Ledger

Ledger reviews CMS-1500 and UB-04 claims before they leave the building, flagging the coding, eligibility, and field errors that turn into denials a week later. It reads each claim, runs it against a growing rule set, and hands billers a prioritized list of fixes instead of a vague rejection.

Each claim passes through structural checks, then a model pass that catches the softer issues rule engines miss, like a modifier that does not fit the diagnosis. Clean claims move straight to your clearinghouse; flagged ones wait with a plain-language note on what to fix and why.

Practices typically see first-pass acceptance improve and denial rework drop once the rule set is tuned to their payer mix. Gains depend on your specialty and existing error rate, and Ledger reports which rules are actually saving claims so the set keeps earning its place.