How It Works

See exactly how every bill is priced. From start to finish

From identifying risk to reviewing line-level calculations, BillSentry gives both payers and providers complete visibility into every bill.

For Payers → For Providers →

Built for both sides of the bill — with complete transparency at every step.

For payers, this means identifying and stopping overpayments before payment is issued.

FOR PAYERS

Use pricing visibility to stop overpayments

1 IDENTIFY RISK

Catch overpayments before payment

Bills are automatically ranked by potential overpayment, so your team focuses on the highest-impact items first.

💡 $26,000 potential overpayment — review before payment
Payer dashboard showing actionable work queue ranked by potential overpayment
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Once flagged, you can immediately break down the financial impact.
Payer Review Summary showing billed vs allowed amount and savings
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2 QUANTIFY THE IMPACT

See exactly where you’re overpaying, and the total impact

The Review Summary shows what was billed, what’s supported, and exactly how much can be adjusted — instantly.

💡 $1,759 billed → $1,196 allowed → $563 savings
From there, drill into each line to see exactly how the decision was made.
3 UNDERSTAND AND DEFEND

See the exact rule and calculation behind every adjustment

Drill into each service line to see the exact calculation steps, applicable rules, and regulatory source — all from the same screen.

💡 Second procedure reduced to 50% based on CA fee schedule and applicable state rules
Payer service line breakdown showing charge, allowance, and gap for each CPT code
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And every decision is backed by the exact regulatory source.
Regulatory source document open on state website with applicable fee schedule rule highlighted
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4 SEE THE REGULATORY SOURCE

Open the exact regulation behind every decision, with the relevant section highlighted

Every adjustment links directly to the official regulatory source, with the relevant section highlighted, so every decision is fully defensible.

💡 Second procedure reduced to 50% — CA fee schedule §9789.16.5, applicable section highlighted

For providers, the same visibility helps identify where revenue is being missed, and how to recover it before submission.

FOR PROVIDERS

Identify and recover missed revenue

Most providers are underpaid on workers' comp bills and don't have a clear way to validate it. This shows exactly how to identify and fix it.

No PHI required for the initial walkthrough.

1 UNDERBILLING DETECTED

Identify where you’re being underpaid

The revenue dashboard highlights bills where your charges fall below the supported fee schedule value — ranked by opportunity size.

💡 $3K revenue at risk identified on a single bill
Provider dashboard showing bills ranked by missed revenue opportunity
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Once a gap is identified, you can immediately see how much revenue is being missed.
Provider Review Summary showing billed vs fee-schedule-supported value and revenue gap
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2 QUANTIFY MISSED REVENUE

Compare billed charges to supported values and uncover missed revenue

The provider Review Summary shows your billed amount, the fee schedule supported value, and the exact gap — so you know exactly what to fix.

Billed $12,399 → Supported $15,065 → $2,666 missed
From there, you can drill into each line to understand exactly why.
3 UNDERSTAND WHY

See exactly why payment was capped, and what to change

The Missed Revenue Breakdown panel explains the full calculation, including why the fee schedule supports a higher value and what's limiting the final payment.

💡 Fee schedule allows higher value, but payment limited to billed amount
Provider line detail showing missed revenue breakdown and full calculation explanation
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Provider line detail showing missed revenue breakdown and full calculation explanation
⊕ Click to expand
4 FIX IT BEFORE SUBMISSION

Adjust charges before submission to avoid underpayment

See each service line's charge, allowance, and gap side by side. Clear guidance tells you exactly what to change and why — before the bill goes out.

💡 Clear guidance on what to change and why

See exactly how your bills are being priced

Run your first bill in minutes and see exactly what's happening at every level.

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