The Platform — Scalesz Pay
The full payment cycle, in one system
Scalesz Pay is a SaaS payment platform for value-based care operations. It replaces the spreadsheets, manual adjustments, and multi-system workarounds that ops teams use to pay providers under ACO LEAD, PC Flex, MSSP, and commercial contracts.
Capitation & Sub-Capitation
Configurable payment templates for APO, PCC, TCC, service exceptions, and monthly PMPM sub-capitation — by TIN, with NPI-level exceptions, carve-outs, and client-defined retroactivity.
Learn more →Eligibility & Attribution
Direct ingestion of CMS weekly claims, monthly membership, and quarterly attribution files — plus any payer eligibility or provider file. Attribution calculated on CMS methodology.
Learn more →Claims, 835s, EOPs & EFT
Claim reduction processing, industry-grade 835 ERAs, PDF EOPs ready for provider distribution, out-of-the-box reports, and direct EFT disbursement.
Learn more →Visibility
Every contract, every dollar, one dashboard
Members, claims, and payment totals by contract and performance year — with processed and unprocessed volumes visible at a glance, so nothing slips between files.
Configuration, not code
Payment templates that match your contracts
APO, PCC, and TCC structures, service-based rules, exceptions, retroactive adds and terms — defined once as templates with effective dates, then applied automatically every cycle.
Provider-ready outputs
835s, EOPs, and reports your provider groups can actually use
Generate industry-grade 835 ERAs and clean PDF EOPs at the entity and provider level — member-by-member detail, check numbers, paid dates — ready for distribution without manual assembly.
Beyond payments
Actionable Insights
A lightweight, action-oriented analytics layer built on the same data that runs your payments: financial insights, utilization actions, primary care and care coordination views, and ADT alerts. Not another BI tool to administer — focused views that tell your team what to do next.
Ask us about Actionable InsightsSee Scalesz Pay on your own contracts
Bring one payer file and one payment arrangement — we’ll show you attribution, capitation, and outputs live in the platform. Implementation typically takes six weeks.