Purpose-built AI agents for every payer workflow
Purpose-built AI agents connect every source of payer intelligence to power high-value financial workflows.
Connect
Contracts, reimbursement data, payer policies, claims, and market intelligence are unified in one platform.
Analyze
AI agents continuously evaluate payer performance using connected organizational and market data.
Act
Surface opportunities, generate reports, notify stakeholders, and recommend next steps before financial impact occurs.
Market Intelligence Agents
Turn market data into negotiation advantage
Market intelligence agents transform Transparency in Coverage data into actionable reimbursement intelligence, helping provider organizations benchmark negotiated rates, evaluate payer performance, and negotiate from a position of strength.
Benchmark negotiated reimbursement across payers, providers, and markets
Identify reimbursement opportunities before contract negotiations begin
Evaluate payer competitiveness by service line, procedure, geography, and health plan
Medicare benchmarking
Benchmark Medicare reimbursement rates across providers and markets to support pricing and negotiation strategy.
Competitive market analysis
Analyze market reimbursement trends to identify competitive gaps and prioritize payer negotiations.
Price Transparency Analyst
Compare negotiated reimbursement rates across payers, providers, and markets to support payer strategy and contract negotiations.
Contract Agents
Maximize contract performance
Contract Agents transform payer agreements into structured, searchable financial assets that accelerate contract reviews, improve negotiation readiness, and maximize contract performance throughout the contract lifecycle.
Analyze contracts, amendments, and fee schedules in minutes
Compare contract terms and model the financial impact of proposed changes
Improve negotiation readiness with AI-powered contract analysis and reporting
Table analysis
Interpret complex reimbursement tables and fee schedule structures that traditional extractors cannot analyze.
Scenario modeling
Model the financial impact of proposed reimbursement or contract changes before execution.
Draft review
Review draft agreements and identify risky or non-standard language.
Preferred, acceptable, discouraged, or unacceptable (PADU) classification
Classify contract language based on organizational standards to support contract review and governance.
Custom report
Answer contract questions through structured, exportable reports.
Comparison table
Compare rates and contract terms across multiple payer agreements.
Rate table
Extract negotiated rates and fee schedules into a structured, searchable format.
Contract summary
Generate a plain-language summary of a contract's key terms, reimbursement methodologies, and obligations
Policy Agents
Stay ahead of payer policy changes
Policy Agents continuously monitor payer policies and evaluate their impact on reimbursement, operations, and contract performance, enabling organizations to proactively manage financial risk before it affects revenue.
Monitor payer policy changes across commercial payers in real time
Validate coverage requirements before services are delivered or claims are submitted
Generate structured policy reports by payer, procedure code, service line, or clinical condition
Policy notifications
Monitor payer policies and notify teams whenever meaningful changes occur.
Policy report
Generate structured reports for payer policies by service line, procedure code, or condition.
Policy check
Validate claims or reimbursement scenarios against current payer policy to identify coverage risk.
Revenue Agents
Protect revenue before it's lost
Revenue Agents connect contracts, payer policies, claims, and reimbursement data to identify financial opportunities, reduce revenue leakage, and improve overall payer performance across the revenue cycle.
Detect underpayments and quantify revenue recovery opportunities
Connect denials to the contracts and payer policies that caused them
Prioritize recovery efforts based on financial impact and reimbursement risk
Underpayment report
Compare expected reimbursement to actual payments, identify underpayments, and quantify revenue recovery opportunities.
Denial manager
Analyze denials, connect them to the applicable contract or payer policy, and support the appeals process.
30%
increase in inpatient reimbursement achieved by Western Reserve Hospital
80%+
reduction in contract research time achieved by Family Allergy & Asthma
Proven results for provider organizations
From independent physician groups to leading health systems, Trek Health helps organizations improve reimbursement, reduce revenue leakage, and strengthen payer performance.
Read the case studies
