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Revenue Cycle Engines
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Sherlock

Know your issues before they start.

Sherlock is Paladyn's Payer Center of Excellence — a continuously maintained intelligence layer that keeps every payer and government rule current and answerable on demand.

What it does

Billing teams lose hours hunting through payer portals and PDFs for the rule that applies to a claim. Sherlock parses payer manuals, contracts, fee schedules, and edits into one structured, searchable model and keeps it current — so the right answer is there the moment a claim needs it, instead of after a denial.

Capabilities

  • Payer manual and contract parsing
  • Continuously maintained payer-rule matrix
  • Strategic chargemaster pricing analysis
  • Custom billing-edit library
  • Competitor contract-rate comparison

How it works

1

Gather

Payer manuals, contracts, and policy come in and are parsed into a structured model.

2

Structure

Rules become a continuously maintained, queryable payer-rule matrix kept current as policies change.

3

Answer

Engines and staff query a single source of current payer truth on demand; new changes flag fresh denial risk.

Connects to
Payer policies & manualsContractsFee schedulesChargemaster (CDM)

Why it matters

Payer rules change constantly, and a rule you missed yesterday is a denial tomorrow. A single source of current payer truth turns guesswork into prevention.

Pricing

Simple, flat pricing.

$3,000/ month

Sherlock — Payer Center of Excellence. One flat monthly subscription per organization, billed monthly.

  • Payer manual & contract parsing
  • Continuously maintained payer-rule matrix
  • Strategic chargemaster pricing analysis
  • Custom billing-edit library
  • Competitor contract-rate comparison
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Sherlock · Payer COE$3,000 /mo
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Security & compliance

Sherlock runs inside Paladyn's HIPAA-aligned AWS environment, working from payer policy and contract data with a tamper-evident audit trail. Every Paladyn tool is built toward HITRUST and SOC 2, with PHI controlled per our standards and a tamper-evident audit trail.

Explore related tools

Revenue Cycle EnginesPrismIlluminating hospital pricing. Revenue Cycle EnginesPaladyn AtlasA map to all your data. Revenue Cycle EnginesSun TzuPrevent denials before they happen.

See where prevention pays off.

Request a revenue cycle assessment and we'll show how Paladyn would apply to your denials, AR, and payer mix.

Request an assessment