Batch claim processing
Batch BX-2026-08-04 — 4,820 lab claims run against payer policy and billing guidelines
Done-for-you operations
The engine runs the batch. Lab billing experts only touch the exceptions.
Every claim is adjudicated against eligibility, CMS edits, payer medical policy and the contracted fee schedule before it leaves the building — no manual queue-clicking.
Processing batch…
0 / 4,820 claims · 0%
Auto-cleared by policy
0
Routed to specialist
0
Touchless rate
0.0%
Charge value processed
$0.00
Policy & billing rules applied
Each claim is checked against the same published rule set, in order.
ELG-01 Eligibility & coverage verified
0 cleared
Payer 271 response + plan benefit file
CDE-04 CPT / ICD pairing validated
0 cleared
CMS NCD/LCD medical necessity edits
NCC-07 NCCI & MUE edits cleared
0 cleared
CMS NCCI PTP + MUE quarterly file
MOD-02 Modifier logic applied
0 cleared
Payer billing guideline (modifier 59/91/QW)
AUT-03 Prior-auth requirement checked
0 cleared
Payer medical policy registry
FEE-05 Fee schedule & CLFS pricing
0 cleared
Medicare CLFS + contracted rate table
Live engine activity
Audit trail recording- Warming up the engine…
Human-in-the-loop exception queue
Only claims where policy leaves room for judgment reach a lab billing specialist — 0 of 4,820 this run.
| Claim | Payer / CPT | Amount | Why it stopped | Type | Owner / SLA | Open |
|---|---|---|---|---|---|---|
| No exceptions raised yet — the engine is still clearing on policy. | ||||||