PreClaim works in your world.
Not the other way around.
Whether you run a clinic, manage billing for dozens of practices, or build software that serves them — PreClaim fits into what you already do.
You run a practice.
Not a software stack.
Your front desk coordinator spends half her week chasing authorization records that should already exist. Your billing manager watches denials come back 30 days after the visit — for procedures that were clinically appropriate and should have been paid. Your physician-owner doesn't know why revenue keeps leaking even when care is never in question.
The problem isn't your billing. The problem is timing. The evidence payers require exists — it's scattered across systems nobody connects before the visit.
What changes with PreClaim:
Your clients pay you to recover denied claims.
Imagine if you prevented them instead.
Every billing company charges 5–8% of collections. Every billing company's value proposition is the same: we recover more than you can in-house. You're good at it. But you're operating reactively — you get paid to fight denials that have already happened.
Your clients are increasingly asking a harder question: why do we keep getting denied in the first place? You can't answer that question with your current workflow. You see the claim after the visit. The evidence gap was baked in before you touched it.
Billing companies that embed PreClaim add a pre-submission intelligence layer to every appointment they manage. Your team resolves gaps before they become denials. You retain clients longer. You win new ones with a capability no other billing company offers.
How it works technically:
Your platform, now with
payer intelligence built in.
If you build EHR software, practice management tools, or clearinghouse platforms, your customers are asking for better prior authorization workflows. You know what building a payer policy engine from scratch costs — years of engineering, constant policy maintenance, and a moving target as LCDs update and WISeR requirements evolve.
PreClaim's PolicyGraph API is the payer intelligence layer you embed in your platform in weeks — not years. We maintain the policy corpus. We handle the LCD updates. We run the evidence scoring. Your platform gets the feature without building it.
Integration options:
Not sure which fits?
Start with the free DenialMap Audit. It works for clinics, billing companies, and software platforms trying to understand the scope of the problem. No commitment. Same engine as the paid product.