CodaClear catches coding errors, enforces payer policies, and recovers denied claims before they cost you revenue.
Get Started Every code right. Every claim recovered.AI-powered code assignment with 9-factor confidence scoring across 125+ test-payer combinations. Real-time LCD and medical necessity validation.
Embedded LCD registry, ICD-10 coverage mapping, and ABN requirement checks. Catch denials before submission with payer-specific rule enforcement.
Batch analysis of historical claims to identify under-coded tests, missed modifiers, and recoverable revenue. Quantified leakage reports with remediation steps.
Claims below confidence thresholds route to expert reviewers with full audit trails. Priority-weighted queue with real-time depth monitoring.
Track claim volumes, denial rates, recovery amounts, and coding accuracy. Payer-specific analytics with trend analysis and exportable reports.
Automated polling of lab SFTP directories for claim files. Idempotent processing with per-row error tracking and audit events.