BillSentry is a Universal Workers' Compensation Bill Review API that integrates seamlessly into any software platform. Price, audit, and manage Workers' Compensation bills with speed and accuracy
Comprehensive tools that modernize every aspect of workers' compensation bill review
Always up to date with the latest fee schedules using our custom AI engine. Instantly reprice medical bills against state fee schedules.
Facility calculations, including Medicare IPPS, OPPS, SNF, IRF, LTCH, and ASC, are fully automated. Apply logic for CPT/HCPCS, modifiers, bundling, and state rules—with complete transparency.
Every pricing decision includes exact rule references. We not only show you how each line should pay, but why—linking directly to official sources like state websites, fee schedule PDFs and spreadsheets, and regulatory citations.
Sample Smart Bill for California.
Use our web-based Bill Editor to review, correct, and validate bills before payment. Helpful for internal QA, provider disputes, or training teams.
Simply want to sign up to review a bill? You can do that, too.
Built for fast integration. JSON-based responses, clear documentation, and support for 837, CMS-1500, UB-04, and more. Ultra-fast bill review means you can get your results in as little as 50ms.
Add QR codes to your Explanation of Review (EOR) documents that let providers instantly see a detailed breakdown explaining in plain English why lines were reduced or denied. This reduces customer service calls and improves transparency.
Sample Smart Bill for California.
Get answers to common questions about BillSentry's API, pricing, and implementation
The API expects and returns JSON. We support compressed JSON and the detailed JSON specifications provided during the integration process.
We currently support 40+ states with full 50-state coverage expected by Q2 2026. Fee schedules are updated as soon as they become available from state authorities.
Tiered pricing based on expected usage. Pricing can be per-bill or volume-based, depending on predicted bill volume. We offer sandbox access for development and testing.
Yes, our platform is built to meet HIPAA’s administrative, physical, and technical safeguard requirements (Such as privacy, security, notifications, and Omnibus rules).
Average API response time is 250ms, with some bills processed in as little as 50 milliseconds. We support both real-time and batch processing.
Yes, we support all provider types, including professional services, facility/hospital services, pharmacy, DME, and more, with comprehensive pricing logic.
At its core, BillSentry is not another bill review system - it’s the universal API that powers them. We handle compliance, fee schedules, and pricing logic so you can focus on your product.
Supports all 50 states (40+ now, 50 by Q2, 2026) and jurisdictional rules
Source-backed audit trail with direct links to regulations and fee schedules
Optional QR-based provider education on EORs reduces disputes and calls
API response times under 1 second with results as fast as 50ms
Built for both automated and manual workflows to fit your process
No hidden fees, no surprises. Our pricing is upfront and accessible to everyone, from startups to enterprise organizations.
Clear pricing tiers based on volume with no complex calculations or hidden costs
Get started immediately with no upfront costs or lengthy contract negotiations
Pricing automatically adjusts as your volume increases, ensuring you always get the best rate
Let us show you how BillSentry can improve your pricing accuracy and reduce manual effort.
Access your bills and get to work.
We work with bill review vendors, claims platforms, and data partners to drive better outcomes together.