Claims operations for healthcare practices

Get paid on the first pass.

Catch claim errors before they go out, chase every stalled claim on time, and see exactly where your insurance money is.

  • Launching with behavioral health
  • Human approval on every appeal
  • No patient data on this site

The claim journey

Where claims get stuck

  1. 01

    Eligibility

    Coverage or benefits not verified before the visit.

  2. 02

    Coding and modifiers

    Codes, add-ons or modifiers that a payer will bundle or reject.

  3. 03

    Submission

    Missing fields or format errors that bounce the claim back.

  4. 04

    Payer review

    Denials for authorization, credentialing or timely filing.

  5. 05

    Payment posting

    Paid amounts that differ from what the contract says.

  6. 06

    Follow-up

    Stalled claims nobody owns, aging past the filing window.

Free estimate

What is my first-pass rate costing me?

Start from the example numbers, then replace them with yours.

Every number below starts as an example, not an industry statistic. Replace each one with your own figures.

Example: 600. Change it.

$

Example: $120. Change it.

%

Example: 80%. Change it.

$

Example: $25. Change it.

days

Example: 30 days. Change it.

Each month, at these inputs

First-pass estimate
Claims needing rework120
Rework cost$3,000
Cash delayed by rework$14,400
Insurance cash outstanding at 30 days to payment$72,000

Arithmetic on the numbers you entered. Claims needing rework equals claims times the share that did not pay on first submission. Cash delayed is the payment value of those claims. It runs in your browser and nothing is sent anywhere.

In development

What we are building

These are product plans, not live features. Early access practices help shape them.

Pre-submission claim checks

Review each claim for common errors before it is sent, so fixes happen while they are cheap.

Rejection and denial worklist

Every rejected or denied claim gets an owner, a due date and a suggested fix.

AI-drafted corrections and appeals

Drafts prepared for a person on your team to review and approve. Nothing goes out without approval.

Insurance cash tracking

What each payer owes and how old it is, with expected payment next to what was actually paid.

Team scoreboard

First-pass rate, denial rate by payer and reason, days to payment, and follow-ups completed.

Denials are rising, and payment is getting slower.

Early access

Join the early access list

Tell us about your practice. We are starting with behavioral health and want to hear from other specialties too.

Practice-level details only. Never enter patient information here.

Questions

Before you sign up

Run the first-pass calculator