CHG

Confirmation Letter Insights

Cleveland Clinic · CHG Healthcare Partnership

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Upload Confirmation Letters

Drop one or many PDF confirmation letters below. Files are processed in your browser only — nothing is uploaded to any server.

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Drop PDF files here

or click to browse · supports multiple files at once

How it works: Each PDF is parsed locally to extract assignment details (provider name, specialty, division, rates, travel terms, dates). The extracted values are checked against the contracted terms and shown in the Review tab, with a rate check against the contract's rate sheet for that specialty.

Review Results

Each letter is shown with its extracted details and any rule violations found.

No letters reviewed yet

Upload PDFs in the previous tab to see results here.

Past Reviews

Upload a spreadsheet of past reviewed letters (from a prior export, or your own records) to see trends across a larger set. Processed entirely in your browser — nothing is uploaded anywhere.

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Drop an Excel or CSV file here, or click to browse.

Works best with a file exported from this tool. Other spreadsheets are supported too — columns are matched by name where possible.

Contract Rules

Rules each confirmation letter is checked against. OH region rules are loaded from the master agreement, amendments, ECS One Sheet, and rate sheets. FL region is awaiting source documents.

This is a reference view. These are the contracted terms every letter is checked against — the same rules CHG's internal review uses. This tab is read-only.
📛 A. Logo Compliance
Weatherby physician letter
Weatherby logo
CompHealth physician letter
CompHealth logo
Global Medical letter
Global Medical logo
APP (NP/PA), any division
CHG Healthcare logo + required vendor verbiage
⚠ Auto-detection limitation
PDF logo images can't be reliably identified — APP letters are auto-flagged for manual logo review
📝 B. Revised Note
When letter has REVISED:
Note must factually state what changed (dates added/removed/modified)
No internal shorthand
"fall off" not "F/O"; "extension" not "ext"; etc.
Bolding
Added/changed dates must be bolded in body — flagged for manual review (PDF bold detection unreliable)
👤 C. Addressee & Identifying Details
Addressed to
Daniel Simon (OH SPOC, simond@ccf.org)
Provider name
Required, non-blank
Specialty
Required, must match rate sheet taxonomy
Signature line
Generic OK — Daniel Simon NOT required on signature line
📍 D. Worksite
Worksite required
Letter must clearly state a worksite/location
Multiple worksites
Allowed — providers may rotate between facilities
Approved-facility list
Not validated — the contract has no set facility list
📅 E. Detailed Assignment Schedule
Required columns
From · To · Shift Time · Shift Type
Blank columns
Not allowed
Shift type vs. shift time
Reviewed manually — call shifts are not required to be 24h
OFF dates within blocks
Allowed — not flagged
⛔ F. Date Compliance (Hard Stop)
Cutoff date
January 15, 2027 — no dates beyond this anywhere in letter
Applies to
Schedule, revised note, fee schedule "Specific Date(s)", holidays, orientation, narrative, footers
Pre-cutoff dates
Allowed (including 2025 orientation dates)
Exception
End date of Oct 1, 2026 OK if 24-hr call ends Oct 1 by 8am
💰 G. Rate & Fee Compliance
Rate validation
Each rate line must fall within Low–High band on rate sheet for that specialty
Bucket wording
Must match rate sheet verbatim — no renaming buckets, no new rate types
Metric match
If rate sheet measures hourly, letter must be hourly. If daily, letter must be daily.
Not permitted
Administrative fees, seasonal fees, daily fees (where not on rate sheet), extra fees
Permitted extras
Mileage (IRS rate), Tolls
Specialty count loaded
— physician + — APP specialties
🔁 H. Duplication
Duplicate rate lines
Not allowed (same metric + same value)
Repeating patterns
Allowed if intentional
Exception
OT/Callback may repeat in same column for different rows — must align with rate sheet on each row
💵 I. Recruitment / Contract Buyout Fee (CBO)
Format
$XX,XXX or $XX,XXX.XX — one $ sign, numeric only, no extra text
Value
Must match rate sheet exactly for that specialty
CBO discount tiers
0–90 days: $0 · 91–180 days: $5,000 · 181+ days: $10,000 (per current amendment 4342636)
CBO contacts
To: Meredith Cole (molenam@ccf.org), CC: Daniel Simon — NOT worksite contact
📚 J. Orientation
Hourly specialties
75% of base hourly rate, first 4 hours only
Daily specialties
Daily rate ÷ 8, then × 75%, first 4 hours only
If orientation absent
Don't flag — rule does not apply
🎄 K. Holidays
Multiplier
1.5x always (time and one-half)
Recognized holidays
New Year's Day · Memorial Day · 4th of July · Labor Day · Thanksgiving Day · Christmas Day
Holiday window
11pm prior day → 10:59pm holiday
Don't flag
Standard holiday policy language alone, or holidays when provider is OFF
📤 L. Cancellation
Notice period
30 days always — flag any deviation
✍️ M. Signatures
Required lines
Cleveland Clinic (generic) and division/vendor
Daniel Simon's name
NOT required on signature line
Signed status
Don't audit whether signed
✈️ Travel & Lodging (per One Sheet)
Lodging cap
$150/day unless pre-approved by Meredith Cole
Airfare
Coach class only — international flights NOT permitted
Rental car
Compact or economy only — SUVs/upgrades not approved
Mileage
IRS rate
Telehealth
NOT covered — auto-flagged if found
Housing stipends
Not allowed
⚡ ECS team policy
Travel fees and car insurance are no longer to be billed to Cleveland Clinic — auto-flagged if found.

How to Use This Tool

A quick reference.

1. Upload

Drag PDF confirmation letters into the dropzone or click to browse. You can upload many at once.

2. Process

Click Process All Letters. The tool reads each PDF, extracts the key fields, and compares them to the contracted terms. This happens entirely in your browser — no data ever leaves your computer.

3. Review Results

The Review tab shows each letter with a status marker, a rate check against the contracted range for that specialty, and any items flagged for attention. Use the filter pills to focus on flagged letters.

4. Export

After each run, use Export (.xlsx) to save the results — nothing persists automatically between visits to this page unless you export it. Turn on Auto-export if you'd rather it happen without a click each time.

5. Past Reviews

Upload a spreadsheet of previously reviewed letters — an earlier export from this tool, or your own records — to see trends across a larger set: volume by specialty, flag rates, and more.

Privacy & Security

This tool is hosted at a stable, access-controlled URL and updated centrally, but the actual review work still happens entirely in your browser — PDF parsing, rule checking, rate insights, and spreadsheet import/export never touch a server. Nothing about a letter, rate, or provider is ever uploaded, logged remotely, or sent anywhere.