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 and CPT nuance. 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. 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 group'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 the moment they're most likely to pay.

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.

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

Superscript Skylight: ModMed EHR with the patient payment widget and POS device
athenahealth Experity eClinicalWorks Epic ModMed NextGen
FOR CONSUMERS

Storefront

Surface upfront, transparent cost-share right in your booking flow.

Clarity and certainty for patients

Patients check eligibility and see accurate prices before they book, no surprises later.

An e-commerce-optimized growth channel

Practices finally get a modern acquisition channel, not just a booking form.

Specialty practices see conversion rates over 4%, beating e-commerce benchmarks by 71%. Urgent cares reach 21%.

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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