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ClaimReady by AiClaim

We prevent denials while you chart.

Every chart coded, checked and priced before it becomes a claim.

ClaimReady codes from the chart, shows what the visit will pay that payer, in dollars, and tells you exactly what to fix before you bill. It predicts the actual payment on 98% of claims.

98%
Actual payment predicted
54%
Denials caught before submission
<4 sec
Every claim scored
The problem

You find out what a visit was worth after the payer decides.

Too late

You find out what a visit was worth after the payer decides.

Too expensive

Coding problems become denials, downcodes and underpayments, weeks later, when they're expensive to fix.

Over and over

Your team fixes the same mistakes again and again.

How ClaimReady works

From the chart to the payment, before you bill.

1

Codes from the chart, or checks your coder's work

ClaimReady suggests the codes, modifiers and diagnosis links the chart supports, or checks the ones your coder already entered. Your choice.

2

Prices it, and dates it

It shows what that payer will pay for the visit, in dollars, and when the payment will come in, based on what the payer actually pays, denies and how fast it pays.

3

Shows what to fix

If something will cost you (a code, a modifier, a diagnosis link, units, documentation), you see exactly what to change before the claim is built.

4

Learns from every denial

When a payer denies something anyway, ClaimReady learns from it immediately, so the same mistake doesn't cost you twice.

5

Coaches every provider

A weekly report for each provider: how they're doing and exactly what to do better next week.

✓

Works inside any system

No new screen for your team to live in. Runs on its own, or with ClearClaim, Reclaim and ClearSight, and inside AiClaim One for urgent care and primary care.

Built for the people who use it

Everyone sees the money before the payer does.

Coders

Codes and fixes at the chart, not after a denial.

Billing managers

Fewer reworks, fewer surprises on the 835.

CFOs & administrators

Know what's coming in, and when, before it's billed.

Providers

A weekly report card per provider, with the one or two things to fix next week.

Patient identity is stripped before analysis · US-only Google Cloud regions under a BAA · Built on 33 years of running revenue cycles through iClaim and 3 years of revenue cycle AI.

Free 100-chart test

Send us 100 charts and their 835s. Get the answer in one business day.

Pick 100 recent charts that have already been paid, and send them with their 835s (the remittances show what was actually paid). In one business day, we show you, side by side, what ClaimReady would have coded, what it predicted each visit would pay, and what the payer actually paid. Plus everything it would have told your team to fix.

  • Predicted vs actual payment on every chart
  • The fixes: codes, modifiers, diagnosis links, units, documentation
  • The dollars: what those fixes would have been worth

Send the charts through our secure SFTP, or, with your OK, we pull them directly from your system. Patient identity is stripped before analysis. Data stays in US-only Google Cloud regions under a BAA.

Like what you see? Run ClaimReady inside your system for 30 days, up to 50 charts a day. We'll talk about it after your results.

Test it on 100 of my charts

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FAQ

Questions we get

Is the 100-chart test really free?

Yes. You get the results and the call whether or not you buy anything.

Why charts that were already paid?

So you can check ClaimReady's prediction against what the payer actually paid, on your own visits.

Does it replace my coders?

No. It codes from the chart and shows what to fix; your team stays in control of what gets billed.

Do we have to change systems?

No. It works inside your system.

How does it know what a payer will pay?

From what that payer actually pays and denies, and it updates every time a denial comes back.

Is patient data safe?

Patient identity is stripped before analysis, and data stays in US-only Google Cloud regions under a BAA.

See what your charts are worth, before the payer decides.

Free 100-chart test. Results in one business day.

Test it on 100 of my chartsBook a walkthrough