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FREE TOOLS

Claim review answers in seconds, not another ticket.

Free tools for claim review, payer intelligence, denial follow-up, and specialty care workflows. No signup. Nothing stored.

FEATURED

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Free Claim Review

Start with a CSV or EDI 835. See payer behavior, care operations risk, claim issues, and recovery next steps.

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NCCI Edit Checker

Check any CPT code pair for bundling conflicts. Real-time CMS data.

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Denial Code Decoder

Look up any CARC code. Plain English explanation with payer-specific context.

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Fee Schedule Lookup

Compare your rates against Medicare. See if you are billing below CMS benchmarks.

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Open Payer Behavior Index

Public-safe payer friction signal built from CMS, the Federal Register, and public payer policy references. No customer data.

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SPECIALTY TOOLS

Built for your care setting

ABA Unit Calculator

Calculate authorized units, projected revenue, and reauth trigger week for ABA therapy.

Mental Health Parity Checker

Enter your MH denial rate and see if you have a MHPAEA parity violation signal.

SNF PDPM Estimator

Estimate PDPM payment and compare against MA rates for skilled nursing facilities.

LUPA Risk Calculator

Calculate home health LUPA threshold risk and payment exposure under PDGM.

NOA Deadline Estimator

Estimate the 5-calendar-day NOA filing target from your start of care date.

F2F Window Calculator

Face-to-face encounter window: 90 days before through 30 days after SOC.

PDGM Primer

Short guide to PDGM periods, grouping, and how NOA, F2F, and visits connect.

LUPA Threshold Reference

Illustrative LUPA minimum visits by PDGM clinical group.

KX Threshold Tracker

Track PT/OT KX modifier threshold burn rate and project denial exposure.

PT/OT 8-Minute Estimator

Estimate timed CPT units from documented minutes using common Medicare teaching examples.

PT/OT CPT Reference

Quick reference for common timed and evaluation PT/OT codes and audit hotspots.

PT/OT Visit Limit Scorecard

Plan visit cap vs. used visits: remaining bucket and utilization band.

KX Modifier Primer

Plain-language guide to the therapy threshold, KX, documentation, and MA nuances.

Imaging Auth Checker

Check eviCore and AIM clinical pathway eligibility for advanced imaging CPT codes.

Dental Fee Analyzer

Enter your contracted CDT rate. See silent PPO risk and market benchmark deviation.

ESRD Rate Calculator

Calculate ESRD PPS base rate and compare against your MA payer reimbursement.

Payer Report Card

See how your payers score on denial rates, auth approval times, and appeals win rates. Based on CMS-0057-F data.

All tools are free. No account required. Results stay in your browser and are never stored.

FOR DEVELOPERS

Building automation? Use the API, CLI, or MCP.

Try the free tools here, then use paid API access when your team wants the same payer, code, and care workflow signals embedded in internal tools, EHR workflows, or agents.

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