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Your Claims. One Unified View.

Integrated with Availity, Stedi, and Claim.MD clearinghouses. Full visibility into what's paid, pending, denied, or rejected. Immediate actionable insight.

Stop wondering where your revenue is. ClaimCode integrates directly with your clearinghouse to show you every claim's status, every dollar's location, and intelligent suggestions for fixing denials. All in one place.

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The Claims Visibility Gap

You submit claims through your clearinghouse. But then what? You're bouncing between your EMR, your clearinghouse portal, and spreadsheets trying to track what got paid, what's still pending, and what got rejected. When a denial comes back, you're manually digging through documents trying to figure out why. It's inefficient and it's expensive.

The industry struggles with this. Denial rates hover around 12-15%, and many practices never even attempt to appeal them. Your revenue is sitting on the table.

Three Steps for Complete Claims Visibility

Connect Your Clearinghouse

Link ClaimCode to Availity, Stedi, or Claim.MD. Your claims data flows in automatically. No need to manual re-enter data. All claims data is read from a single source of truth.

See Your Claims, All in One Place

Easily view all of your claims' statuses. Aggregate claim amounts by status, provider, procedure, or diagnosis. See which claims are moving and which need attention.

Let AI Analyze Rejections and Denials

 When a claim is denied or rejected, ClaimCode analyzes the remittance advice and supporting documentation. We explain the reason and suggest exactly how to fix it.

Core Capabilities

  • No Duplicate Data Entry

    Clearinghouse integration means your claim data comes in once. Your team stops re-entering information across systems.

  • Complete Claims Visibility

    Every claim on one dashboard. Status, payer, amount, submission date, current location in the pipeline. Know exactly where your revenue is at any moment.

  • Revenue Tracking by Key Properties

    See total revenue that's been paid. See what's still pending. See what's been rejected or denied. Understand your cash flow in real time.

  • AI-Powered Rejection/Denial Analysis

    When denials arrive, ClaimCode reads the electronic remittance advice and identifies the root cause. No manual digging through documents.

  • Intelligent Remediation Suggestions

    For every denial or rejection, ClaimCode suggests exactly how to fix it. What modifier to add. What documentation to correct. What payer rule you may have missed.

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Integration is Everything

Why Integration Matters

Your clearinghouse already has all your claims data. Every status update. Every payer response. Every dollar. So why are you logging into three different systems to find out where your money is?

ClaimCode integrates directly with Availity, Stedi, and Claim.MD. We pull your claims data, your remittance advice, and your status updates in real time. Your team gets one unified view. One source of truth. No duplicated data entry. No hunting across platforms.

The Integration Advantage

  • Real-time claims data sync
  • Eliminates duplicate data entry
  • One unified view across all claims
  • Works with your existing workflow
  • No migration required
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Understanding Denials Without the Guesswork

The Problem

When a claim is denied or rejected, the acknowledgement or remittance advice comes back with a code (or several). But codes can be cryptic. Payers don't explain themselves.

Your team is left investigating: Was it a coding error? A missing modifier? A documentation issue? A payer-specific rule we missed?

AI Interprets Your Issues for You

ClaimCode interprets the 277AC or ERA to understand the denial reason. We know your specialty—PT's 8-minute rule, OT's functional limitations, chiropractic frequency limits. We tell your team exactly what is wrong with the claim and how to fix it.

No more phone calls to payers. No more manual document review. Just clear, actionable remediation steps.

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Built for Practices of Any Size

It doesn't matter if your a solo practitioner taking on more business or a growing practice ready to open your third location. If your practice is using Availity, Stedi, or Claim.MD, ClaimCode is for you. If you're tired of claims visibility issues and manual denial investigation, we can help solve it.

ClaimCode works for practice owners managing revenue or a team billing administrators handling daily claims work. 

ClaimCode gives you the tools to work smarter.

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