Demystifying healthcare
prices for consumers

Superscript
2026
Technology & Product Overview
SUPERSCRIPT'S MISSION

Real prices for patients in an industry that's only known estimates.

01Treatment
×
02Insurance
×
03Practice
=
04Realtime cost resolving $0.00
insured patient
prices instantly
THE PROTOCOL

A Three-Engine Agentic Solution to Healthcare's Most Complex Data Problem.

Superscript spent 3.5 years in R&D building Healthcare's First Pricing Protocol.

ABE (Algorithmic Balancing Engine)

Financial, actuarial models built on adjudication outcomes to resolve payer/plan bundling logic: multiple-procedure reduction and the professional/technical split. Over 1TB+ of data ETL per practice.

AIR (Accessing Insurance Resources)

Interprets X12 271 eligibility responses across EB segment hierarchies and free-text MSG fields using LLMs to normalize payer coverage logic complexity.

ART (Adjudicating Real-time Transactions)

Reads every 835 remittance and maps each pricing discrepancy, including payer-repriced lines. 8,700+ weekly adjustments generate labeled training examples with unambiguous outcome signals, so the system self-corrects without human annotation or reward model drift.

ANONYMIZED SUPERSCRIPT CUSTOMER DATA · CY2025

The office visit collects. The surgical episode does not.

A 40-provider orthopaedic group, the year before Superscript, across 79,169 claims. The surgical episode fragments into separately adjudicated lines and loses 2.8 times as much as the office visit on the same dollars.

SERVICE LINE · RANKED BY YIELDLOST PER $100K
Every figure normalised to $100,000 of patient responsibility. Ten mapped lines carry — of the — lost per $100K; the rest is unmapped. Two or more surgical codes collect 47.56%; professional component only, 36.63%.
WHY SURGICAL ESTIMATES BREAK

The Pricing Protocol was built to handle the complexity of surgical billing.

An arthroscopic knee case is not one price. It is a stack of adjudication rules, and a generic estimate misses on every one of them.

ONE CASE · KNEE ARTHROSCOPYCOMMERCIAL PPO pricing
29881Meniscectomy, primary100%
29876Synovectomy, second compartmentMPPR 50%
01400Anesthesia, separate claimSPLIT
Deductible remaining at date of serviceACCUM
Coinsurance on the remainder20%
PATIENT OWES
THE PRICING PROTOCOL, ON THIS CASE
MPPR 50%ABE

The second procedure pays 50% of its allowed amount. ABE applies the payer's multiple-procedure logic upfront, from this center's own adjudication history.

ACCUMAIR

Deductible remaining moves between scheduling and surgery. AIR verifies eligibility at scheduling, the day prior, and the day of surgery, so the price reflects the deductible and benefit allowances as they stand.

SPLITART

Facility, surgeon, and anesthesia bill as three claims. The patient sees one itemized total; ART reconciles each claim's 835 against its line.

One total before the case, verified claim by claim.
FOR PRACTICES

The EHR Browser

Your front desk captures the full patient cost share in one click, at check-in on the day of the case.

Embedded in your EHR

Integrates directly into existing workflows. No change management.

Optimized for coinsurance and deductible collections

Practices already collect copays over 90% of the time, but leak revenue on deductibles and coinsurance. A copay does not apply to an operation, so a surgical balance is always the second kind.

Patient yield rises to over 92% when patients see a price they can trust.

Superscript Skylight: the EHR with the patient payment widget and POS device
athenahealth Experity eClinicalWorks Epic ModMed NextGen
TIME-OF-SERVICE COLLECTION

The Front Desk Becomes a Check-Out Desk.

A case changes in the room. The polypectomy, the specimen, the extra anesthesia time get decided after check-in, and leave unpaid.

Repriced the moment care changes

Intra-operative additions are the hardest to price and the worst to collect. Skylight prices each one before the patient leaves.

Collected before the door

Mailed balances recover 60–75% over 30+ days, and a surgical balance averages $204 against $61.

With Superscript · check-out before discharge
Without Superscript · the same additions, billed later

The same case, two endings: $0.00 collected today, or $0.00 billed later, leaving $0.00 never paid.

NO SURPRISES ACT · GFEs AND AEOBs

An AEOB for every case, generated automatically and collected before surgery.

Co-provider charges, consolidated

Facility, surgeon, and anesthesia in one estimate, self-pay and insured. No manual assembly at the convening provider.

Ahead of the mandate

Insured AEOBs are in rulemaking for 2027, blocked on pricing infrastructure. It runs here today.

Estimates that miss by $400 or more are disputable; manual assembly costs staff time on every case. The AEOB mandate raises the volume of both.

Superscript text message: time to pay for your upcoming appointment at Sand Lake Surgery Center
PROVEN SUCCESS

Proven across the largest group practices on Athena, and expanding across all EHRs.

[A] PATIENT AR TIMELINE ~1 day ↓ from 30+ days · -97%
[B] PATIENT YIELD 90%+ ↑ from a 60–75% baseline
[C] ADMIN TIME CALLING PAYERS & CHASING PAYMENTS -93% reported across live sites
[D] SUPERSCRIPT FOOTPRINT TODAY
812,256Transactions
261,726Patients
735Providers Live

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