Cesara

Revenue cycle and managed care teams at health systems spend their weeks manually loading new contract terms, maintaining spreadsheets, validating rates and chasing variances. Contracts, amendments and fee schedules change constantly, and each change has to be loaded and checked before a claim can be priced against it. Today much of this work happens after payment, when variances surface in lookbacks and spreadsheets after the remit posts, so teams spend time recovering revenue instead of protecting it. Analysts who should be modeling rates and preparing for joint operating committee meetings are instead stuck maintaining the last contract, and the page states only about one in six contract changes carries a team review while unreviewed variance totals climb.

Cesara brings every contract, amendment and fee schedule into one unified place and keeps it current, using what it calls agentic intelligence that works alongside revenue cycle and managed care teams. The product verifies every transaction against contract terms and recovers underpayments with clause level evidence, aiming to catch discrepancies proactively rather than through manual after the fact reviews. It integrates with EHR systems including Epic, Oracle Health and MEDITECH, as well as contract management and document storage sources like SharePoint and Google Drive. The site frames two core solution areas: Managed Care, for modeling, negotiating and tracking every payer contract, and Revenue Cycle, for checking every claim and recovering underpayments.