For Managed Care Leaders

Get paid what the contract says.

Take control of payer performance—before it controls you

Midstream adjudicates what payers actually paid against what they agreed to pay, line by line, then files the case with the evidence attached, across fee-for-service and risk-based arrangements.

Midstream gives health systems the visibility and intelligence to stay ahead of payor negotiations, protect every earned dollar, and drive smarter, faster decisions across your top commercial payor relationships for both traditional FFS and risk based VBC models.

From insight to action, and every dollar in between

From insight to action—and every dollar in between

Midstream gives health systems the clarity and control to prevent revenue leakage, resolve payer discrepancies quickly, and maximize contract value across every payer relationship.

Midstream gives health systems the clarity and control to prevent revenue leakage, resolve payer discrepancies quickly, and maximize contract value across every relationship.

Unified Data Intelligence

See every contract and claim in one clear view

Automated Anomaly Detection

Catch underpayments before they become lost revenue

Strategic Leverage

Enter every negotiation

with confidence

How Midstream delivers

Foundation
Real-Time Alerts

Ingests and structures payer contracts, provider agreements, claims, and enrollment files into one continuously validated source of truth.

Recovery
Negotiation Readiness

Adjudicates what was paid against what was agreed, line by line, then files the case with the evidence attached.

Pulse
Smart Data Ingestion

Flags terms, rates, and policies as they change, turning reactive revenue protection into proactive prevention.

Reporter
Continuous Validation

Traces every dollar and every discrepancy back to source documentation for faster audit response and dispute resolution.

Negotiator
Contract Evidence Traceability

Builds the data-backed case before you sit down, so every payer discussion starts with evidence.

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

A second financial brain that recovers the margin you already earned.

Midstream is filling the gaps, translating data into clarity, and transforming the tempo of decision-making itself.

You already earned it.
Midstream goes and gets it.


You already earned it.
Midstream goes and gets it.


You already earned it.
Midstream goes and gets it.


© 2025 Midstream Health

Location

703 Market Street San Francisco, CA