Reduce medical spend, automate adjudication, and defend every pricing decision with real-time fee schedules and transparent documentation.
Process bills in under 250ms, eliminate black-box pricing, and reduce disputes with transparent RuleTrace™ documentation.
BillSentry automatically applies current state fee schedules and adjudication logic. When a bill is overbilled or coded incorrectly, you see it instantly — along with the exact rule and source used to support the reduction.
Every reduction includes regulatory citations, fee schedule references, and links to official sources. Adjusters can respond to provider disputes in minutes instead of hours or even days.
Integrate BillSentry into your existing claims platform with no process disruption, no retraining, and no costly system replacement.
BillSentry RuleTrace™ lets you share transparent pricing reports directly with providers. Simply add a QR code to your EOR, and providers can see how their bill was priced — the fee schedule applied, the rule cited, and the official source. Disputes decrease, and resolution time improves.
View a Sample RuleTrace™ Report Enter $42,150.11 to validate
Disputes decrease, resolution time improves, and administrative costs drop.
Real-time fee schedule updates across 42+ states (50 by Q3 2026)
Professional and facility adjudication (IPPS, OPPS, ASC, SNF, IRF, LTCH)
OWCP / federal workers' comp support
RuleTrace™ reports via shareable link or QR code
Portfolio analytics via BillSentry Insights
HIPAA-compliant architecture
Supports 837, CMS-1500, UB-04, and JSON
Built for payer scale (high-volume processing)
Built from the ground up — not patched onto decade-old infrastructure. Fast, reliable, and continuously updated.
Every pricing decision references the exact rule, source, and regulatory citation. Adjusters always know how a bill was priced and why.
Average bill review completes in under 250ms. High-volume operations get results in real time without batch delays.
Use the interactive Analyzer for manual review, or integrate via the REST API for fully automated processing — or both.
Attach a link or QR code to your EOR so providers can instantly see how their bill was priced. Fewer disputes, faster resolution.