Bitewing
For Payer Relations & Contracting

Know which reimbursement sources are ready, and what central teams need next.

One source-readiness view across locations, contracts, and payer relationships. Nothing changes in the practices on day one.

  • Read-only start
  • Source readiness
  • Central workflow
Route · finding 8291-ESample · No PHI
Submitted toSelect a step

The payer the claim went to.

2026-01-01 → 2026-07-01$239 under expected
Rollout rail
Source coverage controls what is ready.
Location 14
Ready
Sources complete
Step 01
Location group 7
Connecting source
Source connection in progress
Step 02
Location group 18
Missing source
Current contract source
Step 03
Location group 9
Stale source
Refresh contract source
Step 04
Location group 22
Context review
Confirm payer context
Step 05
Selected source dossier
Location group 18 needs the current contract source. Contracting owns the request. Related findings remain held.
$25 under expected
From one claim to one conversation

A repeated shortfall on one route is a contract conversation, not six tickets.

The route that priced a claim stays attached to its finding. When the same route keeps coming up short, Bitewing keeps those findings together, so contracting takes one packet to the payer with the source line for each.

01One claim

The route that priced it.

Submitted to one payer, priced through another entity, on the schedule active that day. The route stays attached to the finding.

Route · finding 8291-ESample · No PHI
Submitted toSelect a step

The payer the claim went to.

2026-01-01 → 2026-07-01$239 under expected
02Six claims

The same route, again.

A repeated shortfall on one route is a pattern, not six unrelated rows. Bitewing keeps them together so the evidence is reviewed once.

  1. 8291-EPayer A → Network partnerProcedure A$239 under expected
  2. 0308-APayer A → Network partnerProcedure Aunder expected
  3. 0314-DPayer A → Network partnerProcedure Aunder expected
  4. 0330-BPayer A → Network partnerProcedure Aunder expected
  5. 0337-FPayer A → Network partnerProcedure Aunder expected
  6. 0341-HPayer A → Network partnerProcedure Aunder expected
03One conversation

The packet contracting takes to the payer.

Route, schedule version, the findings on it, and the source line for each. A person sends it, through the channel you already use.

Route
Payer A · priced via Network partner
Schedule
Active 2026-01-01 → 2026-07-01
Procedure
Procedure A
Findings
6 on this route · held for review
Lead example
8291-E · $890 expected vs $651 allowed
Difference
$239 under expected
Sent by
A person, through your approved channel
What ready means

“Ready” is not one switch. It is every source current, and a named owner for the next step.

A source group is ready when the sources behind its findings are current and someone owns the next step. The matrix shows where each group stands, so a gap is a specific request - never a practice-level fire drill.

Source groupSource coverageContract coveragePayer contextOwnerReview state
Location 14CompleteCompleteCompleteCentral RCMReady
Location group 7CompleteConnectingConnectingImplementationSource connection in progress
Location group 18CompleteMissingCompleteContractingMissing contract source
Location group 22CompleteCompleteIn reviewPayer relationsPayer context review
Location group 9CompleteStaleCompleteContractingContract source stale
Location group 3ConnectingConnectingConnectingImplementationPaused
  • Location 14
    Owner: Central RCM
    Ready
    Source coverageCompleteContract coverageCompletePayer contextComplete
  • Location group 7
    Owner: Implementation
    Source connection in progress
    Source coverageCompleteContract coverageConnectingPayer contextConnecting
  • Location group 18
    Owner: Contracting
    Missing contract source
    Source coverageCompleteContract coverageMissingPayer contextComplete
  • Location group 22
    Owner: Payer relations
    Payer context review
    Source coverageCompleteContract coverageCompletePayer contextIn review
  • Location group 9
    Owner: Contracting
    Contract source stale
    Source coverageCompleteContract coverageStalePayer contextComplete
  • Location group 3
    Owner: Implementation
    Paused
    Source coverageConnectingContract coverageConnectingPayer contextConnecting
Red = a missing source holds measured candidate dollars in that groupSample data · no PHI
Every gap has an owner

A blocker names the source, the owner, and the findings it holds.

Location group 18 is not an office problem. It needs one contract source, Contracting owns the request, and the related work stays held until the source lands.

Readiness record
Location group 18 · Needs source
Sample data · no PHI
Source group
Location group 18
Missing source
Current contract source
Owner
Contracting
Work held
Held until source lands
Requested
2026-06-18
Next review
2026-06-25
Holds candidate review work
$25 under expectedProcedure C · governing schedule source missing · expected $214 vs actual $189

This candidate stays held until the contract source lands. The source gap is named before the amount can become reviewable.

Held claim 0284-C · Procedure C · DOS 2026-03-09
Roll out without breaking the workflow

Start centrally, without changing practice workflows on day one.

Rollout is explicit about what changes and what stays the same. Read-only to start, one prioritized work surface instead of a new inbox, and reviewed work that travels through the channels you already approved.

  1. 01

    Start read-only

    What changes

    Bitewing reads customer-approved reimbursement sources. Nothing posts, nothing edits, nothing sends.

    What stays the same

    Your PMS, clearinghouse, and posting workflow are untouched on day one.

  2. 02

    One prioritized work surface

    What changes

    Held findings surface in one queue with an owner on each, not a new inbox for each office.

    What stays the same

    Teams keep working their existing day; the queue points to the next gap, not more tabs.

  3. 03

    Use approved channels

    What changes

    Reviewed work moves through the channel you already use - with source citations still attached.

    What stays the same

    No payer is contacted automatically. A reviewer decides what goes out, and when.

Compare source groups honestly

Never rank a source group without its coverage beside it.

A higher eligible-findings count means nothing if the supporting sources are thin. Every comparison row carries the coverage that backs it, so a provisional number reads as provisional - not as a verdict on an office.

Findings by source group · held counts are provisionalCoverage shown on every row
Location 14Sources current
22findings100% sourced
Location group 22Payer context in review
17findings75% sourced

Context unconfirmed - count is provisional

Location group 18Contract source missing
14findings75% sourced

Related work held until the source lands

Location group 9Contract source stale
11findings75% sourced

Refresh before any source-group comparison

No source group is ranked without its source coverage beside it. A higher count behind partial coverage is provisional - not a verdict. Held claim 0284-C (Procedure C) sits inside the held source group with its governing schedule source missing.