CRANK reads every payer contract you've signed, tracks every dollar you were actually paid against it, and shows you — down to the code — exactly where your money is leaking. No patient data. No guesswork.
You went in-network because you had to. You negotiated, you shook hands, you thought you had a deal — and you did, right up until the payments quietly stopped matching it. The flat denial you can fight. The slow bleed you can't even see: claims held, audited, delayed, re-documented — and every step chips away at your cash flow. Three to five percent of your top line walks out the door every year, quietly. That's the Gray Zone, and it's where most providers are losing the most.
None of these are the flat denials you'd notice. They're the quiet ones — the kind that surface a year later as a seven-figure surprise. CRANK is built to catch each one the week it starts.
A payer starts paying your IOP at the lower outpatient rate. The remittances still say "paid," so nobody flags it. Eight months and 1,400 claims later, it's hundreds of thousands gone. CRANK catches it the first week the paid rate stops matching the contract.
A payer overpays one code for a year. You book it as revenue and spend it. Then a single recoupment letter claws back seven figures. CRANK flags overpayments as they happen, so you never book money you'll have to give back.
An amendment quietly cuts your filing window from 180 days to 90. The clause slips by. Thousands of clean claims get denied as "untimely" — and untimely denials don't appeal. CRANK reads the amendment and alerts you the day it lands.
Your best contract negotiator leaves. Two years of payer history, side agreements, and hard-won concessions walk out with them. At renewal, you're negotiating blind. CRANK keeps every rate, note, and conversation mapped to the contract — for good.
CRANK turns the dead PDFs in your contract folder into a living, queryable layer that drives your whole revenue cycle.
Drop in a contract — however ugly the insurer's lawyers made it. Specialist agents pull every rate, rule, code, and date: 88+ structured data points per contract.
We connect to your billing system or EMR — carrying zero patient data — and compare what each contract says you're owed against what you were actually paid, down to the CPT code.
Each value links back to the exact page and clause it came from. A number without a receipt is broken by definition. Nothing in CRANK is a black box.
Under- and over-payments by code, location, and service line — in near real time. The money you're leaving on the table, finally visible.
Rolling alerts on payer behavior — "denials on this code are about to spike" — so you act before the claim is ever rejected.
An email-linked audit trail of every discrepancy and conversation, mapped to the right contract. When your negotiator leaves, the knowledge stays.
Walk into the rate conversation with every gap, every dollar, and every date already in hand — annotated and ready.
CRANK never touches PHI or PII — by design. The data feed carries only contracts, codes, amounts, and dates, which kills an entire category of risk and means no Business Associate Agreement to negotiate. And your data is never held hostage.
Public and simple — every plan is the entire product. Find your contract count:
CRANK runs on highly available, modern, auto-scaling infrastructure — we can ingest as many contracts as you have, period. But past 50, there are simply too many variables — service lines, payer mix, patient base, locations — for one-size pricing to be fair to you. So we tailor a package to your specific practice. Book a quick call →
CRANK is payer contract intelligence for behavioral healthcare. It reads every payer contract you’ve signed, reconciles each one against what you were actually paid — down to the CPT code — and shows you exactly where revenue is leaking.
No. CRANK never ingests PHI or PII. It works only with contracts, codes, dates, and billed and paid amounts, so no Business Associate Agreement is required.
Your EHR and billing system run day-to-day operations. CRANK owns the missing contract layer — what each payer actually agreed to pay — flags every under- and over-payment, and feeds that intelligence back into your stack.
Public pricing runs from $2,500/month for up to 10 payer contracts to $7,500/month for up to 50, with custom packages above 50. Implementation averages a one-time $8,500 and includes travel, training, contract ingestion, and EHR integration.
CRANK connects cleanly with modern EHR and billing platforms like Sunwave, Lightning Step, and Kipu, and works with most others through a simple, no-PHI data feed. It also offers a public API, CLI, and one-click export.
Most teams go live within about a week: a short kickoff call, then a single on-site Implementation Day where we ingest your contracts together and connect your data feed.
Tell us a little about your operation and we'll set up a working session — we read your contracts side by side and show you the gaps live. No slideware.
Know what you're owed.
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Know what you're owed.