HIPAA-compliant tool that reads insurance EOBs, reconciles payments against checks, explains denials in plain English, and exports clean data for your EHR. Human-in-the-loop. Always.
Most small practices are stuck with slow, manual, error-prone insurance reconciliation. Paper EOBs. Hand-keyed data. Expensive % of collections. Zero visibility into denials.
Staff manually matching EOBs to checks, hunting down missing payments, and deciphering denial codes.
Underpayments, duplicate entries, and unexplained denials slip through. You pay 6–8% of collections for the privilege.
When your contractor steps back, you're left rebuilding processes from scratch — or paying even more.
Simple input. Intelligent extraction. Human-controlled output. Designed specifically for the way small clinics actually receive payments.
Clinic uploads EOB PDFs (often multiple patients per insurer) + the lump-sum check amount and number. Works with paper scans or digital files from BCBS, UHC, Cigna, Aetna, Humana and more.
Google Gemini (Vertex AI) extracts per-patient data: name, claim #, service dates, amount billed, adjustments, plan-paid amount, patient responsibility, and insurer. Fast, accurate, and consistent — no more hand-keying.
Patient names are intelligently matched against your clinic’s patient roster. High-confidence matches are confirmed automatically; borderline cases are clearly flagged for quick staff review.
Sums plan-paid amounts across all EOBs and compares to the actual insurance check. Flags imbalances: balanced, check exceeds EOBs (missing EOB?), or EOBs exceed check (duplicate/underpayment). Also validates internal claim math.
Extracts denial codes and translates them into plain English with recommended next steps and severity. Covers ~20 common codes across major insurers — because denials are where small clinics lose the most revenue.
Generates a clean, human-readable CSV ready for manual posting to your EHR. Nothing is written automatically. Your team reviews, approves, and posts. Full audit trail included.
Focused scope. High impact. Built for the exact pain points small clinics face every week.
BCBS, Cigna, UnitedHealthcare, Aetna, Humana and more. Handles mixed batches and multiple patients per document.
Automatically compares total plan-paid to the actual check received. Flags gaps, over/underpayments, and missing documentation.
Translates cryptic denial codes into plain English + suggested action and severity. Built in from day one, not a paid add-on.
Human-readable output ready for manual posting to ECLIPSE or any EHR. Full audit trail. No black-box posting.
Unlimited users with individual logins. Complete HIPAA-compliant activity logging. Perfect for 1–2 primary staff + backups.
Encrypted data handling, strict access controls, and complete activity logging. Built with guidance from healthcare attorneys.
A flat monthly rate typically runs 80–90% below a traditional 6–8% of collections contractor — with more speed and visibility. We’ll walk through your actual numbers together.
Chiropractic, physical therapy, and specialty clinics in Frederick County, Maryland
Designed for small clinics. Setup covers up to two locations.
Pricing shown is for small 2–4 provider clinics; final rate confirmed after a short discovery call. Compare against a typical 6–8% of collections contractor for your practice.
TriageDesk AI LLC operates as a HIPAA Business Associate. A Business Associate Agreement is executed with every client before any patient data is processed, and our AI processing runs on Google Cloud (Vertex AI) under Google’s BAA.
Book a 20-minute walkthrough. We’ll show you exactly how it works with your real (or sample) EOBs and answer every question.