Free first review: 20 claim lines, edit-checked and priced
Send us up to 20 claim lines. Each one comes back edit-checked and priced, with every step shown. It is free, and it is back within 5 business days.
What it is
You send up to 20 claim lines with names, member IDs and all dates removed. A mutual NDA is available on request. Each line comes back with every bundling, unit-limit, add-on and coverage rule it meets, whether a modifier legitimately clears it, and its Medicare price next to what was allowed and paid, flagged over or under.
What you get back
A spreadsheet with each line checked and priced, plus a one-page summary. It comes back within 5 business days of the file arriving, by encrypted email.
Two reviews, one for each side of the claim
| Review | Who it is for |
|---|---|
| Denial check | Practices, billing companies and hospitals. Send lines from claims that denied or were cut, or that you are about to send. You get every edit each line meets, the table row behind it, whether a modifier clears it, and the Medicare price next to what was paid. |
| Edit configuration check | Health plans and TPAs. Send lines your system has already edited and priced. Test claims with no real member behind them are ideal. You get the published edits each line meets next to what your system did, and the lines where the two differ. |
Go straight to the denial check or the edit configuration check.
Limits
We take three reviews a week, first come, first served. If we are full, you get a start date before you send anything. One free review per organization.
What comes after
Nothing, unless you want it. If the sample finds a pattern, the next step is a full-file pre-bill or denial audit: the same spreadsheet for every line, with totals by reason. It starts from $2,500, tiered by line count, and is quoted in writing first. The free review commits you to nothing.
Request a free review
Pick a denial check or an edit configuration check. We reply with how to send the file, by encrypted email.
Request a free review