Protect Revenue

Billing Pre-Check — Stop Denials Before You Submit

Twelve deterministic denial rules check authorization, units, staff compliance, client files, duplicates, supervision ratios, and modifiers — before the payer sees your claim.

No credit card · First analysis in under 2 minutes

Problems Assure Solves

Denials discovered weeks later

Authorization expired, staff file incomplete, or duplicate claim — denials cost cash flow and staff time to rework.

Manual pre-bill review does not scale

Checking every claim against staff credentials, client authorizations, and ratios by hand breaks down as volume grows.

Post-payment audits

Ratio violations and missing service plans trigger takebacks. Assure flags issues at submission time.

Analyze · Operate · Protect

Protect

12 Denial Rules Engine

Authorization exists, not expired, units available, service date in range, staff compliant, background study on file, client compliant, service plan on file, valid billing code, no duplicate, ratio met, modifier present.

Operate

Connected Staff & Client Data

Pre-check pulls from your onboarding records, authorizations, and ratio monitor — not a disconnected billing tool.

Analyze

Document AI Backing

Staff certs and client plans analyzed by AI feed into compliance status used by the billing engine.

Recommended: Professional — $674/mo with full Protect features

Frequently Asked Questions

Which plan includes billing pre-check?

Billing pre-check is included in the Professional plan ($674/mo) and Enterprise. It requires staff, client, and authorization data from Operate features (Starter+).

Is billing pre-check AI or rules-based?

The pre-submission validation engine is deterministic — 12 explicit rules with pass, fail, warn, and remediation messages. Document analysis uses AI; billing validation uses rules and your operational data.

Can I get a walkthrough for my agency?

Yes. Request an enterprise assessment and we will review your billing workflow, denial patterns, and recommend the right plan.

Ready to try Assure?

Upload your first document and get AI analysis with regulation citations in under 2 minutes.

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