add-healthcare-revenue-integritylisted

Everything between a practice's claim and a payer's adjudication is people today: the receptionist reading the eligibility screen, the coder who remembers which plan routes a behavioral diagnosis to a different benefit, the physician on hold with the payer. The Healthcare Revenue Integrity Launch Kit is the machinery for that layer, so the builder's product can be it. ## Diagnose Ask, and read the code for the answers: - Where do claims come from today: a practice management export, a clearinghouse, raw 837 files, or nothing yet? - Does the product see eligibility answers (271) and remittances (835), or only the claim going out? - What surprised the practice last: a rejection, a claim paid to the deductible instead of the copay, a specimen sent to a laboratory the plan did not cover? - Is any patient data in the product real, or is the builder still on synthetic data? This decides the key and the mode. ## Fit, and not for **Fit:** software for a medical practice, a concierge or direct primary care clinic, a specialty practice, a billing platform or a patient billing experience that needs coverage, claim, payer routing and remittance intelligence without building a billing stack. **Not for:** an electronic medical record, a clearinghouse, a clinical diagnosis engine, or any request to choose codes so a claim pays more. The engine proposes only documentation-supported corrections, never removes a truthful diagnosis, and routes every coding judgment to a person. It never p