Revenue Intelligence for Providers

The Financial Layer
for Healthcare.

Predictable revenue across the patient journey — before, during, and after every visit.

An image of Sandy Healy simplification of healthcare admin

The Problem

You Deliver the Care.
Someone Else Decides What It's Worth.

The real issue isn't just cost or complexity. It's that providers cannot reliably predict what they will be paid.

~2%

Shrinking Margins

Average provider margins fell from ~7% in 2019 to ~2% in 2024. Many hospitals now operate at or below break-even.

Rising Admin Costs

Labor and administrative burden keeps climbing while reimbursements fail to keep pace with operational reality.

AI

Payers Pulling Ahead

Payers are deploying AI at scale. Providers are left with systems that haven't meaningfully changed.

Revenue Lifecycle

Revenue Is Won or Lost
Before the Claim Is Filed.

Most practices only see the problem at the billing stage. Sandy gives you visibility into what you'll be paid at every step, so nothing slips through.

Before the Visit

01

Financial
Clearance

Verification of Benefits

Expected reimbursement calculated before the visit, based on real payer contracts, not estimates.

During the Visit

02

Documentation Accuracy

AI Scribe

AI scribe captures structured notes during the visit, supporting accurate codes and cleaner claims.

AFTER the Visit

03

Reimbursement Tracking

Variance tracking

Track expected vs. actual reimbursement in real time. Hold payers accountable to contracted rates.

The Model

One Platform.
Every Dollar Accounted For.

Sandy connects verification, documentation, and reimbursement into a single system, so the gap between what you're owed and what you collect gets smaller every month.

End-to-end visibility

Revenue problems hide in the gaps between systems. Sandy connects verification, documentation, and reimbursement so expected and actual revenue stay aligned.

Payer-grade intelligence for providers

Payers use AI to optimize what they pay. Sandy gives providers the same level of intelligence to understand, track, and recover what they're owed.

Revenue you can plan around

As the gap between expected and actual reimbursement narrows, revenue becomes predictable. You can forecast cash flow, reduce reserves, and make decisions with confidence.

Forecast Accuracy

73%

98%

Month 1

73%

$135,000 expected → $98,550 collected

Month 3

91%

$135,000 expected → $122,850 collected

Month 6

98%

$135,000 expected → $132,300 collected

As variance shrinks, predictability grows. Every percentage point is revenue recovered.

Expected Revenue

Calculated upfront before care begins

$135,000

Actual Payment

Tracked precisely against expectations

$98,550

Variance Identified

Revenue left on the table before Sandy

−$36,450

* Illustrative example. Actual results vary by practice.

How It Works

The Sandy Revenue Pipeline

Five steps. One connected system. Revenue you can actually predict.

Step 01 · Scheduling & Intake
Know what every visit is worth before it happens.

Sandy surfaces financial context the moment a visit is booked, so your team knows what's collectible before the patient walks in.

What Sandy Surfaces
Schedule fill rate
No-show risk score
Patient balance at booking
Payer mix by day
Projected visit revenue
Today's Schedule · Live View
Appointments
24
No-Show Risk
3 flagged
Fill Rate
91%
Expected Revenue
$8640
Patient Balances Due
$1220
78% of expected revenue pre-verified
Payer Mix Today
Commercial
63%
Medicare
37%
Step 02 · Eligibility Verification
Catch coverage gaps before they become denials.

Eligibility checks run automatically in real time, so your front desk catches gaps hours before the visit, not days after.

What Sandy Surfaces
Active coverage confirmed
Deductible remaining
Copay & coinsurance due
Out-of-network flag
Coverage termination alerts
Secondary payer detected
Eligibility Dashboard · 48hr window
Verified
24
Issues Found
7
Total Checked
31
Coverage Rate
77.4%
Active insurance confirmed on 24 of 31 upcoming visits
Flagged Today
Terminated coverage2 patients
OON plan detected4 patients
Auth required, none on file1 patient
Step 03 · Prior Authorization
Clear every auth before the patient arrives.

Sandy tracks every auth from requirement to approval, so nothing falls through the cracks and denials never surprise you.

What Sandy Surfaces
Auth required vs. on file
Approval rate by payer
Avg. days to approval
Pending auth aging
Denial reason trends
Auth Tracker · Live Queue
Pending
14
Approved
89
Denied
4
Approval Rate
95.7%
2.1 days avg. approval · Industry avg: 6.4 days
Top Denial Reasons
Not medically necessary38%
Missing documentation29%
Auth expired18%
Step 04 · AI Scribe
Every visit documented. Every dollar captured.

Sandy's AI Scribe captures the visit, structures the note, and flags missed revenue, so you get paid for the care you actually deliver.

What Sandy Surfaces
Coding accuracy score
Undercoding alerts
HCC capture rate
Documentation completeness
Time saved per encounter
AI Scribe · Session Summary
Encounters Today
19
Undercoded
2 flagged
Time Saved
3.8 hrs
Coding Accuracy
97.4%
99.1% documentation completeness · 94% HCC capture
Revenue Impact (MTD)
Code upgrades captured+$4,280
HCC additions+$1,960
Downgrades prevented+$820
Step 05 · Revenue Intelligence
Revenue you can track, measure, and predict.

Sandy connects scheduling, eligibility, auth, and documentation into one financial picture, so you always know where you stand.

What Sandy Surfaces
Expected vs. actual collected
Variance by payer
Rolling 90-day forecast
Denial recovery rate
Days in A/R trend
See It in Action
Revenue Intelligence · This Month
Expected
$124.8k
Collected
$122.3k
Variance
$2.5k
Collection Accuracy
98%
61% less variance vs. last month · 18.4 days in A/R
90-Day Forecast
April forecast$126,400
May forecast$129,100
Denial recovery in pipeline$3,840

Ready to stop guessing and start collecting?

Book a Demo

What would predictable revenue
change for your practice?

Less time chasing payments. More time focused on patients. See what Sandy looks like with your data.

See Sandy in Action

Why Sandy

Payers Use AI to Optimize What They Pay.
Sandy Helps Optimize What You Collect.

Sandy brings payer-grade intelligence to providers while automating the workflows that determine whether they get paid. By calculating expected reimbursement before the visit, tracking actual payment after, and reducing the variance between the two, Sandy turns revenue into something measurable and predictable.

Fewer errors

Faster collections

Forecastable revenue

More time for patients

Adaptive by Design

Less Manual Work

Sandy automates the routine so your team spends less time on admin and more time with patients.

Real-Time Visibility

See what's done, what's stuck, and what needs attention across every step of the revenue cycle.

Stronger Collections

Cleaner data in, fewer denials out. Always know what you're owed versus what you've been paid.

Sandy adapts to how your practice already works. No rigid templates, no rip-and-replace.

PRICING

Simple Pricing.
No Surprises.

Sandy is priced per physician. Simple billing, no surprise lockups.

PRICED PER PHYSICIAN

Custom
Per Practice

Verification of Benefits

Expected reimbursement calculation

Coverage gap identification

Patient responsibility clarity

Measurable ROI from day one

Prior Authorization automation

AI Scribe & documentation capture

Expected vs. actual variance tracking

Payer accountability reporting

Built-in analytics dashboard

Get your custom quote

LARGE HEALTH SYSTEMS

Custom pricing for larger systems.

Multi-site health systems and hospital groups. We'll build a structure that works for your scale.

Get in touch

Want to see the numbers?

and we'll show you exactly what Sandy costs for your practice.

TRUST & COMPLIANCE

Built for Healthcare-Grade Security.

Your data stays protected. Your systems stay compliant. And your team gets the transparency they need, without extra overhead.

HIPAA-ready architecture

SOC 2 Type II security

Encrypted end-to-end

Fault-tolerant infrastructure

Let's build the financial layer for healthcare.
Together.

See what predictable revenue looks like for your practice.

See Sandy in Action

Revenue Intelligence for Providers

The Financial Layer
for Healthcare.

The Financial Layer for Healthcare.

Predictable revenue across the patient journey — before, during, and after every visit.

Predictable revenue across the patient journey — before, during, and after every visit.

An image of Sandy Healy simplification of healthcare admin
An image of Sandy Healy simplification of healthcare admin
An image of Sandy Healy simplification of healthcare admin

Meet Sandy, the cure for healthcare’s admin overload.

Sandy automates the pre-care workflows that slow healthcare down, giving teams the clarity and capacity they’ve been missing.

An image of Dreelio's dashboard

The Problem

You Deliver the Care.
Someone Else Decides What It's Worth.

The real issue isn't just cost or complexity. It's that providers cannot reliably predict what they will be paid.

~2%

Shrinking
Margins

Average provider margins fell from ~7% in 2019 to ~2% in 2024. Many hospitals now operate at or below break-even.

Rising
Admin Costs

Labor and administrative burden keeps climbing while reimbursements fail to keep pace with operational reality.

AI

Payers Pulling Ahead

Payers are deploying AI at scale. Providers are left with systems that haven't meaningfully changed.

Revenue Lifecycle

Revenue Is Won or Lost
Before the Claim Is Filed.

Most practices only see the problem at the billing stage. Sandy gives you visibility into what you'll be paid at every step, so nothing slips through.

Before the Visit

01

Financial
Clearance

Verification of Benefits

Expected reimbursement calculated before the visit, based on real payer contracts, not estimates.

During the Visit

02

Documentation Accuracy

AI Scribe

AI scribe captures structured notes during the visit, supporting accurate codes and cleaner claims.

AFTER the Visit

03

Reimbursement Tracking

Variance tracking

Track expected vs. actual reimbursement in real time. Hold payers accountable to contracted rates.

End-to-end visibility

Revenue problems hide in the gaps between systems. Sandy connects verification, documentation, and reimbursement so expected and actual revenue stay aligned.

Payer-grade intelligence for providers

Payers use AI to optimize what they pay. Sandy gives providers the same level of intelligence to understand, track, and recover what they're owed.

Revenue you can plan around

As the gap between expected and actual reimbursement narrows, revenue becomes predictable. You can forecast cash flow, reduce reserves, and make decisions with confidence.

The Model

One Platform.
Every Dollar
Accounted For.

Sandy connects verification, documentation, and reimbursement into a single system, so the gap between what you're owed and what you collect gets smaller every month.

End-to-end visibility

Revenue problems hide in the gaps between systems. Sandy connects verification, documentation, and reimbursement so expected and actual revenue stay aligned.

Payer-grade intelligence for providers

Payers use AI to optimize what they pay. Sandy gives providers the same level of intelligence to understand, track, and recover what they're owed.

Revenue you can plan around

As the gap between expected and actual reimbursement narrows, revenue becomes predictable. You can forecast cash flow, reduce reserves, and make decisions with confidence.

Forecast Accuracy

73%

98%

Month 1

73%

$135,000 expected → $98,550 collected

$135,000 expected
→ $98,550 collected

Month 3

91%

$135,000 expected → $122,850 collected

$135,000 expected
→ $122,850 collected

Month 6

98%

$135,000 expected → $132,300 collected

$135,000 expected
→ $132,300 collected

As variance shrinks, predictability grows. Every percentage point is revenue recovered.

Expected Revenue

Calculated upfront before care begins

$135,000

Expected Revenue

Variance Identified

Calculated upfront before care begins

Revenue left on the table before Sandy

$135,000

−$36,450

Actual Payment

Tracked precisely against expectations

$98,550

Actual Payment

Tracked precisely against expectations

$98,550

Variance Identified

Revenue left on the table before Sandy

−$36,450

* Illustrative example. Actual results vary by practice.

How It Works

The </b>Sandy</b> Revenue Pipeline

Five steps. One connected system. Revenue you can actually predict.

Step 01 · Scheduling & Intake
Know what every visit is worth before it happens.

Sandy surfaces financial context the moment a visit is booked, so your team knows what's collectible before the patient walks in.

What Sandy Surfaces
Schedule fill rate
No-show risk score
Patient balance at booking
Payer mix by day
Projected visit revenue
Today's Schedule · Live View
Appointments
24
No-Show Risk
3 flagged
Fill Rate
91%
Expected Revenue
$8640
Patient Balances Due
$1220
78% of expected revenue pre-verified
Payer Mix Today
Commercial
63%
Medicare
37%
Step 02 · Eligibility Verification
Catch coverage gaps before they become denials.

Eligibility checks run automatically in real time, so your front desk catches gaps hours before the visit, not days after.

What Sandy Surfaces
Active coverage confirmed
Deductible remaining
Copay & coinsurance due
Out-of-network flag
Coverage termination alerts
Secondary payer detected
Eligibility Dashboard · 48hr window
Verified
24
Issues Found
7
Total Checked
31
Coverage Rate
77.4%
Active insurance confirmed on 24 of 31 upcoming visits
Flagged Today
Terminated coverage2 patients
OON plan detected4 patients
Auth required, none on file1 patient
Step 03 · Prior Authorization
Clear every auth before the patient arrives.

Sandy tracks every auth from requirement to approval, so nothing falls through the cracks and denials never surprise you.

What Sandy Surfaces
Auth required vs. on file
Approval rate by payer
Avg. days to approval
Pending auth aging
Denial reason trends
Auth Tracker · Live Queue
Pending
14
Approved
89
Denied
4
Approval Rate
95.7%
2.1 days avg. approval · Industry avg: 6.4 days
Top Denial Reasons
Not medically necessary38%
Missing documentation29%
Auth expired18%
Step 04 · AI Scribe
Every visit documented. Every dollar captured.

Sandy's AI Scribe captures the visit, structures the note, and flags missed revenue, so you get paid for the care you actually deliver.

What Sandy Surfaces
Coding accuracy score
Undercoding alerts
HCC capture rate
Documentation completeness
Time saved per encounter
AI Scribe · Session Summary
Encounters Today
19
Undercoded
2 flagged
Time Saved
3.8 hrs
Coding Accuracy
97.4%
99.1% documentation completeness · 94% HCC capture
Revenue Impact (MTD)
Code upgrades captured+$4,280
HCC additions+$1,960
Downgrades prevented+$820
Step 05 · Revenue Intelligence
Revenue you can track, measure, and predict.

Sandy connects scheduling, eligibility, auth, and documentation into one financial picture, so you always know where you stand.

What Sandy Surfaces
Expected vs. actual collected
Variance by payer
Rolling 90-day forecast
Denial recovery rate
Days in A/R trend
See It in Action
Revenue Intelligence · This Month
Expected
$124.8k
Collected
$122.3k
Variance
$2.5k
Collection Accuracy
98%
61% less variance vs. last month · 18.4 days in A/R
90-Day Forecast
April forecast$126,400
May forecast$129,100
Denial recovery in pipeline$3,840

Ready to stop guessing and start collecting?

Book a Demo
How It Works

The Sandy Revenue Pipeline

Five steps. One connected system. Revenue you can actually predict.

Step 01 · Scheduling & Intake
Know what every visit is worth before it happens.

Sandy surfaces financial context the moment a visit is booked, so your team knows what's collectible before the patient walks in.

What Sandy Surfaces
Schedule fill rate
No-show risk score
Patient balance at booking
Payer mix by day
Projected visit revenue
Today's Schedule · Live View
Appointments
24
No-Show Risk
3 flagged
Fill Rate
91%
Expected Revenue
$8640
Patient Balances Due
$1220
78% of expected revenue pre-verified
Payer Mix Today
Commercial
63%
Medicare
37%
Step 02 · Eligibility Verification
Catch coverage gaps before they become denials.

Eligibility checks run automatically in real time, so your front desk catches gaps hours before the visit, not days after.

What Sandy Surfaces
Active coverage confirmed
Deductible remaining
Copay & coinsurance due
Out-of-network flag
Coverage termination alerts
Secondary payer detected
Eligibility Dashboard · 48hr window
Verified
24
Issues Found
7
Total Checked
31
Coverage Rate
77.4%
Active insurance confirmed on 24 of 31 upcoming visits
Flagged Today
Terminated coverage2 patients
OON plan detected4 patients
Auth required, none on file1 patient
Step 03 · Prior Authorization
Clear every auth before the patient arrives.

Sandy tracks every auth from requirement to approval, so nothing falls through the cracks and denials never surprise you.

What Sandy Surfaces
Auth required vs. on file
Approval rate by payer
Avg. days to approval
Pending auth aging
Denial reason trends
Auth Tracker · Live Queue
Pending
14
Approved
89
Denied
4
Approval Rate
95.7%
2.1 days avg. approval · Industry avg: 6.4 days
Top Denial Reasons
Not medically necessary38%
Missing documentation29%
Auth expired18%
Step 04 · AI Scribe
Every visit documented. Every dollar captured.

Sandy's AI Scribe captures the visit, structures the note, and flags missed revenue, so you get paid for the care you actually deliver.

What Sandy Surfaces
Coding accuracy score
Undercoding alerts
HCC capture rate
Documentation completeness
Time saved per encounter
AI Scribe · Session Summary
Encounters Today
19
Undercoded
2 flagged
Time Saved
3.8 hrs
Coding Accuracy
97.4%
99.1% documentation completeness · 94% HCC capture
Revenue Impact (MTD)
Code upgrades captured+$4,280
HCC additions+$1,960
Downgrades prevented+$820
Step 05 · Revenue Intelligence
Revenue you can track, measure, and predict.

Sandy connects scheduling, eligibility, auth, and documentation into one financial picture, so you always know where you stand.

What Sandy Surfaces
Expected vs. actual collected
Variance by payer
Rolling 90-day forecast
Denial recovery rate
Days in A/R trend
See It in Action
Revenue Intelligence · This Month
Expected
$124.8k
Collected
$122.3k
Variance
$2.5k
Collection Accuracy
98%
61% less variance vs. last month · 18.4 days in A/R
90-Day Forecast
April forecast$126,400
May forecast$129,100
Denial recovery in pipeline$3,840

Ready to stop guessing and start collecting?

Book a Demo

What would predictable revenue
change for your practice?

What would predictable revenue
change for your practice?

Less time chasing payments. More time focused on patients. See what Sandy looks like with your data.

See Sandy in Action

Why Sandy

Payers Use AI to Optimize What They Pay.
Sandy Helps Optimize What You Collect.

Why Sandy

Payers Use AI to Optimize What They Pay.
Sandy Helps Optimize What You Collect.

Sandy brings payer-grade intelligence to providers while automating the workflows that determine whether they get paid. By calculating expected reimbursement before the visit, tracking actual payment after, and reducing the variance between the two, Sandy turns revenue into something measurable and predictable.

Fewer errors

Fewer errors

Faster collections

Faster collections

Forecastable revenue

Forecastable revenue

More time for patients

More time for patients

Adaptive by Design

Less Manual Work

Sandy automates the routine so your team spends less time on admin and more time with patients.

Real-Time Visibility

See what's done, what's stuck, and what needs attention across every step of the revenue cycle.

Stronger Collections

Cleaner data in, fewer denials out. Always know what you're owed versus what you've been paid.

Sandy adapts to how your practice already works. No rigid templates, no rip-and-replace.

PRICING

Simple Pricing.
No Surprises.

Sandy is priced per physician. Simple billing, no surprise lockups.

PRICED PER PHYSICIAN

Custom
Per Practice

Verification of Benefits

Expected reimbursement calculation

Coverage gap identification

Patient responsibility clarity

Measurable ROI from day one

Prior Authorization automation

AI Scribe & documentation capture

Expected vs. actual variance tracking

Payer accountability reporting

Built-in analytics dashboard

Get your custom quote

LARGE HEALTH SYSTEMS

Custom pricing for larger systems.

Multi-site health systems and hospital groups. We'll build a structure that works for your scale.

Get in touch

Want to see the numbers?

and we'll show you exactly what Sandy costs for your practice.

TRUST & COMPLIANCE

Built for
Healthcare-Grade Security.

Your data stays protected. Your systems stay compliant. And your team gets the transparency they need, without extra overhead.

HIPAA-ready architecture

SOC 2 Type II security

Encrypted end-to-end

Fault-tolerant infrastructure

Let's build the financial layer for healthcare.
Together.

See what predictable revenue looks like for your practice.

See Sandy in Action