Fee Schedule Automation

Turn payer fee schedules into revenue cycle action.

Harbera extracts rates, normalizes fee schedules, combines them with utilization, and automatically surfaces rate-uplift opportunities your revenue cycle team can act on.

  • Rate extraction from PDFs and spreadsheets
  • Payer, plan, code, and location normalization
  • Utilization-weighted uplift opportunities
The problem

Why Payer Strategy teams pick Harbera.

01

Fee schedules arrive in every format

PDFs, spreadsheets, exports, and amendments all need to become usable rate data before teams can act.

02

Revenue leakage hides in stale rates

Revenue opportunities and uplift potential are hard to catch when schedules live outside operational systems.

03

Manual comparisons slow every decision

Teams lose days comparing codes, rates, locations, and utilization across disconnected files.

What changes

What Payer Strategy teams see after Harbera.

01
0
Rate sources normalized: PDFs, spreadsheets, and payer exports
02
0+
Clinics supported across 44 states
03
0
Prioritized uplift queue for payer strategy teams
What it does for you

The revenue cycle operations you used to live with, automated.

Uplift opportunities surfaced

Fee Schedule Automation

Fee schedules are extracted, normalized into code-level rates, combined with utilization, and turned into rate-uplift opportunities for review.

  • Utilization-weighted opportunities by code, payer, and plan
  • AI-normalized rates from PDFs, spreadsheets, and exports
  • Revenue-opportunity and uplift prompts where volume matters
Fee schedule · Uplift opportunities
CDT D2740 · Crown+$42kHigh volume
D1110 · Adult prophy+$18kLow rate
D0120 · Periodic exam+$9k3 locations
Utilization match92%Matched
Top opportunity: renegotiate D2740 where volume is highest
Every rate source, structured

Fee Schedule Ingestion

Fee schedules, amendments, payer exports, and spreadsheet workbooks are classified at intake, with code-level rates captured before analysis starts.

  • Auto-classify PDFs, spreadsheets, payer exports, and amendments
  • Extract codes, rates, plan names, locations, and effective dates
  • Flag missing pages, stale schedules, and unusable rate formats
Fee schedule intake · Auto-structured
XLSDelta PPO · 2026 rates
Parsed
PDFBCBS amendment · TX
Effective 03/01
CSVAetna export · Northeast
Matched
PDFUnited schedule · missing pages
Needs review
XLSCigna fee table · DSO
Parsed
Every payer next step in view

Negotiation Tracking

Payer strategy work stays organized by payer, plan, owner, opportunity, due date, and next action, so high-value negotiations do not disappear into spreadsheets.

  • Market, payer, and plan filters for rate opportunities
  • Negotiation tracking by payer, plan, owner, and next step
  • Reporting by code, utilization, payer, plan, and uplift potential
  • Queues for stale follow-ups, missing data, and open payer responses
Negotiation tracker · Uplift queue
Delta PPO
D2740 crown
Negotiating
+$42k
Aetna
D1110 prophy
Sent
+$18k
BCBS
D0120 exam
Approved
+$9k
Cigna
Ortho bundle
Follow up
+$31k
Negotiation follow-up, drafted

Payer Follow-up Automation

Centralized payer communications draft follow-ups, keep negotiation history tied to each opportunity, and help teams stay on top of rate requests.

  • AI-drafted payer emails for rate requests and follow-ups
  • Threaded history by payer, plan, and fee schedule opportunity
  • Automated reminders when payer responses go stale
AI email thread · Delta PPO · D2740 uplift
Please send utilization and current D2740 rate detail for review.
AI drafted reply: utilization summary and fee schedule comparison attached.
Received. We will review with network pricing.
AI will follow up on 03/12 if pricing has not responded
Integrations

API integrations with your existing software.

HRIS, CAQH, NPI Registry, practice management, CRM, and document stores — Harbera reads from your source-of-truth and writes clean workflow data back where your team needs it.

  • HRIS (iCIMS and more)
  • CAQH
  • NPI Registry
  • CRM systems
  • Practice management systems
  • Airtable workflows
  • Power BI and reporting
HRIS
PMS
CRM
CAQH
Harbera
Work queues
Compliance
Warehouse
NPI Registry
Payer Strategy FAQ

Questions Payer Strategy teams ask first.

Book a demo

Make fee schedules operational, not archival.

See how Harbera turns payer fee schedules into revenue cycle automation.