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Make sense of any

CMS-1500 Form

Generate accurate and consistent data from any document, any layout.

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Healthcare Claims

The world's best CMS-1500 extraction

Accelerate revenue cycle management and claims processing. Digitize professional health claims (Box 1-33) with high-precision ICD-10 diagnosis codes and CPT procedure codes. Built-in NPI validation ensures provider legitimacy using the standard Luhn algorithm.

cms-1500.pdf

Viewer

JSON

patient_name

Jane M. Rodriguez

patient_dob

1985-03-22

patient_address

789 Health Street, Austin, TX 78701

insured_id_number

XYZ123456789

insured_name

Jane M. Rodriguez

insurance_plan

Blue Cross Blue Shield

Diagnosis_codes

2 items

sequence

icd10_code

description

1

J06.9

Acute upper respiratory infection

2

R05.9

Cough, unspecified

Service_lines

1 item

date_of_service

place_of_service

cpt_code

modifier

diagnosis_pointer

charges

units

2024-01-15

11

99213

1,2

150

1

total_charges

150

billing_provider_name

Austin Family Medicine

billing_provider_npi

1234567890

billing_provider_address

456 Medical Center Dr, Austin, TX 78702

rendering_provider_npi

0987654321

{ "patient_name": "Jane M. Rodriguez", "patient_dob": "1985-03-22", "patient_address": "789 Health Street, Austin, TX 78701", "insured_id_number": "XYZ123456789", "insured_name": "Jane M. Rodriguez", "insurance_plan": "Blue Cross Blue Shield", "diagnosis_codes": [ { "sequence": 1, "icd10_code": "J06.9", "description": "Acute upper respiratory infection"}, { "sequence": 2, "icd10_code": "R05.9", "description": "Cough, unspecified"} ], "service_lines": [ { "date_of_service": "2024-01-15", "place_of_service": "11", "cpt_code": "99213", "modifier": null, "diagnosis_pointer": "1,2", "charges": 150, "units": 1 } ], "total_charges": 150, "billing_provider_name": "Austin Family Medicine", "billing_provider_npi": "1234567890", "billing_provider_address": "456 Medical Center Dr, Austin, TX 78702", "rendering_provider_npi": "0987654321"}

cms-1500.pdf

Viewer

JSON

patient_name

Jane M. Rodriguez

patient_dob

1985-03-22

patient_address

789 Health Street, Austin, TX 78701

insured_id_number

XYZ123456789

insured_name

Jane M. Rodriguez

insurance_plan

Blue Cross Blue Shield

Diagnosis_codes

2 items

sequence

icd10_code

description

1

J06.9

Acute upper respiratory infection

2

R05.9

Cough, unspecified

Service_lines

1 item

date_of_service

place_of_service

cpt_code

modifier

diagnosis_pointer

charges

units

2024-01-15

11

99213

1,2

150

1

total_charges

150

billing_provider_name

Austin Family Medicine

billing_provider_npi

1234567890

billing_provider_address

456 Medical Center Dr, Austin, TX 78702

rendering_provider_npi

0987654321

{ "patient_name": "Jane M. Rodriguez", "patient_dob": "1985-03-22", "patient_address": "789 Health Street, Austin, TX 78701", "insured_id_number": "XYZ123456789", "insured_name": "Jane M. Rodriguez", "insurance_plan": "Blue Cross Blue Shield", "diagnosis_codes": [ { "sequence": 1, "icd10_code": "J06.9", "description": "Acute upper respiratory infection"}, { "sequence": 2, "icd10_code": "R05.9", "description": "Cough, unspecified"} ], "service_lines": [ { "date_of_service": "2024-01-15", "place_of_service": "11", "cpt_code": "99213", "modifier": null, "diagnosis_pointer": "1,2", "charges": 150, "units": 1 } ], "total_charges": 150, "billing_provider_name": "Austin Family Medicine", "billing_provider_npi": "1234567890", "billing_provider_address": "456 Medical Center Dr, Austin, TX 78702", "rendering_provider_npi": "0987654321"}

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