Revenue cyclePlanned · in developmentMoney

ClaimsUS

US claims the way US payers actually take them: X12.

Offered in: United States only.

Notify meIn development · not installable yet

What it is

The American revenue cycle: eligibility (270/271), prior authorisation (278), claim submission (837) and remittance (835) through a clearinghouse, with denial reasons mapped to fixable causes and the whole journey on one timeline — ClaimsLine’s discipline, in the format US payers require.

Who uses it: Built for: Every specialty
Reads: Encounters, coded charges
Writes: X12 transactions, claim states, remittances
Never: It does not invent a code to make a claim pass — a claim states what the record supports or it does not go.
Access: Only people whose role includes it — the clinic owner decides who
Your data: Full PHI. Hosted in Boston, United States. On uninstall: Every record stays; only the workflow leaves.

How it works

The usual shape of a money app. ClaimsUS’s own steps are written from its screen when it ships.

It’s raisedThe item is created from the bill, claim or payment it belongs to.
Check itAmounts are checked against the record before anything goes out.
Settle itPayment is matched and the item closes.

Rules it keeps

What it does not do, by design. A listing with only benefits is an advertisement.

It does not invent a code to make a claim pass — a claim states what the record supports or it does not go.

AI in ClaimsUS

AskQuestions about what is on screen — “What needs attention in ClaimsUS today?” — answered with the records it read.

DraftSummaries and notes for the team, marked as drafts until a person signs.

Every answer shows its sources. Nothing AI writes is saved until a person accepts it.

Questions clinics ask

What does ClaimsUS do?

US claims the way US payers actually take them: X12. The American revenue cycle: eligibility (270/271), prior authorisation (278), claim submission (837) and remittance (835) through a clearinghouse, with denial reasons mapped to fixable causes and the whole journey on one timeline — ClaimsLine’s discipline, in the format US payers require.

What data does ClaimsUS read and write?

ClaimsUS reads encounters, coded charges and writes X12 transactions, claim states, remittances. Its data class is Full PHI. Every app works on the same patient record — nothing is copied into a silo.

What does ClaimsUS deliberately not do?

It does not invent a code to make a claim pass — a claim states what the record supports or it does not go.

What happens to our data if we uninstall ClaimsUS?

Every record stays; only the workflow leaves.

Is ClaimsUS available today?

Not yet — ClaimsUS is in development and cannot be installed. Join the waitlist and we will tell you when it opens.

Where is ClaimsUS offered?

ClaimsUS is offered in United States only: it is built on that market's own systems and rules.

Join the waitlist for ClaimsUS

ClaimsUS is in development and cannot be installed yet. Leave your name and number: the waitlist decides what we build next, and we will tell you when it opens.

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