Aurorev wraps the CMS IPPS, OPPS, and IPF pricer engines in a clean REST API. Stop shipping Java JARs. Start pricing claims in milliseconds.
RCM vendors · Health systems · Billing ISVs · No spam.
Why Aurorev
The official CMS pricing engines are authoritative, but they were built for batch jobs in 2003. Aurorev gives them the interface they deserved.
Every calculation runs through the actual CMS IPPS, OPPS, and IPF JAR files — the same engines CMS publishes. No approximations, no ML guessing.
AuthoritativeJSON in, JSON out. Synchronous pricing for real-time workflows, async batch for large claim sets. Python and Node SDKs in beta.
API-FirstBusiness Associate Agreements available on Enterprise. SOC 2 Type II in progress. Every request encrypted, logged, and isolated per tenant.
Enterprise-GradeDeveloper Experience
Submit a claim in your existing format. Get back a full reimbursement breakdown — DRG assignment, outlier calculation, DSH adjustments — in a single response.
# Price an inpatient claim against IPPS FY2025 response = aurorev.claims.price( pricer = "ipps", fiscal_year = 2025, claim = { "npi": "1234567890", "admit_date": "2025-03-01", "discharge_date": "2025-03-06", "principal_dx": "J18.9", "drg": 193, "charges": 48200.00, } ) # Full reimbursement breakdown # { # "base_drg_payment": 12840.22, # "dsh_adjustment": 1024.50, # "outlier_payment": 0.00, # "total_payment": 13864.72, # "drg_weight": 1.2847, # "pricer_version": "ipps-fy2025-v3" # }
Retrieve pricing for any fiscal year Aurorev carries. Useful for remittance reconciliation and appeal workflows.
Submit up to 10,000 claims per batch job. Results delivered via webhook or polled status endpoint.
Every response includes pricer version, input echo, and a breakdown of each adjustment component. Built for compliance.
Inpatient, outpatient, and inpatient psychiatric. All CMS pricing models under one SDK and one contract.
Early Access
Beta access is limited to RCM vendors, health systems, and billing ISVs. We respond within 48 hours.