Insurance
837P claim files built from the visit, and the payer’s answer read back and matched to the claim it belongs to — with denial codes translated into sentences instead of left as numbers.
The clinician records the visit with its CPT, HCPCS and ICD-10-CM codes. From that, LogBlues builds an 837P — the standard electronic format for a professional claim.
Before it goes anywhere, a validator checks the things payers reject claims for: a missing referral, a diagnosis that does not support the procedure, an identifier in the wrong shape. Catching that here costs a minute. Catching it after a payer does costs a month.
Payers reply with an 835 remittance. LogBlues reads it, matches each line to the claim it belongs to, and shows what was paid, what was adjusted, and what was denied.
Denials arrive as numeric CARC codes. We translate them, so the person working the queue reads “the payer wants the referring provider on this claim” rather than “CO-16” and a trip to a lookup table.
Being straight with you: claims are not transmitted yet. LogBlues builds the file and reads the answer. The connection to a clearinghouse that carries it there is not built — we have chosen Stedi and it is not integrated. Today the file is produced for you to submit. Eligibility checking is not built either.
Claims are included in every plan, and the rate falls as volume rises, because a per-transaction cost priced flat punishes exactly the practices that use it most.
| Plan | Included each month | Then, per claim |
|---|---|---|
| Standard | 50 | $0.30 |
| Premium | 250 | $0.24 |
| Enterprise | 1,000 | $0.16 |
Charged only when a claim is accepted for submission. Front-desk and administrative staff never count towards a plan.
