Find out what your payers owe you.

Gradient models every rate you're paid on, from flat fees to fee schedules, escalators and daily caps, then checks each remittance line against it and shows you what's still owed.

See the product

01RatesEvery kind, for every payer
02ClaimsTracked from sent to paid
03RemittancesChecked line by line
04VarianceUnderpaid and denied, found
05RecoveryDisputes and appeals drafted

Gradient plugs into the EHR and clearinghouse you already use. It reads every claim and payment that comes through, and AI checks each one against what you should have been paid.

Works with your EHR
and clearinghouse

Connect eClinicalWorks, ModMed, WebPT or Raintree, and Availity, Waystar, TriZetto, Optum or Stedi. Claims and payments come in on their own, as they're sent and paid.

Connections

Practice system

Visits and claims, every 15 minutesConnected

Clearinghouse

Claims sent, payments read as they postConnected

Also available

Today

10:42Payment from UnitedHealthcare18 lines, through Availity
10:404 claims sent to BCBS of Illinoisthrough Availity
9:1512 visits brought infrom ModMed

AI checks
every payment

Each payment is checked line by line against what the payer agreed to pay, whatever kind of rate it is. Underpaid, denied and rejected claims land in one list, with the reason.

The Claims page in Gradient: what's owed, denials, underpayments and recovered amounts, and a list of claims with expected, paid and owed amounts.

Owed on this claim

$12.00

Expected: $150.00
Allowed: $138.00
Paid: $108.00

Allowed below the agreed rate

AI writes
the appeal

For each denial and underpayment, Gradient drafts the appeal or dispute with the claim, the payment and the rate attached.

Dispute to UnitedHealthcareThomas Nguyen, Oct 2, 2026Draft

UnitedHealthcare Provider Disputes
Re: Thomas Nguyen, date of service Oct 2, 2026

This claim was allowed at $138.00. Under our agreement for UnitedHealthcare Commercial plans, the allowed amount for these services is $150.00.

We ask that you reprocess the claim and pay the remaining $12.00. The claim, the payment and our rates are attached.

Since April 1, 1,854 lines have been paid below our agreed rates. We ask that these be reviewed as well.

Attached

Claim: Sent Oct 3
Payment: $108.00 on Oct 17
Rate: UnitedHealthcare Commercial

Send by Mar 31, 2027

Compare

What changes on day one.

Remittances checked against your rates
Today
Totals, by hand
Gradient
Every line, as it posts
Rate types modeled
Today
Flat fee schedules
Gradient
Flat fees, fee schedules, % of Medicare, escalators, caps
Multiple-procedure and therapy reductions
Today
Not checked
Gradient
Checked on every line
Medicare fee schedule by year and locality
Today
Looked up by hand
Gradient
Built in, 2020 onward
Denials
Today
A report
Gradient
Grouped by reason, appeal drafted
Underpayments
Today
Rarely found
Gradient
Disputed from your contract
Getting rates in
Today
Typed in by hand
Gradient
Entered, uploaded or read from the contract

Checked	Your billing system today	Gradient
Remittances checked against your rates	Totals, by hand	Every line, as it posts
Rate types modeled	Flat fee schedules	Flat fees, fee schedules, % of Medicare, escalators, caps
Multiple-procedure and therapy reductions	Not checked	Checked on every line
Medicare fee schedule by year and locality	Looked up by hand	Built in, 2020 onward
Denials	A report	Grouped by reason, appeal drafted
Underpayments	Rarely found	Disputed from your contract
Getting rates in	Typed in by hand	Entered, uploaded or read from the contract

Day 1

Connect your clearinghouse

Availity, Waystar, TriZetto, Optum or Stedi. Gradient reads the claims and remittances already there.

Day 2

Add your rates

Enter them, upload a fee schedule spreadsheet, or let Gradient read the contract.

Day 7

See what's owed

Every payer, every line, last year included.