Universal Workers' Compensation
Bill Review

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

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50 States Supported *
<250ms Response Time
24/7 API Availability

Built for Developers, Payers, TPAs & Platforms

Comprehensive tools that modernize every aspect of workers' compensation bill review

Real-Time Fee Schedule Pricing

Always up to date with the latest fee schedules using our custom AI engine. Instantly reprice medical bills against state fee schedules.

  • Custom AI-powered updates
  • State fee schedule compliance
  • State rules and regulations relevant to each code
  • Extensive historical pricing
  • Bill-level facility values are fully supported

Line-by-Line Adjudication Engine

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.

  • Automated facility calculations
  • Medicare compliance (IPPS, OPPS, SNF, IRF, LTCH, ASC)
  • Federal Workers' Compensation (OWCP)
  • CPT/HCPCS processing
  • Support for all providers, including professional and facility
  • 40+ states, 50 coming soon

Fully Defensible Bill Review

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.

  • Exact rule references
  • Official source links
  • Regulatory citations
  • Complete audit trail

Editable Bill Viewer

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.

  • Web-based editing interface
  • Real-time validation
  • QA workflow support
  • Training capabilities

Developer-First API

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 1ms.

  • JSON-based responses
  • Clear documentation
  • Multiple format support
  • Sub-millisecond performance

Smart EORs with QR Codes

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.

  • Optional QR code integration
  • Instant provider access
  • Reduced service calls
  • Enhanced transparency

Smart Bill

Click the section headers to expand or collapse details, and follow the links to access relevant regulations.

Why Teams Choose BillSentry

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.

Complete State Coverage

Supports all 50 states (40+ now, 50 by Q1, 2026) and jurisdictional rules

Transparent Audit Trail

Source-backed audit trail with direct links to regulations and fee schedules

Provider Education

Optional QR-based provider education on EORs reduces disputes and calls

Lightning Fast

API response times under 1 second with results as fast as 1ms

Flexible Workflows

Built for both automated and manual workflows to fit your process

See It In Action

Let us show you how BillSentry can improve your pricing accuracy and reduce manual effort.

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Partner With Us

We work with bill review vendors, claims platforms, and data partners to drive better outcomes together.