Complete claim files, built from the bill and not from memory.
Turn the final bill into a claim file with every required document attached, arranged to the insurer's or TPA's checklist and ready to submit the day the patient leaves.
What Claim Builder does for your team.
Payer-specific checklists
Each insurer, TPA and corporate payer has its own document list. The claim file shows what is attached, what is missing and what is optional.
Payable and non-payable split
The final bill is split into payable and non-payable items, so the patient's share is settled at the counter and not disputed weeks later.
Implant and pharmacy invoices
Implant invoices are matched with sticker copies, batch numbers and the pre-auth approval, the most common gap in surgical claims.
Coding queue for staff
Discharge summaries without ICD-10 or procedure codes go to a coding queue where your trained staff add or approve the codes.
One indexed claim bundle
Documents are merged into a single file in the order the payer expects, with an index page the claim processor can follow.
Submission log
Portal uploads, emails and courier dispatches are logged with date, docket number and acknowledgement, so nothing is lost in transit.
Four steps at this desk.
Pull the bill
The final bill and approvals arrive from your HIS and the Pre-Auth Desk.
Attach
Discharge summary, reports, invoices and claim forms are attached to the checklist.
Review and code
Coding is completed by staff and the AI Denial Predictor reviews the file.
Submit
The claim goes out and moves to the Collections Tracker.
Documents tracked on every claim file
These are built into the desk, so they are checked on every case and not only when someone remembers.
- Claim form Part A and Part B, signed
- Discharge summary with diagnosis and codes
- Final bill, breakup and payment receipts
- Investigation reports and prescriptions
- Implant invoice with sticker copy
- Pre-auth and enhancement approval letters
The claim moves on.
Every folder stamped settled before you lock the door.
Show us last month's claims. We will run them through AyyanRCM with your team and show you which ones would have been flagged, and how much would have come back.