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Bitewing
Bitewing
§ Platform · E·04

Every dollar,
traced to its source.

Every location can see its own claims. What most DSOs cannot see is the cross-location pattern: payer drift in one region, schedule drift in another, a leased-network arrangement that kicked in for three offices last month. The Unified Ledger is the one table across all of it, so the routing pattern becomes visible before it becomes a Q4 surprise.

Claim-by-claim measurementVersioned contractsAudit-ready export
UNIFIED LEDGER · WEEK OF APR 14
12 underpayments priced. 6 ready to appeal.
ClaimLocationPayerCodeContractedPaidVarianceConfStatus
0291-EMadison Ave 14Aetna PPOD2740$890$651−$23994%Ready
0287-ABrookline 03Cigna DPPOD2750$920$920$099%Match
0284-CAustin 21Delta PremierD4341$214$189−$2587%Ready
0281-FDenver 07United ConcordiaD0150$88$88$098%Match
0277-BPhoenix 12MetLife PDP+D2391$182$182$096%Match
0274-GChicago 09Aetna PPOD2950$348$301−$4791%Ready
0271-KBoston 06Cigna DPPOD2391$200$182−$1883%Review
Illustrative · populated with sample data
§ 01 · Rows

Priced, cited, appealable.

Each row: claim ID, location, payer entity, CDT code, contracted amount, paid amount, variance, confidence, status, ready evidence. Click any row and you get the contract line, the EOB line, the TIN-resolved entity, the adjudication path, the schedule version — the trail a billing director can hand to a CFO.

CLAIM · LOC · PAYER · CODE · CONTRACTED · PAID · Δ · CONF · STATUS
Claim0291-E
LocationMadison Ave 14
Payer submittedCigna DPPO
Payer paidConnection Dental (leased)
CDT codeD2740
Contracted$890.00
Paid$651.00
Variance−$239.00
Confidence94%
StatusReady to appeal
§ 02 · Slices

Payer concentration. Location health. Schedule drift.

The same ledger, sliced. By payer: where does exposure live. By location: which sites are leaking. By schedule: where are payers drifting against their own contracts. Every slice is a filter on the same underlying truth — no lossy re-aggregation, no stale snapshot.

GROUP BY payer, location, schedule · pivot on variance
By payer · exposure
By location · variance rate
By schedule · drift
§ 03 · Export

Board-ready. Auditor-ready. Diligence-ready.

Export to CSV, XLSX, or a versioned PDF attested to the Bitewing Ledger. Each line cites its contract, its EOB, its confidence tier. Whether the audience is a finance committee or a PE diligence team, the ledger shows its work.

CSV · XLSX · PDF · attested export (versioned)
bitewing_ledger_2026-Q1.csv
CSV · 12,847 rows
Download
bitewing_ledger_2026-Q1.xlsx
XLSX · sheet per slice
Download
bitewing_ledger_attested_2026-Q1.pdf
PDF · versioned attestation
Download
bitewing_appeals_ready.pdf
PDF · 34 packets
Download
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First variance report, target: 14 days.

Read-only access to one location. Two weeks. Priced, cited, appealable variance — or a clean bill of health.

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