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Clinical notes in, validated claims out

An AI agent that reads clinical documentation, assigns codes against a 72,616-entry database, and validates every CMS rule. You get a submission-ready claim in around 30 seconds.

firstclaim.app
FC-20260213-00142 risk
$327.00 total
99214Office visit, est. patient$148
11102Tangential biopsy, skin$112
11103Tangential bx, addl lesion$67
PTP edit: 99214 + 11102

NCCI bundling conflict. Modifier 25 required on E/M to indicate separately identifiable service.

Conversation
99214 and 11102 have an NCCI conflict. Adding modifier 25 to the E/M resolves this. Should I apply it?
Yes, add modifier 25
Done. Added 25 to 99214. Finding resolved. Risk: 42 → 18.
Ask about the claim...

Five stages, around thirty seconds

The pipeline runs autonomously. You get a validated claim and a conversation to refine it.

01

Read

Extracts billable diagnoses and procedures from SOAP notes, clinical summaries, or free text.

02

Code

Verifies ICD-10 and CPT codes against the full database. Calculates E/M levels from documented MDM and time.

03

Build

Assembles a structured claim with line items, modifiers, units, and linked diagnoses.

04

Validate

Checks PTP edits, MUE limits, age/sex rules, and modifier requirements. Every claim, automatically.

05

Refine

You challenge a finding or swap a code. The claim updates and re-validates in real time.

A purpose-built agent that treats medical billing as a systematic discipline, not a language task

Deterministic compliance

Runs PTP edits, MUE limits, age/sex rules, modifier requirements, and ICD-10 specificity checks on every claim. Citations to CMS sources, not confidence scores.

Codes looked up, not generated

72,616 ICD-10 codes verified against a real Postgres database. Every code checked for billability, specificity, and demographic rules before it reaches the claim.

Conversational refinement

Challenge a finding, add a procedure, swap a code. The claim updates, re-validates, and shows you the delta. It pushes back when you’re wrong.

Revenue impact, quantified

Risk score 0–100 tied to Medicare fee schedule rates. You see the dollar amount at stake for each unresolved finding.

Documentation gap analysis

When clinical complexity suggests higher-level billing, FirstClaim identifies the gap between work performed and what was documented. Concrete templates, no fabrication.

Honest guardrails

Refuses to write clinical language or help backdate documentation. Warns about audit risk. The agent has opinions and will share them.

Get it right the first time

No enterprise contract. No months of setup. Just paste clinical notes and get a validated, submission-ready claim.