Part of Manage Performance & Finance
Connect delivered care to financial accountability.
Relay follows the money through your network: authorize services, price them from your fee schedules, adjudicate what was delivered, review invoices, record payments and reconcile them—with every approval controlled and every dollar traceable.
What your team can accomplish
Follow the evidence from authorization to recorded payment.
Who it serves
- Finance and payment operations
- Supervisors approving authorizations
- Partner billing staff
- Executives tracking financial position
Supported workflows
Authorize services
Request, approve in full or in part, deny, cancel, close and reinstate, with decision letters. Each authorization books an accrual that is released if it is denied, cancelled, closed or expires.
Price from fee schedules
Effective-dated fee schedules that your organization loads, including CSV import with preview, priced by service date.
Adjudicate delivered units
Each unit is checked for an approved authorization, the date window, the unit limit, duplicates and proof quality. Relay recommends approve, deny or pend; a person decides.
Review invoices
Partners submit invoices through a pre-submit check, and finance approves, rejects or voids lines with a duplicate check, an authorization ceiling and no self-approval.
Record payments
Create payment batches and runs, and mark them paid only with a bank, ACH, wire or check reference; releases need their own permission.
Reconcile
Match paid invoices to payment batches, reconcile 835 remittances to claims, and compare expected and received per-member-per-month revenue.
See your financial position
An append-only liability ledger, unpriced and unfunded work, time to cash, and an IBNR estimate once enough history exists.
Financial Operations
Your questions, answered
How are payments disbursed?
Payments stay in your bank or payment system; Relay records each one with its approvals and bank reference.
How are claim files exchanged with payers?
Relay prepares 837 claim files and reads the acknowledgments and 835 remittances you supply, keeping reconciliation in one place.
How are rates and program rules configured?
Rates, fee schedules and rules are loaded for each organization, including New York program claim formats where they apply.
How it connects to the rest of Relay
- Contract & Compliance Management
Contracts define which services partners may bill and at what rate.
- Value-Based Performance
Financial estimates and simulations for value-based contracts.
- Partner portal
Where partners submit services, proof and invoices.
- Customer Analytics add-on
Financial data in your own BI tools, with the optional add-on.
See financial operations in Relay
Bring an authorization-to-payment workflow and we'll walk through it in Relay.
Request a demo