The codes come from the visit
A coding engine reads the Scribe note and pulls the diagnoses and procedures for the claim: ICD-10 with HCC categories, CPT and HCPCS with units and charges. Everything lands on an editable worksheet where you can search codes, adjust, and confirm before anything goes out.
- Diagnoses and procedures extracted from the note
- ICD-10-CM with HCC category lookup
- CPT and HCPCS with modifiers, units, and charges
- Search and edit codes on a worksheet
A scrub that tells you why
Before the claim leaves, it runs through NCCI edits. The scrubber catches procedure-to-procedure conflicts and medically-unlikely unit counts, and explains each one in plain language with the codes involved and the fix, not a generic reject.
- NCCI procedure-to-procedure (PTP) edits
- Medically Unlikely Edits (MUE) on units
- Bundling and component conflicts flagged with the reason
- Suggested modifier when one applies
See the denial before the payer does
Each claim gets a denial-probability score and a ranked list of fixes: tighten an unspecified diagnosis, drop a bundled code, add a modifier. Every suggestion shows how much it lowers the risk, so you can clean the claim up and generate the CMS-1500 or superbill with confidence.
- Denial probability scored per claim
- AI fixes: increase specificity, remove bundled codes, add modifiers
- Each suggestion shows its estimated impact
- Generate the CMS-1500 claim form and superbill
Questions worth an answer
Where do the codes come from?
A coding engine reads the Scribe note and pulls the diagnoses and procedures for the claim: ICD-10 with HCC categories, and CPT and HCPCS with units and charges. Everything lands on an editable worksheet where you can search codes, adjust, and confirm before anything goes out.
What does the scrubber check?
NCCI edits, before the claim leaves. It catches procedure-to-procedure conflicts and medically-unlikely unit counts, and explains each one in plain language with the codes involved and the fix, rather than returning a generic reject.
What is a denial-probability score?
Each claim gets a score plus a ranked list of fixes: tighten an unspecified diagnosis, drop a bundled code, add a modifier. Every suggestion shows how much it lowers the risk, so you can clean the claim up before submitting rather than after a denial.
What comes out at the end?
A CMS-1500 or a superbill, generated from the confirmed worksheet.
What do claims cost?
$1 per claim submitted, billed monthly on what you actually sent. Corrected resubmissions are free. Whadata never takes a percentage of your collections.
From chart to claim
The claim is built out of the note that documented the visit, then handed to billing.
Get paid for the work you did
Codes from the visit, an NCCI scrub, and a denial score, on a working route from chart to claim.