Medical bill review is one of the most tedious and error-prone steps in claims processing. Adjusters manually read CMS-1500s, UB-04s, and unstructured medical bills, extract diagnosis codes, validate provider information, and enter data into billing systems. We automate the entire bill review pipeline — extraction, validation, and system population — with 98% accuracy.
From incoming bill to validated, extracted, and system-populated — in seconds.
Monitor incoming medical bills through email, billing portals, and claims systems. Identify CMS-1500s, UB-04s, and unstructured bill formats.
Extract diagnosis codes, procedure codes, service dates, provider details, NPI, FEIN numbers, and billing amounts with 98% accuracy.
Validate provider details against third-party data sources, check error codes, and update your internal bill review and claims systems.
Process CMS-1500s, UB-04s, and unstructured medical bills using pre-built AI models trained on healthcare billing formats.
Verify provider details including NPI, FEIN, and license status against third-party data sources automatically.
Apply business rules to validate medical bill error codes and flag billing inconsistencies before payment.
Medical bill review is high-volume, detail-intensive, and directly impacts claims costs. Automating it reduces LAE and improves payment accuracy.
Automated extraction and validation cut bill review time from hours to seconds, accelerating provider payments.
AI-powered validation catches incorrect codes, duplicate charges, and provider mismatches before they become payment errors.
Every extraction, validation, and system update is logged for compliance and audit purposes.
Extract all required fields from professional medical claims forms and populate your bill review system.
Process institutional claims with complex multi-line charge details and revenue code extraction.
Automatically verify provider network status and contract rates before payment authorization.
CMS-1500 professional claims, UB-04 institutional claims, and unstructured medical bills and invoices in various formats.
We cross-reference extracted provider details against third-party databases including NPI registries and state licensing boards.
Diagnosis codes, procedure codes, service dates, provider details, NPI numbers, FEIN, billing amounts, and other key fields.
Book a free intro call. We'll map out your workflows and show you exactly what we can automate — and how fast.