Back to MarketplaceContact Sales
Claims Scrubber
Claims Analyst
FeaturedA comprehensive CMS-1500 pre-submission claim scrubbing tool. Upload claim PDFs or enter claim data manually, and the system runs OCR extraction, applies 5 rule categories (Patient Demographics, Provider/Payer, Diagnosis Coding, Procedure/Service Line, Cross-Field Consistency), checks NCCI bundling edits, and performs LLM-powered analysis for complex coding logic. Results include detailed findings with pass/warn/fail status, governance checks, and a complete audit trail. Supports both PDF upload and JSON manual entry workflows.
Features
OCR-powered CMS-1500 PDF extraction
5 rule categories with 20+ validation rules
NCCI bundling edit checks
LLM-powered complex coding analysis
Governance checks with pass/warn/fail dashboard
Session history with full audit trail
Tags
CMS-1500ClaimsNCCIBundlingScrubbingPre-submission
Ready for real data?
Take this prototype to production with SSO, RBAC, HIPAA-compliant infrastructure, and your own data integrations.
SOC 2 Type II
SSO & RBAC
EHR / claims integrations
Custom model fine-tuning
API Playground
Use synthetic data only. Do not submit real patient records or PHI in the API Playground.