From UB-04 to Review-Ready Bill: AI for Institutional Claims

Institutional claims are the heaviest lift in any bill review operation. A UB-04 carries dozens of coded fields — bill type, occurrence codes, value codes, revenue lines — and often arrives inside a large document package with attachments, notes, and itemized statements.

What RepriceBill does with it

Upload the document, and RepriceBill reads the claim form and builds the bill for you: patient, provider, payer, and employer are identified and matched against your existing records; the claim number, dates, and identifiers land in the right fields; and revenue lines become bill items ready for repricing.

• One document in, one review-ready bill out — no re-keying of form fields
• Entity matching — existing patients and providers are recognized, not duplicated
• Line items ready for repricing — with codes, dates, units, and charges in place

Who benefits

TPAs and carriers with institutional volume, and bill review firms whose analysts spend their day transcribing forms instead of reviewing them. The bottleneck in most shops isn't judgment — it's data entry.

The value

Bills that took an hour of keying start their review in minutes, with consistent field mapping every time and an audit trail of what was created. Your reviewers spend their expertise where it matters: on the review.