Gastroenterology claims are heavily dependent on rigorous documentation — polyp size, location, number, prep quality, biopsy specifics, and pathology correlation all determine reimbursement accuracy. Legacy EHRs require GI specialists to manually fill these gaps, often creating delays, denials, and costly back-and-forth with billing teams.

ClaimRx changes that. Our AI recognizes GI-specific terminology during dictation and automatically structures the note to capture all required details. It identifies and codifies procedural steps, biopsy numbers, findings, sedation documentation, and LCD-driven elements that are typically missed. The result is a perfect, payer-ready claim packet without changing workflows or switching EHRs.

How ClaimRx helps Gastroenterology:

• Auto-captures polyp size, number, location, and histology indicators

• Ensures complete documentation for EGD, colonoscopy, ERCP, biopsies, and polypectomies

• Flags missing components required by LCDs (e.g., prep quality, withdrawal time)

• Builds ready-to-submit procedure claim packets including pathology add-ons

• Reduces GI coding complexity for both providers and billing teams