What we do — LucidClaim

Our solutions

Choose how LucidClaim fits your practice

Same AI coding engine, denial prevention, and human review — deployed the way your organization needs it.

Solution 1 · Available now

Standalone billing application

A complete, self-standing billing app — no EMR integration required to start

Full web application hosted in Snowflake (Streamlit in Snowflake)
Paste clinical notes or batch-load files directly into the platform
ICD-10/CPT coding, denial-risk flags, and HCC capture in under 60 seconds
Coder review queue, verdicts, overrides, and full audit trail
Role-based access — log in and start a pilot in days, not months
Ideal for pilots, outsourced coding teams, and practices testing AI coding before wider rollout

You get a ready-to-use billing application. Your team works inside LucidClaim; no dependency on existing billing software to go live.

Solution 2 · Integrated deployment

Fully integrated billing solution

LucidClaim embedded in your end-to-end revenue cycle workflow

EMR/EHR integration — clinical notes flow in automatically, no manual paste
Codes and flags delivered back into your billing and practice management systems
Batch scheduling and high-volume processing across providers and sites
Analytics dashboard for denial trends, coder productivity, and HCC capture
Enterprise multi-location deployment with consistent coding policies
Designed for groups that want AI coding inside their existing billing operation

LucidClaim becomes part of your billing pipeline — from note to claim — instead of a separate tool your team has to context-switch into.

Same core platform

Both solutions run on the same Snowflake architecture: Claude Opus 4.5 coding engine, 14 denial-prevention flag types, HCC risk scoring, and HIPAA/SOC2 compliant audit logging.

Start standalone, scale to integrated

Many practices begin with the standalone app to validate accuracy on real notes, then move to full integration as volume and confidence grow.

Platform

Four capabilities on every note

①

ICD-10 & CPT Coding

AI assigns codes with justification and support ratings. Adaptable to insurer-specific billing and coding policies.

②

Denial Prevention

MDM concordance, drug specificity, psychotherapy validation — catches issues before they reach the payer.

③

HCC Risk Capture

Flags missed risk-adjustment opportunities with suggested codes. Critical for value-based and risk-based contracts.

④

Human Review Layer

Coders accept, revise, or override with full audit trail. HIPAA and SOC2 compliant Snowflake environment.

Built-In Denial Prevention

Catches issues before they reach the payer

MDM Lowest Element Rule

AMA 2021 framework — supportable E/M level capped at the lowest of 3 MDM elements.

Prescription Specificity Check

Flags "medication managed" entries missing drug name, dose, action, and rationale.

Psychotherapy Add-On Validation

Time-band verification (90833 / 90836 / 90838) plus 7 required content elements.

Administrative Integrity

Signature timing, POS consistency, HPI adequacy for 99214 / 99215.

14 Integrity Flag Types

UPCODING_RISK, MDM_LEVEL_MISMATCH, ADMIN_DEFICIENCY, HPI_INADEQUATE, and more.

Two billing solutions — standalone or fully integrated