Now onboarding founding clinics in Frederick County, MD

Stop hand-keying
insurance payments.
Every number verified.

Reads the remittances that come with each insurance check, reconciles them, and explains denials — with a person reviewing before anything posts.

Book a Walkthrough See how it works
Built and supported locally in Frederick County, Maryland
Designed for HIPAA-regulated practices
Business Associate Agreement with every client
Human review before anything is posted
No patient database — your downloads are your records
THE REALITY FOR SMALL CLINICS

Insurance checks arrive on paper.
Reconciling them shouldn't take your afternoon.

Paper checks, stacks of remittances, someone adding it all up by hand. Every week.

Hours wasted every week

Reading, matching, re-adding — every check, every week.

Quiet mistakes

A misread amount, a claim cut off at a page break, a denial nobody decoded.

Fragile process

When one person holds the process, an absence becomes a backlog.

6-STEP PROCESS

How TriageDesk AI works

Six steps. One check. Every number checked twice.

Want to see it live? Book a walkthrough →
1
Input

Scan the remittance, enter the check. Multi-patient, multi-page, fax or photo.

2
AI Extraction

Every claim read: patient, claim number, dates, paid, owed, remark codes. Under a Google Cloud BAA.

3
Self-Check

Claims are summed against the document's own stated total. A mismatch or a missing page stops you before posting.

4
Reconciliation

Balanced, check exceeds EOBs, or EOBs exceed the check — flagged with the likely cause.

5
Denial Review

Every $0 claim explained in plain English, using the payer's own printed definitions.

6
Verified Output

A review-ready file your staff posts. Nothing written automatically. Every action logged.

Design principle: Human-in-the-loop. Always. The tool reads, checks, and explains — your clinic decides.
SEE IT IN ACTION

Upload. Verify. Post.

One check, start to finish. Synthetic sample data.

TriageDesk step 1: a scanned check pre-fills the check number, amount and date; the multi-patient remittance is uploaded as one PDF
1 · Upload the check and its remittance

The check scan pre-fills the fields; the remittance goes in as one file.

TriageDesk step 2: per-patient breakdown of five claims, totals that balance to the check, and denial codes explained in plain English
2 · Every claim, checked against the check

Every claim, the totals checked against the check, denials explained.

TriageDesk step 3: the downloaded CSV opened in a spreadsheet, one row per claim plus check number, totals, gap and status
3 · Your file, your record

A CSV in your posting order, plus a patient-balance summary. Yours, not ours.

PHASE 1 — INCLUDED TODAY

Everything needed to replace manual reconciliation

Focused scope. High impact. Built for the exact pain points small clinics face every week.

Multi-Patient Remittance Reading

Many patients per document, claims across pages, scanned or faxed.

Check-to-Document Reconciliation

Totals checked against the check and the document's own stated total.

Denial Explanations ★ PRIORITY

Every $0 claim explained using the payer's printed definitions.

Clean CSV Export

A file in your posting order, plus a patient-balance summary. Nothing auto-posted.

Multi-User Access & Audit

Every staff member signs in as themselves. Every action is theirs.

Security-First Architecture

Encryption, identity-gated access, roles, and logging — before any patient data.

No patient database. Documents are processed in the moment; your downloads are the record.
MEASURE IT, DON'T GUESS

We measure your baseline
before you pay anything.

A 30-day evaluation on your real workflow. We measure your time and your denials. Nothing is due unless you continue.

Talk to us about your workflow
30 days
Evaluation on your real workflow before any fee is due
$0
Owed if you exit at the end of the evaluation
Every check
Reconciled and verified against the document's own stated total
Results depend on claim volume and payer mix — so we measure instead of project.
WHO IT'S FOR

Small practices — and the billing
offices that post for them.

WHO WE BUILT THIS FOR

Small practices reconciling insurance payments by hand

Chiropractic, physical therapy, and specialty clinics in Frederick County, Maryland

  • Paper checks and multi-patient remittances arriving weekly
  • No electronic remittance in use
  • A practice management system you post into manually
  • Primary admin + 1–2 backup staff

Perfect fit if you…

  • → Receive paper checks with attached remittances or EOBs
  • → Post payments manually today, in ECLIPSE or any similar system
  • → Want denial explanations without hiring a full billing service
  • → Have 2–5 providers and want predictable monthly costs
  • → Value local support and a narrow, well-executed scope
Not a billing service. Claim submission, appeals, follow-up, and AR stay with your team or your billing partner.
FOR BILLING OPERATIONS

Post for several practices? This is where the hours go.

Paper remittances are your biggest fixed cost per check. We take the reading and arithmetic; your team keeps the judgment.

One subcontractor BAA covers every practice you bring. One contract, one invoice. Your practices never pay us.

  • → One login, every client separate. Each practice in its own workspace; staff see only their clients.
  • → Matches each client's system. Export in each practice's posting order.
  • → The math is already verified. Totals checked against the check and the document itself; fragments and page-break claims caught.
  • → Claim submission, appeals, and follow-up stay yours. On purpose. We make the posting part fast.
  • → Built around your operation. Layouts and payer quirks adjusted in days, by the person who built it.
TRANSPARENT PRICING

Simple, predictable pricing.
Nothing due until you continue.

30-day evaluation first. Exit and owe nothing.

ONE-TIME
$3,500
Setup fee — due only if you continue after the evaluation
Full configuration & validation
Staff training on TriageDesk (primary + backups)
Encrypted cloud deployment
Covers up to two locations
$1,000 / month
Billed monthly • Term and cancellation per your Service Agreement
Reconciliation for your full check volume
Multi-user access + audit logs
Hosting, monitoring & updates
Ongoing support & improvements
Isolated environment per clinic
No patient data stored at rest
Up to 5% annual increase after Year 1 (60 days notice). Referral credit: $200 one-month credit when you refer a signing clinic.
FOR BILLING OPERATIONS
$350 / practice / month
Flat. No percentage of collections, no per-user fees. Three-practice minimum.
$3,500 account setup — any number of practices, due only if you continue after the 30-day evaluation.
150 remittances per practice per month, pooled across your account
Each practice in its own workspace, staff assigned per client
One subcontractor BAA covering every practice you bring
Add or remove practices any month
No patient data stored at rest

Practice rate for 2–5 provider clinics; billing-office plans sized to volume. Confirmed after a short call.

Built with compliance at the core

A BAA with every client, a Google Cloud BAA behind the processing, and no patient data at rest — validated before the first client.

Safeguards designed for HIPAA
Business Associate Agreement
Encryption & access logging at launch
No patient database

Frequently asked questions

Is TriageDesk a full replacement for my billing service?
No. We do the reconciliation — reading, matching, math, and denial explanations. Submission, appeals, patient billing, and AR stay with your team or your billing partner.
Do you write anything to my practice management system?
No. You get a file your staff reviews and posts. No integration, no automatic posting — nothing reaches a ledger without a person deciding it should.
Do you store our patient data?
No. Documents are processed in the moment; nothing is kept at rest. Your downloads are your records. Logs record who did what, without patient details.
How long until we’re live?
One to two weeks from signed agreements to the start of your 30-day evaluation. Nothing is due unless you continue.
How accurate is it?
Two checks before you see anything: every claim's math, and the sum of all claims against the total printed on the document. Anything that doesn't add up is flagged; incomplete documents are flagged too. Your staff verifies flagged items against the paper.
We're a billing company — does this work for us?
Yes — often better than a single practice. Every practice in its own workspace, exports in each one's format, and you stay the business associate; we're your subcontractor under one agreement. Flat per practice, no percentage of collections.
Do I need to change my systems or processes?
No. Keep ECLIPSE or whatever you use today. TriageDesk sits in front of posting and makes it faster; your staff reviews every result.

Ready to stop wrestling with remittances?

Twenty minutes, sample documents only. No patient data changes hands before agreements are in place.

We typically respond within one business day. No pressure, no hard sell.

Prefer email? Reach us directly at ankit@triagedesk.ai