Platform · Capitation
Capitation configured the way your contracts are written
Value-based contracts are full of exceptions — different rates by group, carved-out procedures, retroactive membership changes. Scalesz Pay treats those as configuration, not custom development.
TIN-level control, NPI-level exceptions
Set payment rules at the TIN level to match provider group agreements, then override for specific NPIs where individual arrangements differ — without breaking the group configuration.
APO, PCC & TCC structures
Customizable payments at the Alternative Payment Option, Primary Care Capitation, and Total Care Capitation levels — matching how your CMS model actually pays.
Carve-outs at different rates
Carve out specific procedures to pay at different rates. Service-based and service-exception template types keep the logic explicit and auditable.
Accurate sub-capitation
Ingest any payer eligibility and provider file, and the platform calculates sub-capitation automatically — no manual adjustments, no spreadsheet math.
Client-defined retroactivity
Retroactive member adds and terms are handled by rule — you define the lookback window, the platform applies it consistently every cycle.
Care coordination payments
Distribute care coordination fees alongside capitation — one disbursement pipeline for every payment type your contracts require.
Payment templates with effective and term dates — set up once, applied automatically every payment cycle.
See your own payment arrangements configured live
Bring one sub-capitation or carve-out arrangement to the demo — we’ll configure it in front of you.