Superscript

Where your customers want
prices in Avon

2026
Avon Health × Superscript
What an integration could look like
IN THE CHART

•

00
The status quo

Today an eligibility check returns the parameters of a benefit: coverage active, $640 of a $2,000 deductible left, 20% coinsurance, no copay. Everything except what the visit will cost. A patient who has not met the deductible, or whose benefits are more complicated, gets one of the most confusing and frustrating experiences in healthcare.

What the Eligibility Checks tab returns today
01
A richer price for the Intake Agent

Avon already estimates patient responsibility during intake. Superscript could enrich that step with the services the visit is predicted to bill, the practice's own adjudicated rates, and an explanation of each part of the patient's cost share, including what changes when the encounter changes.

An illustrative reconstruction
02
With Superscript

We specialize in patient cost shares. Once the practice's claims history, payer mappings and models are configured, step 6 can request an encounter price: deductibles, coinsurance and all their combinations, not just the copays the industry stops at. Same trigger, same downstream steps.

Step 6 becomes POST /v1/prices
03
The full financial picture

Pricing a visit takes three engines, and they do different jobs. AIM predicts what the encounter will bill as, from the practice's own appointment and claims history. ABE predicts the allowed amount for that practice, that provider and that payer. AIR reads the benefit and applies it to those rates. An eligibility feed is a part of the third. Supplying all three for a specific practice, provider and payer is the work.

Every encounter, priced
04
What the patient sees before the visit

The patient is shown the price before they arrive, and can pay before they get to the practice.

Set in advance
ON THE BILL

•

00
Ready to collect before the claim is submitted

Five days before Dana's visit, her predicted encounter is priced at $200.55. Avon can present that amount and collect according to the practice's payment policy. This example schedules collection for checkout on September 14.

Before visit · priced, nothing collected
01
What actually happened

Medicine is emergent. At checkout the encounter is recorded as delivered and repriced as it is recorded. The services have to reach the integration for that to happen at the desk; otherwise the change is detected later, from the claim.

Date of service · change the encounter and the benefits
02
What the patient sees after the visit

Whatever checkout recorded is what the patient is shown: the services actually billed, the amount charged, and how it compares with the price they agreed five days earlier.

Date of service · the same encounter, from the other side
03
The claim goes out

When claim data is available, the services actually submitted are compared with what was predicted. What Dana paid does not move: the payer has not decided yet, and a paid patient invoice is not an adjudicated claim.

Claim submitted · awaiting the payer
04
Reconciled against adjudication

The remittance is compared line by line with the price Dana paid. In this example the payer agrees and the balance is zero, so there is nothing to chase and nothing to refund. When it does not agree, the difference is shown by line.

Adjudicated · balance $0.00
POST /v1/prices → GET /v1/prices/{id}200 · completed · illustrative
{
  "id": "pr_6b40e1c7", "status": "completed",
  "patient_responsibility": 20055,                 // cents
  "base": { "items": [
    { "cpt": "99214", "label": "Office visit, established", "patient_responsibility": 12840,
      "adjustments": [ { "type": "deductible", "amount": 12840,
        "explanation": "Deductible not met, the allowed amount applies in full" } ] },
    { "cpt": "90833", "label": "Psychotherapy 30 min with E/M", "patient_responsibility": 7215,
      "adjustments": [ { "type": "deductible", "amount": 7215,
        "explanation": "Deductible not met, $640.00 of $2,000.00 remaining" } ] } ] },
  "x_axis": [
    { "cpt": "99215", "swaps": "99214", "relation": "severity",
      "reason": "High complexity", "delta": 4560 },
    { "cpt": "90836", "swaps": "90833", "relation": "severity",
      "reason": "Psychotherapy 45 min", "delta": 2390 } ],
  "y_axis": [
    { "cpt": "96127", "relation": "addition",
      "reason": "Brief behavioral assessment", "delta": 985 } ],
  "insurances": [ { "payer": "Aetna", "plan": "Choice POS II",
      "accumulators": { "deductible_remaining": 64000, "oop_remaining": 412000 } } ],
  "disclosure": "Exact, subject to our data inputs."
}
WHAT THE API RETURNS

•One request per appointment returns the price, the benefit that set each line, and what could still change it before the visit.

patient_responsibilityOne number for the encounter. In cents, for the base reality of the visit, ready for the chart, the portal or an invoice.
base.items[]One row per code. Each priced on its own, so the amount is made of parts a person can read rather than a single opaque total.
adjustments[]Which benefit set each amount. In words a care navigator can read out, so a cost question stops becoming a payer phone call.
x_axis[]What the visit may bill as instead. Each variation carries a swaps pointer to the line it replaces and its own delta.
y_axis[]What may be added on the day. Priced marginally against the base, so a delta can be shown without repricing the encounter.
insurances[].accumulatorsWhere the patient stands for the year. What is left of the deductible and the out-of-pocket maximum at the moment the price was set.

An illustrative payload. Field names follow the hfpp contract; confirm the current schema in the developer center before quoting it.

[ 05 ]  WHO WE ARE

•Superscript builds pricing infrastructure for US healthcare, from New York, since 2021.

SOC 2 Type II · HIPAA business associate · Founded in New York in 2021. hello@superscript.nyc →

SOME OF THE GROUPS PRICING WITH US TODAY
MedRite Urgent Care Allied Digestive Health Allied Physicians Group Consensus Health Lifepoint Health Orthopaedic Associates of Muskegon Knownwell Hudson Medical Redefine Healthcare Posterity Health Gramercy Surgery Center + MORE
OUR ADVISORS
Dr. Arthur KleinFormer President, Mt. Sinai Health Network
Jeffrey SachsFormer White House Advisor · Sachs Policy Group
Dr. Afsheen AfsharFormer Chief Data Officer, JPMorgan · Cerberus
Dr. Chris PittmanFounder & CEO, Vein911 · Chairman, HPS
Bob GlazerFormer CEO, ENT and Allergy Associates
Dr. Munish KhanejaCMO, Parachute Health · Former CSO, CareAbout
Joe BlewettFormer CEO, Kyruus (formerly Epion)
Sap SinhaFormer President and COO, Allied Digestive Health
SOME OF OUR INVESTORS
Mark Cuban Samsung Next Ventures M25 Health Lifepoint Health First Minute Capital Long Journey Ventures Lucy Guo Co-founder, Scale AI Arash Ferdowsi Co-founder, Dropbox and others
A WORLD-CLASS TEAM FROM Harvard, Meta, Yale, Apple, Stanford, Cigna, CNN, MIT, Amazon, Bridgewater, Google