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Next-Gen

Claims & Billing

Xoodoc Clean Claim Automation

Fewer rejections, faster payments. Xoodoc AI checks rules, fixes coding and data gaps, attaches proofs, and submits clean claims—end-to-end and fully compliant.

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Agent running: Xoodoc Clean Claim AI
  1. Claim & patient verified. Encounter, provider, and patient matched; charge lines and codes ingested for scrubbing. 6.3 seconds
  2. Eligibility & demographics validated. Active plan confirmed; COB, PCP, and subscriber data normalized and corrected. 11.9 seconds
  3. Edits & policy checks applied. NCCI/OCE/LCD–NCD and payer rules evaluated; auth/referral requirements and coverage limits checked. 15.4 seconds
  4. Gaps resolved. Missing modifiers, units, diagnosis links, and required clinicals requested and auto-filled where available. 18.7 seconds
  5. Clean claim generated. 837P/837I packet built with payer-specific routing; scrub preview and audit notes produced. 22.2 seconds
  6. Submission & acknowledgments tracked. 999/277CA and rejection loops monitored; fixes re-queued automatically and status synced to the EHR/billing system. Completed

Built for Clean Claim Automation

Xoodoc AI validates every claim before submission—eligibility, demographics, codes/modifiers, units, and payer/NCCI/OCE/LCD edits. It auto-fills missing fields, attaches required clinicals, and exports EDI-ready files while tracking ACKs, ERAs, and rejections back to your EHR.

Xoodoc AI Agents

Xoodoc Clean Claims AI

The Xoodoc Clean Claim Automation Platform AI

Automate claim scrubbing and submission — validate eligibility, coverage, and coding before transmit, surface preventable rejections, and ensure first-pass acceptance with EHR-integrated AI.

Clean Claim AI Agent

Clean Claim AI Agent

Reads claim and encounter context in seconds — validates plan, provider, demographics, and charge-level accuracy before submission.

Edits & Policy Checks

Edits & Policy Checks

Applies payer edits, NCCI/OCE, LCD/NCD, and auth rules — flags missing modifiers, diagnosis links, coverage conflicts, and documentation gaps.

Pre-Submission Fixes

Pre-Submission Fixes

Auto-prepares corrections with clear reasoning, requests missing clinicals when needed, and generates a clean claim packet for first-pass payment.

EHR Connectivity

EHR Connectivity

Clean claims and acknowledgments (999/277CA) sync back to your billing/EHR system with a full audit trail and tracking.
Let AI Proof Your Claims in Seconds
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