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MedBill
Cardiology AI Billing Platform
INVOICE
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Billed to
Lakeshore Cardiology
220 Harbor Medical Plaza, Suite 400
billing@lakeshorecardio.com
Details
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{{ voicePayer }} — Provider Services
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Call resolved & claim auto-resubmitted
Denial reason (captured)
93000 bundled into 93306 — needs modifier 59 + office note
Correction applied
Modifier 59 → 93000 · office note attached
Call reference
AET-6641-22
Expected reprocess
~7 business days
Call time 6:22Hold time 4:11Biller time saved ~22 min
AI voice agent is on the call — you can step away, we'll log everything Everything handled automatically — added to the claim's activity log
UltimateHealth_Claim_Hawkins_CLM-2026-0612-884.pdf
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Page 1 / 1
ULTIMATE HEALTH
by ArmadaCare
Underwritten by
TRANSAMERICA
Ultimate Health Insurance Claim Form
Submit Claims Online for Faster Processing: Visit www.ArmadaCare.com/myaccount.
For log-in information, contact Member Services at 1-855-943-4595.
For detailed instructions on completing this form, be sure to:
• Include supporting documentation, such as primary medical, dental or vision insurance EOB.
• Attach supporting documentation in the same order as you list the claims on this form.
• Be sure to limit claims to five (5) per form. Use a separate claim form for each policy year.
Policy Information
Primary Insured Name: Robert Hawkins
Date of Birth (DOB): 04/18/1959
Policyholder/Employer: Lakeshore Cardiology
Phone: (312) 555-0148
Email: robert.hawkins@gmail.com
Claim Information
Date of ServiceDiagnosis / ReasonEligible ExpensePrimary Carrier
{{ r.dos }}{{ r.dx }}{{ r.amt }}{{ r.carrier }}
Plan approved: $430.18
Patient balance: $211.82
Authorization
I authorize any doctor, hospital or other medically related facility, insurance company or other organization having records or knowledge of me or my health to disclose, whenever requested to do so, all information with respect to any illness or injury, medical history, consultation, prescriptions or treatment, and copies of all hospital or medical records. This authorization is valid for one year from the date shown below.
Robert Hawkins
Insured's Signature
06 / 18 / 2026
Date
1
MedBill
Cardiology revenue cycle, on autopilot.
From consultation to clean claim — AI codes, scrubs, and submits, with your team in the loop where it matters.
AI-coded ICD-10 & CPT with human review
Pre-submission anomaly scrubbing
Denials & A/R aging management
© 2026 MedBill Health · HIPAA-compliant · SOC 2 Type II
Lakeshore Cardiology
Heart & Vascular Care
Welcome back
Sign in to your cardiology billing workspace.
Work email
jag@lakeshorecardio.com
PasswordForgot?
Incorrect password. Please try again.
Trusted & compliant
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VERSION 0.2
Powered by www.squarely.co
Demo access — password: cardio2026
MEDBILL
DM
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Billing WorklistAgent-coded encounters awaiting review
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RH
Robert Hawkins · 67Y, M · MRN 884213
Office visit + Echocardiogram · DOS Jun 12, 2026 · Dr. Daniel McAdams, Cardiology
(312) 555-0148 robert.hawkins@gmail.com
BCBS PPO ENC-884213
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Submit
Capture the consultation
Choose how MedBill receives this encounter. The agent normalizes all three into a single structured note.
Upload PDF
AI prompt + notes
Upload audio
Connect EHR
Consultation notesPaste dictation, or type a prompt for the agent
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{{ qpResult.title }}AI draft
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Hawkins_Robert_consult_2026-06-12.m4a
14:32 · 11.4 MB · uploaded just now
Transcribed
Speaker diarization complete · 2 speakers detected · click the file name to view the transcript
Transcript· auto-generated, diarized
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Hawkins_Robert_consult_note_2026-06-12.pdf
3 pages · 248 KB · uploaded just now
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Lakeshore Cardiology Associates
220 Harbor Medical Plaza · Suite 400 · NPI 1043829176
CARDIOLOGY CONSULTATION NOTE
Hawkins, Robert · MRN 884213 · continued
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Pulled encounter ENC-884213 from Epic · clinical note, vitals, and order history attached
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MedBill agent · reasoning in real time
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AI consultation summary
Review and verify before the agent codes the claim.
Editable — click to correct 94% confidence Sources: consult note · prior chart
Summary verified by Dr. McAdams · agent proceeding to code mapping
Chief complaint
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History of present illness
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Exam & in-office testing
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Assessment
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Procedures performed
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Plan & medications
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Billing summary
Codes auto-mapped from the verified summary. Manual ICD mapping eliminated — review and confirm.
Codes confirmed
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Billing summary
PayerBCBS PPO
Place of service11 · Office
Rendering providerD. McAdams
Total charges$642.00
Est. reimbursement$430.18
Agent suggested modifier 25 on 99214 and modifier 26 on 93306 based on documentation.
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Pre-submission anomaly scrubber
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Anomaly scrubber results
7 checks run against CMS edits, payer rules, and documentation before submission.
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Ready to submit
Final review before transmission to the payer via clearinghouse.
Patient
Robert Hawkins · 67M
Date of service
Jun 12, 2026
Payer
BCBS PPO
Diagnoses / Procedures
4 ICD · 3 CPT
Scrubber
All checks passed
Total charges
$642.00
Claim submitted to BCBS
Transmitted via Availity clearinghouse · estimated payer response in 3–5 business days.
Claim ID · CLM-2026-0612-884
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AI Voice Agent · skip the payer IVR & hold time
When a denial reason is unclear, the agent calls the payer, navigates the phone tree, gathers the exact reason, and auto-resubmits the corrected claim.
Denials 14
Aging A/R 22
ClaimPatientPayerAmountDenial reasonAgeAction
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Aging buckets
$780K open across 22 claims
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ClaimPatientPayerAmountAgeBucket
{{ r.claim }} {{ r.pt }}{{ r.payer }} {{ r.amt }} {{ r.age }} {{ r.bucket }}
AI has surfaced 4 revenue risks this week · $58.6K exposure
Root causes traced to front-desk workflows — most are preventable before claims leave the practice.
2
High
2
Medium
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AI anomaly alertsPredictive · ranked by $ impact
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Denial root-cause analysis$68.9K denied
Where denials originate — fix upstream at the front desk
{{ d.label }}{{ d.amt }} · {{ d.pct }}
Clean claim rate trend▲ 9 mo
First-pass paid, trailing 9 months
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88.2% → 96.4%+8.2 pts YTD
A/R mix: payer vs patient
High-deductible plans shift balances to patients as claims age
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Patient
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Forecast
Plans for every part of the revenue cycle
Pricing that scales with your practice
Automate end-to-end billing, or add focused AI tools for coders and practice managers.
Monthly
YearlyBest value
★ MOST POPULAR
Billing Automation
FOR BILLING COMPANIES & PRACTICES
The complete AI billing platform — every claim from consultation to payment, with your team in control.
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Risk Analytics Management
FOR PRACTICE MANAGERS · COMPLIMENTARY
Full visibility into collections, denials, and cash flow — with predictive insight and anomaly alerts.
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{{ risk.billed }}
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AI Coding Assistant
STANDALONE DESKTOP APP · SEPARATE PLAN
A standalone desktop app for coders & billers — the right codes, modifiers, and denial checks on your desktop, no platform required.
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All plans include SOC 2 Type II security, HIPAA compliance, and US-based support. Risk Analytics is complimentary with Billing Automation; the AI Coding Assistant desktop app is a separate plan.
Enterprise-grade security & compliance
Built for healthcare, audited & deployed on AWS
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Frequently asked questions
Everything you need to know about plans, billing, and security.
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Still have questions?
Submitted claims are sent to the payer, adjudicated against member eligibility, and returned with an EOB. When the billed amount exceeds the eligible amount, MedBill computes patient responsibility and notifies the patient.
ClaimPatientPayerBilledPlan paysPatient owesStatus
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{{ adjClaim.payer }} · real-time 835 response
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Patient responsibility{{ adjClaim.patient }}
Notify patient
robert.hawkins@gmail.com
(312) 555-0148
Patient notified via email & SMS
EOB claim form attached to patient record · {{ adjClaim.patient }} balance statement sent
Insurance claim form (EOB)
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On file
ULTIMATE HEALTH
by ArmadaCare
Underwritten by
TRANSAMERICA
Health Insurance Claim Form
Policy Information
Primary Insured: Robert Hawkins
DOB: 04/18/1959
Policy #: XJF884213021
Phone: (312) 555-0148
Email: robert.hawkins@gmail.com
Claim Information
ServiceDOSEligiblePlan pays
Office visit + Echo06/12/26$430.18$430.18
Patient balance due$211.82
Insured's Signature
Date
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Payer email threadNEW
{{ emailCount }} messages · auto-filed to this claim
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AI-tracked
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Denial details
CARC reason code{{ appealCode }}
Description{{ appealReason }}
Remark code (RARC)N657
Billed{{ appealAmt }}
Payer allowed$0.00
Appeal deadlineAug 11, 2026 · 54d left
Original claim lines
Flagged line highlighted by the agent
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Drafted appeal letter↺ Regenerate
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APL-2026-0618-204 · decision expected in 30–45 days
Value-based billing · {{ invPlanLabel }} · {{ invRatePct }} of monthly claim value
Invoices are generated from claims processed each month. Risk Analytics is included at no charge.
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Jun 2026 · billable
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Monthly claim volume6-month trend · drives your invoice
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Invoice historyClick an invoice number to preview the PDF
Billing account · Lakeshore Cardiology
InvoicePeriodClaimsClaim valueFee ({{ invRatePct }})Status
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Connect the practice and payer mailboxes MedBill uses to send claims and auto-ingest replies. Incoming payer emails are matched to their claim and stored as a thread automatically.
Practice mailbox
Payer mailboxes
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Email address
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Provider
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Payer mailboxesWhere claims are sent and replies are ingested from
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Payers
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{{ b.ocLabel }} Coding… Queued
Cardiology billing copilot
Ask anything about procedures, billing codes, denial risk, or the latest billing updates. Answers are grounded in current CMS, payer, and CPT policy.
Narrate → exact codes
Describe the visit; get ICD-10, CPT & modifiers.
Validate denial risk
Catch rejections before submit, with fixes.
Track billing updates
Stay current on CMS, CPT & LCD changes.
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Diagnoses · ICD-10-CM
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MedBill is analyzing the request…
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MedBill assistant can make mistakes — verify codes against current payer policy before submission.