~11%
Industry-average denial rate
Across specialties, roughly one in ten claims gets denied on first pass. For a small independent practice, that's six-figure annual revenue stuck in rework.
Built for independent medical practicesScrubbers check the claim.
Scrubbers check the claim.
CodeMatch reads the chart.
An AI revenue-cycle layer for small-to-mid independent medical practices. Catch denials before they happen — and capture the revenue you're already entitled to.
HIPAA-compliantRead-only EHR integrationSpecialty-aware
Office visit note
Pt. 47FCC: Abdominal pain × 6 weeks.
HPI: Cramping RLQ pain, unresponsive to PPI trial. 8 lb weight loss, fatigue. Iron-deficiency anemia noted on CBC.
A/P: Schedule diagnostic colonoscopy.
Proposed claimCMS-1500
45378Diagnostic colonoscopy
R10.9Unspecified abdominal pain
CodeMatch finding
Chart documents weight loss (R63.4) and iron-deficiency anemia (D50.9). Adding these supports medical necessity and significantly improves first-pass payment likelihood.
The problem
Why independent practices lose money on every claim cycle
The denials are predictable. The fixes are documentable. The work is just nobody's job.
~40%
Of denials trace to the chart
Documentation gaps, uncoded diagnoses, and codes the note doesn't support — the failure modes a rules-based scrubber can't see.
0
Dedicated billers in a 3-doctor practice
Small practices can't justify a full billing team. The coding problem hits them hardest — and nobody else builds for them.
Industry-average figures. Your numbers vary by specialty and payer mix — see the ROI section below for practice-specific math.
What CodeMatch does
A coding engine that plays defense and offense.
Two systems working on every claim. One protects you from denials. The other surfaces revenue you're already entitled to.
Defense
Catch denials before they happen.
A pre-submission read of every chart against every proposed code — looking for the gaps a rules-based scrubber can't see.
- Reads every chart note before the claim is submitted.
- Flags missing documentation that will trigger a denial.
- Surfaces diagnoses documented in the chart but missing from the claim.
- Catches the screening-to-diagnostic colonoscopy edge cases — state-aware.
Offense
Capture the revenue you’re already entitled to.
A practice-specific model of what gets paid — derived from your own claim history, payer-by-payer.
- Learns from your paid claims, by payer and by state.
- Builds a practice-specific gold list of code combinations that get paid.
- Recommends documentable optimizations on every claim.
- Tracks recovered revenue back to the specific recommendation that earned it.
Every recommendation must be documentable. The chart has to support it. This is documentation-supported optimization — not gaming the system.
One example, every specialtyThe clinically decisive sentence
The clinically decisive sentence
lives in the chart, not the code.
Abdominal pain alone often won't get a colonoscopy covered. Abdominal pain plus weight loss typically does. “Abdominal pain unresponsive to 1–2 months of standard treatment” is clinically decisive — and it lives in the body of the office-visit note, not in any ICD code.
A scrubber can't see it. CodeMatch can.
From a discovery call in gastroenterology. The same pattern shows up in cardiology, orthopedics, dermatology, and every other chart-driven specialty.
Who it's for
Built for the three people who feel the coding problem most.
Different workflows, different anxieties, the same underlying gap. CodeMatch closes it for all three.
Physicians
Spend less time second-guessing your documentation — and zero time on appeal letters.
- See exactly which sentences in your note support which code.
- Get prompts on what to document before you sign the note.
- No new EHR to learn — CodeMatch reads what you already write.
Practice administrators
Cleaner claims, fewer denials, and a recovered-revenue line item you can put on a P&L.
- Pre-submission scrubbing for every claim, every day.
- Monthly recovery reports by payer, provider, and service line.
- BAA-ready, read-only integration with your EHR and PM system.
Billers and coders
A second set of eyes that scales — built for the workflow you already run.
- Flags reviewed in priority order with chart evidence attached.
- State- and payer-specific rules kept up to date for you.
- Audit-trail logs of every recommendation and resolution.
Why now
The problem isn’t new. The solution finally is.
Three things converged in the last 24 months that made an AI coding partner for independent practices buildable — and necessary.
The technology finally caught up
Large language models can read free-text chart notes the way a senior coder does — and apply payer-specific rules across thousands of edge cases in seconds.
Insurer denial data is more structured than ever
Payer remits, CARC/RARC codes, and state-level utilization data are now machine-readable. The signal needed to optimize claims is no longer locked inside a biller's head.
Independent practices are the underserved segment
Hospital and PE-owned groups absorb the coding problem through scale. Solo and small-group practices have nowhere to turn — until now.
How it works
Four steps. No new workflow for your team.
CodeMatch lives between your EHR and your clearinghouse. It doesn't replace anything — it just catches what they miss.
- 1
Connect to your EHR and billing system
Read-only integration. No new workflow, no migrations. BAA in hand before we touch a single chart.
- 2
CodeMatch reads each chart against the proposed claim
Office visit notes, op notes, clinical notes. Cross-referenced against your proposed CPT/ICD codes and your payer's coverage rules.
- 3
Get a pre-submission report: flags, fixes, and optimizations
Every flag links to the exact sentence in the chart. Your biller resolves in their normal workflow.
- 4
Submit with confidence. Track recovered revenue.
Monthly recovery reporting by payer, provider, and service line. Every dollar traced to the specific recommendation that earned it.
Positioning
Built for independents. Only.
We don't sell to PE-owned groups or hospital systems. We built CodeMatch because the practices that need this most are the ones nobody else is serving.
CodeMatch is for
- Solo and small-group independent practices
- Practices in less-consolidated states (Northeast, Upper Midwest, Mountain West)
- Groups without dedicated billing teams
- Practices where the billing problem hurts the most — and gets the least attention
CodeMatch is not for
- PE-owned practice groups
- Hospital-employed physicians
- Mega-groups with dedicated 20-person billing teams
- Anyone already solving documentation-driven denials at scale internally
Pricing
One offer. Built for independents.
90 days free. No setup fee during trial. If it works for your practice, $5,000 setup plus $1,500/month.
90-day free trial
$1,500
per month
After your 90-day free trial. Plus a one-time $5,000 setup fee covering EHR/PM integration, BAA execution, and team onboarding.
Nothing due during the trial. Cancel anytime before day 90.
What’s included
- Chart review on every claim — pre-submission
- Payer-specific gold list, built from your own paid history
- State-aware coverage rules and edge cases
- Monthly recovery reporting by payer, provider, and service line
- Multi-provider dashboards
- Dedicated implementation manager
- Full audit-trail logs of every recommendation and resolution
Practice with 11+ physicians? Talk to us about volume pricing.
ROI
Do the math on your own collections.
At the industry-average 11% denial rate, with roughly 40% of denials addressable through chart-reading, the recoverable pool comes out to about 4.4% of net collections every year. The numbers below are illustrative; your actual pool depends on specialty and payer mix.
The recoverable-pool formula
Industry denial rate
11%
Caused by documentation
~40%
Recoverable annually
4.4%
That percentage applied to your net collections is the pool CodeMatch is fishing in. You don't need to capture all of it — just enough to clear $18,500 in year-one cost.
Annual recoverable pool by practice size
Industry-average math. Year-one cost: $18,500 (after the 90-day free trial).
- Solo physician$55,000
- 3-physician practice$165,000
- 5-physician practice$275,000
- 10-physician practice$550,000
Want the math on your actual collections?
The 90-day free trial includes a baseline assessment from your own claims data — delivered in month one.
FAQ
The questions we hear most often.
- Yes. CodeMatch is HIPAA-compliant and SOC 2 compliant. BAA signed before any chart data is exchanged. Encryption in transit and at rest. Role-based access controls. Full audit logging. The boring, necessary work — done.
See it in 15 minutes
Bring us one claim. We’ll show you what your scrubber missed.
Walk away with a real read on your documentation gaps — even if you never buy a thing.
Request Demo15-minute call. No prep required.