The infrastructure behind every provider contract in your network
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
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.
Challenges
Payment disputes are a contract clarity problem, not just a billing one
Most organizations are leaving
significant revenue behind
Payor contracts are dense, unstructured, and disconnected from your data
Enforcement errors compound
across every agreement.
Enforcement errors compound
across every agreement
Billions lost to contract complexity
and payment inaccuracy
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.
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.
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.
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.
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.
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.
In Their Words
The system they'd been looking for
The system they'd been looking for
The system they'd been looking for
“ We’ve wanted to assess performance of our programs and contracts but don’t have systems to help us. Kubera is the first we’ve seen that can pull in many data sources, serve as a source of truth, and help our teams uncover revenue opportunities.
VP of Managed Care · Southeast Regional Health System
“ We needed a hub for all our contracts and fee schedules — a place where we could see if payors were actually staying within their contracted guidelines. That used to be impossible without a tool like this.
VP of Managed Care · Southeast Regional Health System
“ We needed a hub for all our contracts and fee schedules — a place where we could see if payors were actually staying within their contracted guidelines. That used to be impossible without a tool like this.
VP of Managed Care · Southeast Regional Health System
Payor Use Cases
One system that connects
what was agreed to what was paid
End-to-end contract & payment intelligence
End-to-end contract & payment intelligence
Payment Accuracy
Pre-Payment Contract Validation
Pre-Payment Contract Validation
Every contract term, structured
and computable
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.
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.
Portfolio Intelligence
Contract Portfolio Management
Contract Portfolio Management
Every contract, amendment, fee schedule, and provider manual structured into computable logic - queryable across your entire network.
AI agents classify underpayment drivers, prioritize follow‑up, and assist recovery turning revenue leakage detection from a quarterly exercise into a continuous process
Portfolio Intelligence
Continuous payment monitoring,
not quarterly reconciliation
AI agents classify underpayment drivers, prioritize follow‑up, and assist recovery turning revenue leakage detection from a quarterly exercise into
a continuous process
Portfolio Intelligence
Contract Portfolio Management
Every contract, amendment, fee schedule, and provider manual structured into computable logic - queryable across your entire network.
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
Structure every provider agreement into computable logic - so your team scales its network without scaling the manual processes behind it.
Compliance
Price Transparency Reporting
Price Transparency Reporting
CMS price transparency compliance becomes a single automated output - not a multi-week manual project. Built-in Q4 readiness.
CMS price transparency compliance becomes a single automated output - not a multi-week manual project. Built-in Q4 readiness.
- 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. Built-in Q4 readiness.
- 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
Structure every provider agreement into computable logic - so your team scales its network without scaling the manual processes behind it.
AI agents classify underpayment drivers, prioritize follow‑up, and assist recovery turning revenue leakage detection from a quarterly exercise into a continuous process
Network Scaling
Continuous payment monitoring,
not quarterly reconciliation
AI agents classify underpayment drivers, prioritize follow‑up, and assist recovery turning revenue leakage detection from a quarterly exercise into a continuous process
Compliance
Price Transparency Reporting
CMS price transparency compliance becomes a single automated output - not a multi-week manual project. Built-in Q4 readiness.
Payor Impact
Less friction. More accuracy. At network scale.
Full contract visibility.
The numbers that matter to your CFO
Measurable outcomes from contract and payment intelligence
1,000+ contracts
1000+ contracts
1000+ contracts
analyzed and structured into computable logic
in under one day.
analyzed and structured into computable logic in under one day.
aanalyzed and structured into computable
logic in under one day.
40+ hours
40+ hours
40+ hours
of manual contract reconciliation removed
per organization, every week.
Reclaimed per organization every week through a single source of truth.
Reclaimed per organization every week
through a single source of truth.
1M claims
1M claims
1M claims
loaded, modeled, and validated against contract
terms in under one week.
From contract ingestion to live payment monitoring. No IT lift required.
lFrom contract ingestion to live payment
monitoring. No IT lift required.
“ 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 Network
National 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 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 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
Your data stays yours always. Work with an AI platform that never trains on your PHI data.
Your data stays yours always. Work with an AI platform that never trains on your PHI data.
Your data stays yours always. Work with an AI platform that never trains on your PHI data.
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
Your data stays yours always. Work with an AI platform that never trains on your PHI data.
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.
Stop writing off payments you
haven't investigated yet.
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.
See which contracts are underperforming, which payments don't match what was agreed, and where to act 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