For Technology Partners

Bill Review Infrastructure for Technology Partners

Embed workers' compensation fee schedule pricing, reimbursement logic, and defensible RuleTrace™ documentation directly into your platform — without building a bill review engine internally.

Add bill review capability to your product while keeping your existing workflows, UI, and customer experience intact.

Used by payers, TPAs, and technology partners to power bill review decisions.

Launch in weeks No regulatory maintenance Sub-second responses Built-in documentation

Building bill review internally is harder than it looks

Adding workers' compensation bill review capability requires much more than a pricing calculation. Platforms must manage jurisdictional fee schedules, reimbursement logic, regulatory updates, and documentation requirements that change over time.

Most teams underestimate the ongoing engineering and compliance effort required to maintain this capability.

BillSentry allows platforms to add bill review functionality through a single integration while we handle pricing logic and rule maintenance behind the scenes.

Launch bill review without becoming a bill review company

Technology partners choose BillSentry because it allows them to add pricing capability without diverting engineering resources from their core product.

Launch faster

Add bill review capability in weeks, not years, of development.

Reduce engineering cost

Avoid building and maintaining a specialized pricing and reimbursement engine.

Avoid regulatory maintenance

BillSentry maintains fee schedules and pricing logic so your team does not need to track jurisdictional changes.

Provide defensible outcomes

Every pricing result can include RuleTrace™ documentation showing how the outcome was calculated.

Keep your platform in control

BillSentry integrates into your workflow rather than replacing it, allowing you to maintain your product experience.

Where BillSentry fits into your platform

BillSentry is commonly integrated into:

Claims administration platforms
Bill review systems
Clearinghouses
Cost containment platforms
TPA software
Provider audit solutions

Typical integration flow

1

Your platform submits bill data

2

BillSentry returns pricing and documentation

3

Your workflow continues unchanged

BillSentry serves as the infrastructure behind your platform — not a separate system your users must access.

Built-in pricing transparency with RuleTrace™

Most pricing engines return only an allowed amount.

BillSentry also provides RuleTrace™ documentation that explains:

  • Fee schedule logic used
  • Calculation steps
  • Rule citations
  • Reduction explanations

This allows your platform to provide clear, defensible explanations without building additional reporting or documentation tools.

View a Sample RuleTrace™ Report Enter $42,150.11 to validate

Built API-first

The BillSentry Analyzer application runs on the same API that our platform partners use. There are no separate internal pricing engines or hidden logic paths.

This ensures:

  • Consistent pricing results
  • Stable integration behavior
  • Predictable performance
  • Continuous improvements available to partners

Built for production workflows

BillSentry is designed for real-time operational use. Typical bill review response times are under 250ms.

Secure tenant isolation

Scalable workloads

Reliable processing

Secure data transmission

Technical implementation details are available in our developer documentation.

Platform capabilities available through BillSentry

Multi-state workers' comp fee schedule pricing
Professional and facility bill review
Reduction logic support
Real-time bill review responses
RuleTrace™ documentation
Workflow integration support

BillSentry continues to expand jurisdiction coverage and pricing logic as part of the platform.

Build vs. Partner

Building internally

  • Significant engineering investment
  • Ongoing rule maintenance
  • Regulatory tracking responsibility
  • Documentation tooling required
  • Long time to market

Using BillSentry

  • Weeks to integrate
  • Rules maintained for you
  • Built-in pricing transparency
  • Predictable implementation effort
  • Faster time to market

BillSentry allows your team to focus on your core product while we handle bill review infrastructure.

Getting started with BillSentry

Our typical onboarding process includes:

1

Technical integration discussion

We review your architecture and discuss integration requirements before any code is written.

2

Sandbox provisioning

Access a full sandbox environment for development and testing against real fee schedule data.

3

Integration testing

Validate results, test edge cases, and confirm your integration behaves as expected end-to-end.

4

Production rollout

Go live with direct support from the BillSentry engineering team throughout the process.

Our engineering team works directly with partners during integration to ensure a smooth implementation.

Talk to our engineering team

If you are evaluating how to add bill review capability to your platform, we are happy to review your architecture and discuss integration options.

Schedule a technical discussion to explore how BillSentry could support your platform.