For Technology Partners

Bill Review Infrastructure for Technology Partners

Embed workers' compensation fee schedule pricing and defensible RuleTrace documentation directly into your platform. No bill review engine to build, no rules to maintain. Your product, your workflow, your customer experience stay.

BillSentry is not all-or-nothing. Start with one state, one workflow, or one use case. Expand as needed.

View Developer Guide →

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

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

The Problem

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.

Even teams that have built bill review before tend to find the ongoing maintenance is the bigger cost, not the initial build.

Integrate once. We handle the rules, the regulations, and the maintenance forever.

Launch bill review without becoming a bill review company

Add bill review pricing capability without diverting engineering resources from your core product.

✓

Launch faster

Weeks of integration work instead of years of internal builds.

✓

Reduce engineering cost

Stop spending your best engineers on fee schedule maintenance.

✓

Avoid regulatory maintenance

Jurisdictional changes are our problem, not yours.

✓

Provide defensible outcomes

Every result comes with the math behind it.

✓

Keep your platform in control

Your product, your workflow, your customer experience. We're invisible until you want us not to be.

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.

→ Use BillSentry for all bills or only where you need it.

Integrate BillSentry your way

Use BillSentry alongside your existing logic, or expand coverage instantly, without rebuilding your platform.

1

Expand state coverage instantly

Already support a few states? Cover the rest without rebuilding what already works.

  • Keep your existing pricing logic for CA, NY, etc.
  • Use BillSentry for all other jurisdictions
  • Gradually transition over time. Or don't.

No rewrite required

2

Fill gaps in complex billing scenarios

Handle edge cases without building more logic.

  • Out-of-state bills
  • Facility vs professional edge cases
  • Rare or changing fee schedules

Use BillSentry only where your system falls short

3

Full pricing engine replacement (when ready)

Replace internal pricing logic with a single API.

  • Submit bill → get pricing + RuleTrace
  • Eliminate rule maintenance entirely
  • Reduce engineering + compliance overhead

Move from partial → full adoption on your timeline

4

Embed RuleTrace™ directly into your product

Show your users the math.

  • Display RuleTrace inside your UI
  • Share via link or QR code
  • White-label to match your product
View embedded example →

Add pricing transparency without building it yourself

BillSentry is not all-or-nothing.
Start with one state, one workflow, or one use case. Expand as needed.

Embed RuleTrace™ directly into your product

Show exactly how pricing decisions were made, inside your UI, not a separate system.

What your users see:

  • Fully white-labeled to match your product
  • Line-by-line pricing with rule logic
  • Built for internal workflows and adjusters

What RuleTrace™ actually shows:

  • Fee schedule logic used
  • Step-by-step calculation breakdown
  • Rule citations and regulatory references
  • Clear explanations for every reduction

Everything needed to validate, defend, or dispute the outcome without digging through systems.

Delivered via API — no separate system:

  • Render directly from API response (JSON)
  • Or embed via secure iframe
  • No additional login required
View Live Embedded Example →

Example: Embedded inside a claims platform

RuleTrace™ embedded inside a claims management platform

Rendered via API response or secure iframe and no separate login required

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, not years
  • ✓ Rules and fee schedules maintained for you
  • ✓ Regulatory changes handled before they hit your code
  • ✓ RuleTrace documentation built in
  • ✓ Your engineers stay focused on your core product

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

Walk through your architecture together before any code gets written.

2

Sandbox provisioning

Full sandbox, real fee schedule data, no production traffic required.

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.

View Developer Guide →

Plan your integration with 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 see how BillSentry fits your platform.