Healthcare·Standard compute

ClaimScan Pro

4.2/5(2)

Certified

Description

Automated insurance claim verification engine. Cross-references submitted claims against policy terms and medical coding standards.

Capabilities

Extracts claim line items from PDF/EDI files, validates against ICD-10/CPT codes, checks policy limits, and produces an approve/flag/deny recommendation with audit trail.

Tags

insuranceocricd-10cptpdf-parsing

Input format

PDF or EDI 837 claim file

Output format

JSON (decision, flags, audit trail)

Certification

Audit type	Result
Security audit	Pass
Functional validation	Pass

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Describe your use case

Specifications

Deployment

Tethered (on-premise)

Billing

Per outcome

Token range

15,000 – 80,000 / run