Explainable Claims Integrity
CECURUS links read-only claim data with approved clinical context to surface review-ready findings before claims reach payers.
CECURUS
Review Before Submission
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About CECURUS
What We Do
CECURUS normalizes financial claim records, links relevant clinical context, and applies deterministic, versioned rules to identify potential billing, coding, and data-quality issues.
Why It Matters
Claim errors create denials, rework, and compliance risk. CECURUS gives reviewers clear findings, source evidence, and plain-English explanations before submission.
Who It’s For
Designed for billing reviewers, revenue cycle teams, compliance reviewers, and practice administrators.
A Clearer Path to Claims Integrity
How it Works
From Source Data to Reviewer-Ready Findings
01
Read-Only Data Intake
Connect approved FHIR context and copied 837P or billing exports without changing your live claim-submission workflow.
Explainable Evaluation
02
03
Review Worklist
Prioritize claims by deterministic risk score, inspect plain-English explanations, and document review actions in an auditable workflow.
Built for U.S. Healthcare Operations
Focus Review Effort
Surface duplicate, coding, modifier, units, charge, provider, coverage, and policy concerns for review.
Route higher-risk findings to the right reviewers with clear evidence and explanations.
Improve Review Consistency
Read-only processing keeps CECURUS outside the live submission path and prevents it from altering claims.
Protect Sensitive Data
Find Issues Earlier
Help billing and compliance teams investigate potential issues before claims reach payers.
Built for healthcare teams that need consistent claim review, traceable evidence, and operational accountability.
Evaluate normalized claims with versioned rules, risk scoring, and linked source evidence that reviewers can understand.
Join the Waitlist
Join the early-access program and help refine a claims-integrity workflow built around real billing and compliance needs.
Priority access to product pilots
Direct input on workflow design
Early-adopter program updates
Tell Us About Your Needs
Help us build a better solution by sharing your current challenges with claims integrity. Your feedback directly shapes our product roadmap.
What We'd Like to Know
Current pain points in claims integrity
