Factum Core™ for
Healthcare Providers
Stop leaving reimbursement on the table. Factum Core arms hospitals, health systems, and ambulatory providers with a sovereign recovery engine to dispute payer underpayments, enforce contract terms, and convert denied claims into collected revenue - at scale.
94%
First-pass clean claim rate
with Factum automated scrubbing
< 3s
Contract breach detection
per claim vs. payer schedule
40%
Days in AR reduction
average across provider clients
0
PHI data egress to AI APIs
all inference stays sovereign
The Problem & The Solution
Turn Denials Into a Strategic Asset
Payers systematically under-reimburse and deny medically necessary claims. Most providers lack the infrastructure to contest them effectively. Factum closes that gap - transforming your denials management from a reactive cost center into a disciplined, high-yield recovery operation.
Workflow Phases
Your Provider Recovery Operation, Phase by Phase
From the moment a claim is denied to the day the payment posts - every step is structured, documented, and defensible. Factum covers both your revenue cycle management and your legal reimbursement workflows.
Platform Capabilities
The Technology Behind Provider-Level Recovery
Six core capabilities designed specifically for how hospital and health system revenue cycle teams operate.
Real-Time Denial Tracking
Replace fragmented spreadsheets with a live inventory of every contested claim. Track denial reason codes, payer response timelines, and appeal windows across your entire patient population - all in one command center.
Clinical Evidence Extraction
Factum AI scans your EHR and medical records to automatically surface the documentation that substantiates medical necessity. Eliminate manual chart reviews and arm your appeals team with the exact clinical evidence payers cannot ignore.
Payer Contract Enforcement
Identify every instance where a payer has breached your negotiated contract. The Payer Contract Matrix automatically flags underpayments against agreed rate schedules - creating an airtight evidentiary foundation for escalation or litigation.
Executive Recovery Dashboards
Real-time financial dashboards surface denial patterns, underpayment trends, and appeal success rates by payer. Give your CFO and board reliable recovery forecasts backed by live pipeline data.
Automated Payment Reconciliation
Automated ERA matching and contractual variance detection catches every underpayment before any write-off is processed. Every flagged variance includes the contract reference and dollar amount - ready for appeal or litigation.
Sovereign PHI Infrastructure
Your organization's PHI never leaves your sovereign perimeter. No shared cloud, no external AI API transmission. Deploy Factum inside your own hospital infrastructure or in a dedicated isolated cloud co-owned by your organization.
Platform
The Tools Behind Your Recovery Service
Factum Join
Direct EMR and practice management integrations pull clinical records automatically - zero manual data entry on appeal preparation.
Factum AI
AI-powered clinical extraction reads medical records to identify the exact evidence required to reverse a denial before your team drafts a word.
Workflow Phases
A disciplined 6-phase claim lifecycle that standardizes how your team processes every denial - creating consistency and accountability across all accounts.