Stop Overpaying
Medical Claims.
AI-powered auditing catches billing errors before your TPA pays. Reduce costs by 5-10% on every self-insured plan.
TRUSTED AND SUPPORTED BY
Our Healthcare costs are slated to rise nearly 10% in 2026. CodaHx addresses a critical need for our business.
— HR Director, Mid-Market Employer
Real-Time Insights
Your Claims Dashboard
Claims Dashboard
Real-time monitoring
This month
This year
vs last year
Recent Findings
Core Features
How CodaHx Protects Your Bottom Line
Automated claims auditing, coverage optimization, and risk monitoring for self-insured employers
Stop-Loss Protection
Track high-cost cases in real-time
Financial Aid Discovery
Automated eligibility verification
Automated Claims Auditing
AI catches billing errors before payment
Policy Verification
Real-time coverage verification
Platform
How It Works
Our AI audits 835/837 claims to catch errors before your TPA pays.
Ingest Claims Data
835/837 institutional or professional claims
AI Scans & Analyzes
Advanced AI processes every line item in seconds
Error Detection
Identifies billing errors and duplicates
Coverage Verification
Verifies insurance coverage application
Discount Screening
Find eligible discounts on charges
Detailed Report Generated
Comprehensive analysis with actionable insights
Obtain Savings
Recover savings via our automated pipeline
FAQ
Frequently Asked Questions
Everything you need to know about our Cost Savings Engine
What types of errors can the system detect?
We detect billing code errors, duplicate charges, unbundling, upcoding, coverage misapplications, and pricing discrepancies in 835/837 claims.
Is claims data secure?
Yes. We use bank-level encryption, are HIPAA compliant, and never share your data with third parties.
How does stop-loss risk monitoring work?
We track employee claims against your stop-loss threshold and alert you when approaching the limit, helping maximize insurance coverage and manage financial risk.
What is the charity care eligibility checker?
We identify employees who may qualify for financial assistance based on household size and income, then help them apply to reduce claim costs.
Can you review claims before our TPA pays them?
Yes, we integrate with your TPA to flag coding errors and coverage misapplications before payment, maximizing savings.