Careflow · Medical Billing Assistant

Reviewed workflow steps

0/8

For the selected fictional case

PHI review

Not reviewed

Scrub common identifiers before export

Selected payer

Commercial

Confirm plan-specific rules separately

Real claim lifecycle · practice mode

Follow a claim from check-in to payment

Learn the actual hand-offs: eligibility, documentation, coding, clearinghouse, payer response, ERA posting, then denial or A/R follow-up.

Choose a fictional case

Step 1 of 8

To review

Workflow, not a live payer connection: this exercise teaches the sequence; it does not verify coverage, create or transmit an 837, receive a 277CA/835, post a real payment, or submit an appeal.

Claim input

Start with fictional training text. Keep real patient details out of this demo.

Step 1 of 3

Practice claim ID Date of service

Fictional visit notes Demo data only

Scrubbed preview

Updates locally as you type. Review manually before export.

Not scrubbed

Enter fictional notes to preview local PHI scrubbing.

Important: automatic scrubbing is incomplete and can miss PHI. Only fictional training notes are allowed here. Never enter real patient information; the optional AI endpoint is not connected to a compliant production environment.

AI coding review · optional backend

Hosted AI review uses a Cloudflare Worker with a server-side Gemini key and per-IP request limits. Local Wrangler testing is also available. Never put an API key or shared Worker secret in this page.

AI review endpoint I reviewed the scrubbed preview. It contains fictional training text only and no real patient information.

A local or configured hosted Worker is required.

AI coding suggestions · human review required

Unverified draft

Pointer	ICD-10-CM	Description	Confidence

Line	CPT / HCPCS	Modifiers	Pointers	Description	Confidence

NCCI / bundling review · not authoritative

Clinical rationale

Scrubbing & coding warnings

Client-side scrubbing can miss identifiers. Review the full source and output manually; current official code sets, NCCI edits, and payer policy must be checked by a qualified human coder.

Step 2 of 3

Billing codes & diagnosis pointers

Link each service line to a diagnosis pointer. Training rows below are fictional examples, not coding advice.

Line	CPT / HCPCS	Description	Units	Diagnosis pointer	Training charge
01					$

Diagnosis list

Example

A

R05.9

Cough, unspecified (example)

B

J30.2

Other seasonal allergic rhinitis (example)

Pointer quick guide

A line pointer links the service to a diagnosis in the diagnosis list. Confirm documentation, code-set year, payer policy, and qualified-coder review before a real claim.

Total training charges

$95.00

Not a reimbursement estimate.

Step 3 of 3

Export & session history

Download a simple CSV draft for training. It is not an EDI 837 claim and cannot be submitted to a payer.

Export preview

Training only

Scrub the note before exporting to build a training CSV preview.

No server connection · Encounter history stays in this browser

Recent activity

CSV downloads in this page session.

No exports yet

Your practice activity will show here.

Recent AI encounters

Up to five validated coding results are saved in this browser. Select one to reload its diagnosis and service codes without another API request.

Fictional data only · browser storage is not encrypted

Clinical notes are not saved to encounter history.