Workbench
Every claim-edit tool on one page. Pick the question you have — bundling, unit ceilings, add-on rules, coverage, site of service, a denial you already received — or run a whole claim against all of them at once.
Start here
Give it a whole claim, or one code, and get every rule at once.
Check a claimSeveral codes with modifiers, units and diagnoses — which lines survive, which conflict, and what to change.Look up a codeOne code, every published rule at once: bundling, unit ceiling, add-on rules, coverage and who may assist.Worked claimsEvery scenario in one place — edits and payment reductions together, run against a loaded claim.
One rule at a time
Each lens answers a single question about a code.
Bundling & unitsEvery PTP pair and MUE limit for one code.Add-on codesAcceptable primary procedures — and why some, like 99417 vs G2212, depend on the payer.Coverage (LCD)Medical necessity, by state.National (NCD)National coverage policy, searched as text.Assistant surgeonAssistant, co- and team surgery.Inpatient-onlyProcedures Medicare pays only as an inpatient.Unit limits (MUE)How a per-day unit ceiling denies the excess.Revenue crosswalkRevenue codes an institutional claim may carry this procedure under.Drugs outside the DRGPhysician-administered drugs a state pays on top of the inpatient DRG.
After a denial
The half of the job that starts once the payer has already answered.
25 checks per day, free and without an account. Need more, or want to call this from your own system? Request an API key — keyed access is unlimited.