Scalesz

Solutions · MSOs & Commercial

One payment engine across your entire payer mix

MSOs and risk-bearing organizations rarely run just one model. Scalesz Pay handles Medicare, Medicare Advantage, and commercial value-based contracts side by side — each with its own rules, all with the same rigor.

Multi-payer eligibility

Ingest eligibility and provider files from any payer, in the formats they actually send — one reconciled member picture across contracts.

Delegated capitation

Manage delegated and sub-delegated capitation arrangements with TIN-level rules, NPI-level exceptions, and procedure carve-outs.

Contract-by-contract rules

Every contract keeps its own payment templates, effective dates, and retroactivity rules — no lowest-common-denominator compromises.

Provider-grade outputs

835 ERAs, PDF EOPs, and reports at the entity and provider level, plus direct EFT — for every payer relationship you manage.

Scales with your book

Add contracts, payers, and downstream groups without adding headcount. The platform is built for growth in members and complexity.

Operational transparency

When provider groups or payers question a payment, trace it to the source file and rule in seconds — not a week of spreadsheet archaeology.

Consolidate your payment operations

If your team manages multiple contracts across multiple systems and spreadsheets, a 30-minute demo will show you what one engine looks like.