David Thomas | Founder @ Reddenda

Founder @ Reddenda. Every payer publishes every rate. We made them readable. Rate intel for billing cos, groups & MSOs. Your RateScore, free:

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Everyone thinks a practice's money problem is denials. Usually it isn't.

We scored one getting $193 on a 99214, one of the most common office visits in medicine. Comparable practices in their local market get $279 for the identical code. That is documented reimbursement opportunity, modeled not guaranteed, sitting on every clean claim, not just the denied ones.

It was set at credentialing years ago and the rate never moved.

Every payer now publishes every rate under federal transparency law. We made them readable. Most owners have simply never seen their own number.

Check yours free, no PHI, public data only: https://t.co/OnWm4Wg91D

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Why it happens: you sign the payer contract at credentialing, the rate gets set, and it almost never gets renegotiated. The market moves, your rate does not. A few years later you are well behind on your biggest codes, and it stays invisible because those claims still pay clean. Nobody flags a rate that is just too low.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Everyone thinks a practice's money problem is denials. Usually it isn't.

We scored one getting $193 on a 99214, one of the most common office visits in medicine. Comparable practices in their local market get $279 for the identical code. That is documented reimbursement opportunity, modeled not guaranteed, sitting on every clean claim, not just the denied ones.

It was set at credentialing years ago and the rate never moved.

Every payer now publishes every rate under federal transparency law. We made them readable. Most owners have simply never seen their own number.

Check yours free, no PHI, public data only: https://t.co/OnWm4Wg91D

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Full report + the raw data, from the insurers' own federally-required filings: https://t.co/TY0QAxSg5Z

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Everyone assumes commercial insurance pays way above Medicare.

We analyzed 438,000,000 published commercial rates. It doesn't.

Nearly half of the most common procedures pay a commercial rate BELOW Medicare. Even 99213, 99214, 99215.

Most practices have no idea where they actually land.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Same code. Same insurer. 2.6x apart.

CPT 99213, the most ordinary office visit in medicine, from the SAME Blue Cross Blue Shield brand: $59.67 in one state, $157.15 in another.

Public data, free to check. 1 NPI, 15 seconds, no PHI.

https://t.co/Gq1IjmXQe0

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

The U.S. has roughly 6,000 hospitals. 519 flagged in about 8 weeks isn't a rounding error, it's a real sweep. The insurer rule has had zero equivalent actions in four years, just a format update to schema 2.0 this February.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

HHS just sent 519 hospitals warning letters for hiding prices from patients. Zero insurers have ever gotten one for hiding rates from providers. Both sets of files are public. Only one side gets enforcement.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

@unusual_whales The U.S. has roughly 6,000 hospitals. 519 flagged in about 8 weeks isn't a rounding error, it's a real sweep. The insurer rule has had zero equivalent actions in four years, just a format update to schema 2.0 this February.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

The insurer files show what you're actually paid vs your local peers, code by code. Public since 2022, unread by most of the practices they'd help. We built infrastructure to read them. Free 30-day pilot, 15 practices, full access, no cost. Comment "interested."

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Giving 15 orgs full 30-day access, free (would run $2,500+). We just want real feedback. Comment "interested" and I'll set up your login. Know someone who'd want in? Tag them.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

We just gave a billing company $2,388,000 worth of software.
For free.

Here's exactly what happened and why 🧵

Federal law requires every commercial payer to publish their contracted rates.

Blue Cross. United. Aetna. Cigna. All 500+.

314 million rate records.
Public.

Right now.

Almost no billing team can touch them.

The files are massive. Machine-readable. Fragmented across thousands of URLs.

Impossible to operationalize without a purpose-built layer.

That layer is @ReimburseOS.

Rate intel. Audits. Claim scrubbing. Underpayment recovery. Leverage memos. Contract renegotiation.

All on data payers already published.

We're an @awsactivate startup in an accelerator program with Growth Factory Network.

We don't need more runway to believe in this.

We need operators.

Billing companies. RCM leaders. DME suppliers. Private practices.
Running real workflows. Proving this in the market.

So we made a decision.

We're opening our highest account tier to a small group of serious operators.

Fully unlocked.
Fully onboarded.
Fully integrated into your systems.
Fully automated if you want it.

Monthly check-ins included.
For a full year.

Here's what that year is worth.
Growth tier = $199/practice/mo.
10 practices → $23,880/yr
25 practices → $59,700/yr
50 practices → $119,400/yr
100 practices → $238,800/yr
500 practices → $1,194,000/yr
1,000 practices → $2,388,000/yr

Before a single underpayment is recovered.
You also get:

→ 60-min founder seminar on the full reimbursement intelligence landscape

→ White-glove onboarding + system integration
→ Monthly progress calls
→ 9.2M+ contracted rate rows
→ 9.7M+ provider NPIs
→ 500+ payers. 50 states.
All of it.
We capped it at 25 seats.
Not to manufacture urgency.
Because we are personally onboarding every single person and we won't overpromise what we can deliver.

4 seats remain.

The seat is $279. That's onboarding.

The platform year is what you actually came for.

🔗 https://t.co/h9jhMxHQxz
📋 https://t.co/HmpzmGcYhg
📅 Tue Jun 9 · 10AM Pacific

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Commercial payer rates. Medicare comparisons. Out-of-network payouts. Drug and DME pricing. Hospital rates. MA denial patterns. All in one live view, no PHI required.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Most practices have never seen their own contracted rate sitting next to the local peer median. We built the index that shows it. 9 data domains, joined by NPI and CPT, that enterprise vendors sell one at a time for $75K-$350K/year.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

The data source: TiC machine-readable files, 500+ payers, published since 2022. Most of it still sits unopened in JSON built for auditors, not humans.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Every billing company already has enough data to prove which of their clients are underpaid. Code by code, against the local market.

Almost none of them use it that way.

We built the tool that does. https://t.co/RMYXVtvhu8

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Source: CMS CY2026 OPPS/ASC final rule (CMS-1834-F), 45 CFR 180.50. Hospitals now pull median/P10/P90 from real 835 remittance data, min 12mo lookback. Enforcement started April 1, 2026.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

As of April 1, hospitals can't post 'estimated' rates anymore. CMS now requires the real median + the 10th/90th percentile, pulled from actual paid claims, not formulas.

Healthcare rate data just got a lot more honest. Most people haven't noticed yet.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

For scale: I've seen this gap run from a few percent to 30%+ between median and top of market. Same code, same metro, same payer, same specialty. Curious what it looks like in your market, happy to pull it. No pitch, just the number.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

Every insurer in the US has had to publish its contracted rates since 2022.

Almost nobody has actually looked.

I've been pulling those files apart, hundreds of millions of rows. Same procedure, same market, same payer: two practices routinely get paid different amounts. Usually because nobody benchmarked it.

The data's public. Most people don't know it exists.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

@doclauravater That "waiting on hold for an hour" bullet.

The same payer that denied just published every rate they've agreed to pay. Federal mandate.

They didn't hide the denial. They hid the scoreboard.

[David Thomas | Founder @ Reddenda @DavidThomasCEO]

@P_Kallioniemi They know exactly what that ICU stay costs. The actuarial model calculated it before any doctor made that call. Every contracted rate, every outcome probability — it all lives in the payer's data. The neonatologist on the other end of the phone has none of it.