$54.5 million through one billing engine
Prime contractors send the money data their way — spreadsheets, their own formats, their own timing. The client's margin lives in getting every line right: what was billed, what the provider gets, what stays. That math used to live in an Excel "database." Now it's an engine.
The Excel database that worked — until it mattered
Every partner sends billing as Excel files. In the early years the team loaded them into spreadsheets, wrote queries, and made it work — genuinely impressive at $12M a year. But volume kept climbing, each partner's format kept drifting, and every commission calculation was one formula-drag away from a five-figure mistake. By $30M a year, the spreadsheet wasn't a system; it was a liability with tabs.
Manual billing doesn't fail loudly. It leaks — a mis-keyed rate here, a missed line there — and the leak scales with revenue.Why billing was the first module the client asked for
Import, compute, split, prove
Partner files flow into import pipelines; the engine matches every line to a provider and a rate; commissions compute by each partner's own model; and everything downstream — statements, finance reports, dashboards — reads from one ledger.
Model 1 · Percentage-based
commission (15%): $75.00
provider pay: $425.00
Service groups define the rate; whatever is paid on the line, the split follows automatically — consultations, diagnostics, medical opinions, all governed by the same rule set.
Model 2 · Dollar-per-exam
commission: fixed $ amount per exam
rates: date-aware, override-capable
Every exam type carries its own dollar rate with start dates — rate changes take effect on schedule, and historical lines keep the rate that was true when the work happened.
The pricebook knows both sides
For every provider and partner: what the partner pays, and what the provider receives. Negotiations, statements, and disputes all start from the same recorded truth.
Statements on demand
Per-provider PDF statements, finance reports, and Excel exports generate from the ledger — the end-of-month scramble became a button.
Dashboards for the owner's questions
Billed, paid, and profit — total and per partner, with trends. "How are we doing?" went from a week of spreadsheet work to a glance.
The money math, industrialized
When your margin is the difference between two numbers on every line, the system that computes those lines is the business.Why billing engines deserve real engineering
More from this engagement
The network that outgrew its spreadsheets
The full engagement: recruiting, credentialing, billing, and payments for a 700+ provider network.
Read the story → Solution storyProviders who can see their money
Where the engine's output meets the network — self-service statements.
Read the story → Solution storyCredentialed, current, and provable
The compliance layer that keeps providers eligible to bill at all.
Read the story →Is your margin computed in a spreadsheet someone maintains by hand?
Commission engines, revenue splits, partner reconciliation — this is exactly the kind of quiet, high-stakes math we industrialize.
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