects payers, providers, procedures, and policies for comprehensive contract intelligence.
See RevOptix in Action
Ready to modernize your managed care contracting and payer policy management? Discover how RevOptix can help your organization automate contract analysis, optimize reimbursement, and strengthen your negotiation position.
© 2025 RevOptix Inc. Built with purpose to simplify managed care contracting.
Transforming healthcare contract intelligence, one agreement at a time.