REMITAXIOM
THE TRUTH IS IN YOUR DATA.

YOU'RE NOT LOSINGMILLIONS.YOU'RE GIVING THEM AWAY.

FIND IT. PROVE IT. TAKE IT BACK.

RemitAxiom exposes hidden payment failures, reimbursement leakage, and patterns buried across claims, payer activity, pharmacy adjudications, and payments.

  • MORE REVENUE
  • LESS LEAKAGE
  • BETTER EVIDENCE
See RemitAxiom In Action Explore the Platform

Uncover Hidden Leaks

Advanced analytics reveal revenue leakage and payment patterns others overlook.

Evidence That Wins

Documented, verifiable intelligence built from the underlying transaction evidence.

Automated Intelligence

Continuously surface reimbursement patterns requiring attention.

Maximize What's Yours

Turn evidence into disciplined recovery workflows.

HEALTHCARE PAYMENT INTELLIGENCE

CONNECT THE DOTS.
SEE THE TRUTH.
TAKE CONTROL.

Healthcare payment is not one transaction. It is a chain of claims, contracts, adjudications, denials, reimbursements, and payments. RemitAxiom connects that evidence so you can see what happened, understand why, and identify what requires attention.

THE PAYMENT JOURNEY

THE MONEY DOESN'T MOVE
IN A STRAIGHT LINE.

Every handoff creates another opportunity for the financial story to change.

  1. Step 1

    CARE

  2. Step 2

    DOCUMENTATION

  3. Step 3

    CLAIM / PRESCRIPTION

  4. Step 4

    PAYER / PBM

  5. Step 5

    ADJUDICATION

  6. Step 6

    PAYMENT

Where the story can break

CODING ELIGIBILITY DENIAL UNDERPAYMENT PBM REJECTION CONTRACT VARIANCE

REMITAXIOM FINDS THE BREAK.

THE INTELLIGENCE LAYER

ONE PAYMENT.
DOZENS OF SIGNALS.

RemitAxiom connects the evidence surrounding a healthcare payment so the transaction can be understood in context — not as an isolated number.

REMITAXIOM CONNECTS THE EVIDENCE.

Payment

$842.16

SYNTHETIC DEMONSTRATION
CLAIM
PAYER
CONTRACT
EXPECTED PAYMENT
ACTUAL PAYMENT
DENIAL
ADJUDICATION
PBM
PROCEDURE / PRODUCT
EFFECTIVE DATE
REIMBURSEMENT TERM
FINDING
MEDICAL REVENUE INTELLIGENCE

THE CLAIM WAS PAID.
THAT DOESN'T MEAN
IT WAS PAID RIGHT.

Surface recurring denials, unresolved transactions, patient-responsibility inconsistencies, contract variance and other patterns requiring investigation.

Medical Payment Review

SYNTHETIC DEMONSTRATION

Billed

$1,240.00

Allowed

$910.00

Expected

$842.16

Paid

$731.42

Potential Variance

$110.74

PHARMACY + PBM INTELLIGENCE

THE PBM MADE A DECISION.
REMITAXIOM SHOWS YOU
WHAT HAPPENED NEXT.

Analyze adjudication behavior, reimbursement patterns, rejection activity and evidence-backed payment variance across pharmacy transactions.

PBM Intelligence

SYNTHETIC DEMONSTRATION

PBM

CVS Caremark

Transactions Analyzed

8,412

Rejected / Reversed

318

Contract-covered

76%

Potential Variance

$42,190

Identity

CANONICAL PBM MAPPED

These are demo numbers only. Never present them as actual RemitAxiom or customer results.

CONTRACT REIMBURSEMENT INTELLIGENCE

WHAT YOU WERE PAID
IS ONLY HALF
THE EQUATION.

WHAT SHOULD YOU
HAVE BEEN PAID?

Contract Reimbursement

SYNTHETIC DEMONSTRATION

Expected

$842.16

Actual

$731.42

Variance

$110.74

PAYER / PBM
CONTRACT SOURCE
REIMBURSEMENT TERM
EFFECTIVE DATE
PROCEDURE / PRODUCT
EXPECTED PAYMENT

No authoritative reimbursement evidence?

NOT DETERMINABLE.

EXPLICIT UNCERTAINTY

SOMETIMES THE MOST
IMPORTANT ANSWER IS:
NOT DETERMINABLE.

When authoritative evidence is missing, conflicting or incomplete, RemitAxiom does not manufacture an expected payment.

NO GUESSING.

NO INVENTED CONTRACT RATES.

NO OPAQUE PREDICTION PRESENTED AS FACT.

COMPOUND REIMBURSEMENT INTELLIGENCE

EVERY INGREDIENT.
EVERY FEE.
EVERY CENT.

When authoritative ingredient-level reimbursement evidence exists, RemitAxiom can reconstruct expected compound reimbursement component by component.

Compound RX — Calculation

SYNTHETIC DEMONSTRATION

Ingredient 01

$42.80

Identifier / NDC Qty 30

Ingredient 02

$31.20

Identifier / NDC Qty 12

Ingredient 03

$18.40

Identifier / NDC Qty 5

Contractual dispensing fee

$15.00

Expected

$107.40

Actual

$82.16

Variance

$25.24

FROM SIGNAL TO EVIDENCE

DON'T JUST SAY
YOU WERE UNDERPAID.
SHOW WHY.

Auditable. Reproducible. Explainable.

The evidence chain

TRANSACTION
PAYER / PBM IDENTITY
AUTHORITATIVE SOURCE
TERM VERSION
EFFECTIVE DATE
EXPECTED PAYMENT
ACTUAL PAYMENT
VARIANCE
RULE
FINDING
FROM FINDING TO ACTION

A VARIANCE ISN'T
RECOVERED REVENUE.
NOT YET.

Step 01

POTENTIAL OPPORTUNITY

Evidence indicates a possible revenue issue.

Step 02

VALIDATED OPPORTUNITY

Human review confirms the opportunity.

Step 03

ACTUAL RECOVERED

Only explicitly recorded recovered revenue belongs here.

RemitAxiom does not call
potential money recovered money.

THE COMMAND CENTER

STOP CHASING
TRANSACTIONS.
START SEEING THE SYSTEM.

SYNTHETIC DATA

Revenue at Risk

$327,842

Contract Coverage

76%

Unmapped Payers / PBMs

14

Compound Coverage

61%

Findings Requiring Review

1,208

System view

Synthetic distribution of what requires focus.

Expected reimbursement 100%
Actual payment 87%
Potential variance 13%
Findings requiring review 9%
Synthetic data — no real claims or patient data. RemitAxiom
BUILT FOR

BUILT FOR THE TEAMS
WHO LIVE BETWEEN
CARE AND PAYMENT.

MEDICAL PRACTICES

Understand claims, denials, payments and reimbursement variance.

PHARMACIES

Understand adjudications, PBMs, reimbursement and rejection patterns.

COMPOUNDING PHARMACIES

Bring ingredient-level reimbursement evidence into the financial picture.

GOVERNANCE

FINANCIAL INTELLIGENCE
WITHOUT THE BLACK BOX.

When RemitAxiom knows, it shows the evidence. When the evidence is insufficient, it says so.

DETERMINISTIC ANALYSIS

VERSIONED RULES

AUTHORITATIVE EVIDENCE

AUDITABLE FINDINGS

ORGANIZATION ISOLATION

EXPLICIT UNCERTAINTY

YOUR PAYMENT DATA ALREADY HAS A STORY.

THE QUESTION IS
WHETHER YOU CAN
SEE IT.

FIND IT. PROVE IT. TAKE CONTROL.

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