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Use case

Medical Invoice Advisor: medical billing checked in seconds — with evidence

A CON file from the practice software is ingested and every code reconciled against ICD-10-GM, EBM and GOÄ plus plausibility and multiplier rules. The agent surfaces recoupment risks and unbilled potential in seconds — every finding evidenced with code and statute. Anonymized demo data.

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12 sec
review instead of ~3 h of manual plausibility checking
ICD·EBM·GOÄ
reconciled against three catalogs plus plausibility
100%
findings evidenced with code and statute
Demo in German, English and Spanish
The starting point

Manually checking a billing run for plausibility against ICD-10-GM, EBM and GOÄ takes around three hours. Missed errors lead to recoupment, missed potential to forgone fees.

How it works
1

Ingest the CON file

The CON file from the practice software is ingested.

2

Reconciled against three catalogs

Every code is reconciled against ICD-10-GM, EBM and GOÄ plus plausibility and multiplier rules.

3

Risks and potential evidenced

Recoupment risks and unbilled potential are surfaced — every finding with code and statute.

The outcome
12 sec
review instead of ~3 h of manual plausibility checking
ICD·EBM·GOÄ
reconciled against three catalogs plus plausibility
100%
findings evidenced with code and statute
Grounded in

Grounded in ICD-10-GM, EBM and GOÄ plus plausibility and multiplier rules. Anonymized demo data.

Book a demo

See it on your own use case.

30 minutes, scoped to your industry, frameworks and integrations. You leave with a concrete scenario — not a sales loop.