BillSentry helps providers Identify missed reimbursement, validate fee schedule pricing, and understand exactly how payers calculate reductions — so you reduce denials and maximize appropriate reimbursement.
BillSentry Analyzer shows how your bill will be priced under state fee schedules before you send it. Identify missed revenue opportunities, correct coding issues early, and submit with confidence — instead of discovering problems after the fact.
BillSentry RuleTrace™ reports show exactly how your bills are priced — including fee schedule logic, calculations, and rule citations. You get a clear explanation instead of a reduction with no context.
When a reduction occurs, you can see the exact rule and calculation used to support it. Billing teams can respond quickly and professionally with the same documentation the payer used — making disputes shorter and outcomes clearer.
BillSentry helps providers identify:
Services rendered but not captured in the bill
Code pairings that reduce reimbursement unnecessarily
Lines priced below what the applicable schedule allows
Jurisdictional rules and modifiers that affect your reimbursement
The result: billing teams that submit more accurate bills, recover more appropriate reimbursement, and spend less time on disputes.
Used by:
Independent pricing validation for providers.
Providers do not need their payer to use BillSentry to benefit from it.
Use Analyzer to validate your own billing against state fee schedules, understand how your bills will price before submission, and build the documentation you need to challenge reductions — regardless of what system your payer is using.
Pre-submission fee schedule validation across 42+ states
Identify underpriced or miscoded services before submission
Line-by-line rule breakdowns with exact fee schedule logic
RuleTrace™ reports via shareable link or QR code
Direct links to official state sources and regulatory citations
Plain-English pricing explanations for any bill type
Professional and facility bill support
Identify missed reimbursement opportunities before submission
BillSentry helps you see reimbursement trends and pricing patterns across your billing activity so you can better understand where reductions occur.
Example: BillSentry Insights dashboard (sample data)
Run your bill through BillSentry Analyzer to see how it prices under the applicable state fee schedule.
Find underbilled services, incorrect code combinations, and modifiers that affect your allowed amount.
Correct issues before submission so your bill is coded accurately and priced to the maximum appropriate reimbursement.
When a payer reduces your bill, use BillSentry RuleTrace™ to understand exactly how it was priced — and build a documented, professional appeal.