Your contracts, as written. Your care, paid in full.

Cesara unifies payer contracts, verifies every transaction, and recovers underpayments with clause-level evidence. Agentic intelligence for your health system, so more of every dollar fuels life-changing care for your patients.

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Contracts change. Capacity doesn’t.

Revenue cycle and managed care teams spend their weeks loading new terms, maintaining spreadsheets, validating rates and chasing variances. The volume outpaces any team, so the work stays reactive and margin slips between updates.

Contract changes landing as sheets of paper on a growing pile: about one in six carries your team's check, and the unreviewed variance total climbs as more arrive
Terms that never sit still.
Amendments, fee schedule updates and escalators change expected reimbursement mid-year, and each one has to be loaded and checked before a claim can be priced against it.
Work that starts after payment.
Variances surface in lookbacks and spreadsheets after the remit posts, so teams spend their time recovering revenue instead of protecting it.
Expertise spent on upkeep.
The analysts who should be modeling rates and preparing for JOCs are maintaining the last contract instead of negotiating the next one.

Cesara brings every contract, amendment and fee schedule into one place and keeps it current.

What the gap costs

Underpayments
$40B
lost to contractual underpayments annually1
Payer Review
100%
of claims payers can review with automation

Find out what your contracts are owed.

A complimentary audit of your own claims and contracts, with every variance traced to its clause.

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For Managed Care

The bedrock of intelligence for every billing question.

Once every contract is understood, managed care can see what each one is really worth: which payers perform, which terms cost you, and where the next opportunity is.

Ask your contracts anything.
Compare terms across payers in plain language.
Model before you negotiate.
See the revenue impact of proposed rates before you sign.
Walk into JOCs prepared.
Payer performance, variance trends and evidence in one place.
Find new growth.
Spot opportunities for new contracts, including value-based care and direct-to-employer.

How do escalators compare across our commercial contracts?

Annual rate escalator

Commercial contracts, 2026

Payer A
3.5%
Payer B
3.0%
Payer C
2.5%
Payer D
1.5%

Payer D escalates 1.5% a year, half the median of your other commercial contracts.

Model a renewal

Proposed escalator, Payer D

Added reimbursement, year three

$0.94M

$1.85M over the term

Assumes $20.0M a year today at 1.5%

JOC packet · Payer D Ready
A plain-language question about escalators, the answer as a bar chart across four payers, and a renewal model whose added reimbursement updates as a proposed rate is chosen

For Revenue Cycle

Cesara understands your payer contracts and checks them against every claim.

When a payment comes back short, your team already has the clause, the expected amount and the variance. Cesara files the appeal and recovers the payment.

Every contract, understood.
Rates, carve-outs, stop-loss and escalators, captured from the contracts themselves, synced with your EHR, contract management system, and chargemaster.
Every claim checked and actioned.
Expected reimbursement is calculated at submission, not months later in a lookback. Variances come with the contract language behind them, so appeals take minutes, not weeks.

Claim check

Closed

  1. Submitted

    Claim 48213 · Payer B · DRG 470

    Checked at submission

    Expected $17,922.00

    Exhibit A case rate + 3% escalator · §4.2

  2. Remit posted

    Paid $17,400.00 · 835 remit

    Variance $522.00 escalator not applied

  3. Appeal sent

    Appeal sent with §4.2 attached

    Contract excerpt 835 remit

  4. Recovered

    Recovered $522.00 · claim closed

Governing clause · §4.2, Payer B agreement

“Effective January 1 of each contract year, all rates in Exhibit A shall increase by three percent (3%).”

Connected Agents

Build and deploy agentic workflows that work with your tools.

In your tools.
Variances, approvals and outcomes post to Teams or Slack, with the evidence attached.
Real work product.
Appeals, models, reports and packets, ready to use, not summaries to redo.
Within your guardrails.
Thresholds your team sets, approvals where you want them, and a record of every action.

Governance

Autonomy that’s earned, not assumed.

Every Cesara deployment is phased and governed. It starts by validating against your own contracts and claims, then moves to automation within thresholds your team sets. Every action is traceable to the contract language behind it, so your team reviews by exception, not by default.

  1. Validate

    Runs alongside your current process and proves its accuracy on your data.

  2. Recommend

    Surfaces variances and next actions for your team to approve in bulk.

  3. Automate

    Acts within the thresholds you set and escalates only the exceptions.

Your contracts, as written. Your care, paid in full.

Every transaction verified, every underpayment actioned, every action traceable to the contract.

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