Pre-submission claims intelligence

Stop losing revenue to preventable denials

PreClaim audits every claim before it reaches the payer. We catch the coding errors, missing modifiers, and payer-specific violations that trigger denials, so your practice gets paid the first time.

Audit a Claim Now → See How It Works

17%

Average claim denial rate across Medicare Advantage

65%

Of denied claims are never resubmitted. Gone forever.

$5.9B

Denial management market by 2027. The problem is enormous.

The denial problem isn't going away. It's accelerating.

Insurance companies are using AI to review and deny claims faster than ever. Post-payment audits are clawing back money that was already approved. And small practices are absorbing the hit because enterprise audit tools cost $50K+ a year.

Every denied claim costs $25 to $181 just to rework. Most never get reworked at all. That's not a billing problem. That's a business survival problem.

Without PreClaim

Claim submitted with wrong modifier

Day 14

Payer denies claim. Staff doesn't notice for weeks.

Day 45

Denial discovered. Appeal window closing.

Day 90+

Written off. Revenue lost permanently.

With PreClaim

Modifier error flagged before submission. Fixed in 30 seconds. Claim paid first time.

How PreClaim works

Upload or connect

Feed claims from your practice management system or upload batch files. We integrate with the tools you already use.

Audit instantly

Every claim is checked against payer-specific rules, CMS guidelines, modifier logic, bundling edits, and documentation requirements. Errors are flagged before submission.

Submit clean

Fix flagged issues in seconds, not days. Submit claims that pass the first time. Watch your denial rate drop and cash flow stabilize.

Billing companies react. PreClaim prevents.

Most billing services chase denials after they happen. We stop them from happening at all.

Traditional billing

Submits claims, then fights denials after the fact

Manual review catches some errors, misses many

Revenue recovery takes 45-90+ days per denied claim

Payer rule updates lag behind, causing new denials

PreClaim

✓

Audits every claim before submission, preventing denials entirely

✓

Automated checks against payer-specific rules and CMS guidelines

✓

Clean claims paid on first submission. Faster cash flow.

✓

Continuously updated rules engine adapts to payer changes

Every claim you submit should get paid.
That's not aspirational. That's the standard.

PreClaim is building the future of medical billing, where denials are the exception, not the cost of doing business.

Start Auditing Claims →