For Payers & TPAs
Reduce medical spend, eliminate disputes, and back every pricing decision with clear, defensible logic, in real time.
Process bills in under 250ms. Eliminate black-box pricing. Resolve disputes with clear, defensible explanations.
Decisions can't be clearly explained
Customer service → compliance → engineering → customer serviceDisputes get passed across teams
Adjusters rely on incomplete or inconsistent data
Too much time spent justifying decisions instead of moving claims forward
Overpayments go unnoticed and accumulate
If you can't explain the bill, you don't control the outcome.
You're not just reviewing bills. You're defending decisions.
And most systems don't give you what you need to do that.
View a Sample RuleTrace™ Report Enter $42,150.11 to validate
See incorrect coding, fee schedule issues, and pricing errors in real time before payments are issued.
No more “why did this pay this way?”
Every reduction includes regulatory citations, fee schedule references, and links to official sources.
Adjusters can respond to provider disputes in minutes, not days.
View a Sample RuleTrace™ Report Enter $42,150.11 to validate
Plug BillSentry into your existing claims workflow. No retraining, no system replacement, no disruption.
BillSentry RuleTrace™ gives providers a clear explanation of how their bill was priced, before they need to ask.
Add a QR code to your EOR so providers can instantly see exactly how their bill was priced:
View a Sample RuleTrace™ Report Enter $42,150.11 to validate
Fewer disputes. Faster resolution. Lower administrative cost.
Preview the full RuleTrace™ explanation before sending your EOR.
Include a RuleTrace™ ID on your Explanation of Review (EOR) so providers can look up their bill instantly.
Built from the ground up, not patched onto decades-old infrastructure. Fast, reliable, and continuously updated.
Every pricing decision references the exact rule, source, and regulatory citation. So adjusters always know how and why a bill was priced.
Average bill review completes in under 250ms, even at scale. No queues. No delays.
Use the Analyzer for manual review, integrate via REST API for automation, or run both side-by-side.
Attach a link or QR code to your EOR so providers can instantly see how their bill was priced, reducing disputes before they start.
Less time defending decisions. More time moving claims forward.