Claim Check
Enter CPT and ICD-10 codes to check a claim before billing or appealing.
Check procedure edits, MUE limits, diagnosis conflicts, laterality, and modifiers against current reference data.
Deterministic checks using CDC, CMS, and AMA reference data — not AI-generated findings.
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What Claim Check validates
Procedure-to-procedure edits
NCCI/CCI edit pairs.
MUE limits
Medicare unit limits for a code on a single date.
Modifiers and laterality
Left / right / bilateral side modifiers on the procedures.
Diagnosis conflicts
ICD-10 excludes1/excludes2 notes and unilateral/bilateral contradictions.
Payer coverage
Curated payer guidelines, e.g. 97014 vs G0283.
Medicare NCD/LCD
Medicare coverage determinations.
CARC/RARC workflow
Add the CARC/RARC to route the denial — or pair with the Denial Decoder when a claim was already denied.