Scalesz

Platform · Attribution

Attribution and eligibility, straight from the source files

Payment accuracy starts with knowing exactly who you're responsible for. Scalesz Pay ingests the files CMS and payers actually send and turns them into a reconciled, auditable member picture.

Direct CMS file ingestion

Weekly claim reduction files, monthly membership files, and quarterly attribution files load directly — no reformatting, no intermediate tooling.

CMS-methodology attribution

Patient attribution is calculated using CMS methodology, so the members you pay on are the members CMS holds you accountable for.

Any payer, any format

Beyond CMS files, ingest eligibility and provider files from commercial and Medicare Advantage payers — one attribution picture across your whole book.

Multi-contract tracking

Track attribution and eligibility across multiple payers and contract types simultaneously — each contract keeps its own rules and its own audit trail.

Retro adds and terms, handled

Members added or termed retroactively flow through to payment adjustments automatically, using the retroactivity rules you define.

Traceable end to end

Every attributed member traces back to a source file and forward to a payment line. When a provider group asks “why this amount?”, the answer is one click away.

Stop reconciling attribution by hand

Send us a sample CMS file bundle at the demo and watch it become a payment-ready member roster.