Claims check agent
- Reads the visit note and the codes
- Checks codes, modifiers and each payer's rules
- Fixes or flags problems before the claim is sent
- Writes the appeal letter when a claim still gets denied
What your team can ask it
- Alicia
Which patients are due for a follow-up this week?
11 patients. 3 of them don't have a visit booked yet.
- Dr. Kim
What did Dr. Lee change in Maria R.'s meds last visit?
On Sep 30 Dr. Lee raised lisinopril from 10 mg to 20 mg and stopped ibuprofen. A follow-up lab is due Oct 14.
- Sam
Did the Garcia claim get paid?
Denied Oct 2 for a missing modifier. Resubmitted Oct 3, still pending.
What it connects to
- EHR
- Scheduling
- Billing and claims
- Labs
- Patient messages