Every payer agreement, rate rule, renewal deadline, de novo site and underpayment in one system — configured to how your organization is actually structured.
| Payer | Scope | Type | TINs | Timely filing | Notice | Expiry | Status |
|---|
Returns the rate rule in force on that date — not today's rate.
Methodology drives everything downstream — modeling, underpayment detection and negotiation position. Where a payer uses different methodologies by product, the matrix shows each.
| Schedule | Source | Version | Loaded | Cadence | Next due | Owner | Status |
|---|
Ownership is split and shown. Fulcrum chases payer and CMS schedules; the client owns its drug acquisition cost export.
| Agreement | Gap | Impact | Owner | Age | Status |
|---|
Extraction is a starting point, never the record. Every extracted term is flagged unvalidated until a person confirms it against the document.
| Payer | Anniversary | Notice required | Notice deadline | Days out | Clock from | Status |
|---|
A termination notice is usually a negotiating instrument rather than a failure — the module is not styled as an error state.
| Payer | Issued by | Notice date | Effective if unresolved | Stage | Revenue at risk |
|---|
Drafts are reviewed by a person before anything is sent.
Indexed to 100 = regional benchmark for the same service mix. Sample data.
| Payer | Claims flagged | Oldest aging | Progress | Root cause | Status |
|---|
Illustrative demonstration using fictional sample data. Coastline Specialty Partners is not a real organization.
Generic platforms treat a payer agreement as a PDF with an expiry date. They have no concept of a fee schedule, a TIN, a product line, a notice clause that runs from receipt, or a rate rule that changed mid-year.
A few days of error costs a full renewal year at the old rate. FulcrumIQ stores the convention per agreement and computes the deadline accordingly.
Reminders fire at 90, 60, 30 and 7 days before the computed deadline — not before the anniversary.
The building is ready, providers are credentialed, patients are booked — and one payer has not loaded the location. Claims deny, and nobody connects the two for a quarter.
The clock starts when a site joins the development plan.
Learn which payers take 45 days and which take 200 — then plan openings around it.
The cost of a delay becomes a number rather than a feeling.
AI reads and drafts. People confirm anything that matters, and every output cites its source.
Terms pulled from an uploaded agreement and mapped to your structure — flagged unvalidated until a person confirms them.
Letters drafted from live contract data with the correct notice period, addressee and delivery method applied.
Claims compared against the rate rule in force on each date of service, outliers surfaced.
Natural-language questions across the portfolio, answered with citations.
Payer contracts are among the first things a buyer asks for and the slowest to produce. Valuation suffers when the answer is late, incomplete, or contradicted by the documents.
Designed by people who have run contracting inside multi-site, multi-specialty organizations. Every screen exists because someone needed it on a Tuesday and did not have it.
Bespoke by default — because the organizations that most need this are the ones a template fits worst. Delivered alongside the advisory engagement, so it arrives configured and populated rather than empty.
Claim-level data is treated as PHI and permissioned separately from contract terms. Source-document access is its own permission. Commercial terms are restricted to finance and admin roles. Business associate agreements in place before any protected data is handled.
Bespoke means the first version of a system is shaped by the organizations using it. We are taking a limited group into the build — configured to their structure, their payers and their agreements, with their contracting teams in the room while it is designed.
Your entities, TINs, payers and agreements loaded and validated — not a template you configure yourself after purchase.
Access to your agreements, and working sessions with the people who manage them. What they tell us shapes the product.
Twenty-five is what we can configure properly. Beyond that the work stops being bespoke, which is the whole argument.
One tax identification number per client organization during the build program. Participation is subject to a mutual confidentiality agreement, and to a business associate agreement before any protected health information is handled.
Tell us a little about your organization and we will come back with what participation would look like for you.
25 client organizations · one tax ID per client · general availability early 2027