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Category: Revenue Cycle & Operations  ·  Signals: Claim line items · Payer edit rules · Modifier logic · NCCI edits
Catch claim errors before they leave the practice — surface fix suggestions, not just rejections.

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Configuration

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Execution

  1. Reads the claim before submission
  2. Runs payer edit rules and NCCI edits
  3. Validates modifier and code-pair logic
  4. Surfaces errors with rationale and fix suggestions
  5. Routes to billing for approval and submission

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Composable experts

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Compliance guarantees

  • Every edit failure is reported with a rationale
  • Fix suggestions are surfaced, not auto-applied
  • Submission requires explicit billing approval

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Endpoints

Backend: POST /api/billing/claims/scrub · POST /api/billing/claims/submit.
https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/layers.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=b19e6f39887a8a61762fcb53957d2271

Agentic Overview

Framework + 24 agents.
https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/puzzle.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=eba447b2f1e34fad34c796c184970d9d

Expert Registry

Typed expert registry.
https://mintcdn.com/medera-357fd587/iC-6rAuwl-0aQSw_/icons/ui/layout-dashboard.svg?fit=max&auto=format&n=iC-6rAuwl-0aQSw_&q=85&s=924f63310a2c475420e62629953c3d1c

Canvas

Compose your own workflow.
https://mintcdn.com/medera-357fd587/n1mgcc3nR2sq_PoL/icons/ui/terminal.svg?fit=max&auto=format&n=n1mgcc3nR2sq_PoL&q=85&s=a54c23f663622840fa7b900ec04462a5

API Reference

REST surface.