ClaimLens Docs

ClaimLens is an AI-powered clinical coding assistant built for family medicine. Paste a clinical note, and ClaimLens extracts CPT codes, ICD-10 codes, E/M levels, HCPCS codes, and modifier suggestions in seconds. It also estimates reimbursement by payer type and flags missed revenue opportunities.

Navigate to your Dashboard and paste your clinical note into the main text area. You can paste a full SOAP note, an H&P, or any structured clinical documentation. ClaimLens works best with notes that include a chief complaint, HPI, exam findings, and an assessment/plan.

If you use the Chrome extension, click "Pull from EHR" to auto-capture the note from your EHR tab (Cerner, Epic, Athena, or eCW).

After extraction, each code is tagged with a confidence badge:

Billable codes are fully supported by the documentation. Conditional codes may require additional documentation or clinical detail to be defensible. Opportunity codes represent missed revenue that could be captured with minor documentation improvements.

Select the correct payer type before extraction to get the most accurate results:

PHI Scrub is ON by default. Before your note leaves the browser, our client-side scrubber strips:

• Patient names
• Medical record numbers (MRN)
• Dates of birth
• Phone numbers
• Email addresses
• Physical addresses

The scrubbing happens entirely in your browser. Your original note is never modified, and unscrubbed text never reaches our servers. You can toggle PHI Scrub off if your note is already de-identified.

Pro and Practice users can process up to 5 notes at once using batch mode. Paste multiple notes separated by a clear delimiter (e.g., ---), or upload them as separate entries. Each note is processed independently with its own code extraction and reimbursement estimate.

ClaimLens formats extracted codes for direct paste into your EHR. Supported copy modes:

ClaimLens includes 90+ pre-built dot phrases across family medicine, behavioral health, preventive, procedures, and care management. These are shorthand templates you can insert into your note before extraction to ensure complete documentation. Examples include .htnfollowup, .dmtype2, .awvmedicare, and .wellchild. Access them from the dot phrase menu in the dashboard.

The A&P Rewriter takes your assessment and plan section and rewrites it with billing-optimized language. It preserves clinical accuracy while ensuring documentation supports the highest defensible code level. The rewriter adds specificity (laterality, chronicity, severity) and links diagnoses to their corresponding treatments.

Pro and Practice accounts automatically save extraction results (codes and revenue estimates only — never clinical note text). View past extractions from the History tab in your dashboard. Filter by date, payer, or E/M level. Export history as CSV for practice analytics and revenue tracking.

Established patients (99211–99215)

New patients (99201–99205)

ClaimLens automatically detects and applies combination ICD-10 codes when documentation supports them:

These codes are only billable when Medicare is the selected payer:

Hierarchical Condition Categories (HCCs) drive Medicare Advantage risk adjustment. ClaimLens flags HCC-relevant diagnoses to help you capture the full acuity of your patient panel:

• Document specificity — Use the most specific ICD-10 code (e.g., E11.22 instead of E11.9)
• Recapture annually — HCCs must be documented each calendar year to count for risk adjustment
• Link to treatment — Each HCC diagnosis should be assessed and addressed in the A&P
• Suspect conditions — ClaimLens identifies suspected HCC diagnoses based on medication lists and lab values
• Common high-value HCCs — Diabetes with complications, CHF, COPD, CKD stage 3+, major depression, morbid obesity

Practice accounts let you manage a team of providers under a single billing account. To create a practice, navigate to Dashboard → Practice and click "Create Practice." Enter your practice name and you'll be assigned as the practice owner.

Each practice includes up to 5 seats. As the practice owner, go to the Practice tab and click "Invite Member." Enter their email address and they'll receive an invitation link. Team members get full Pro-level access and share the practice extraction pool.

Practice owners can view aggregated analytics across all team members: total extractions, revenue captured, most common E/M levels, top ICD-10 codes, and payer mix. Analytics are available from the Practice tab and can be exported as CSV for reporting.

If you're already on a Pro plan, you can upgrade to a Practice plan from Pricing. Your existing extraction history and settings will be preserved. The practice plan includes all Pro features plus team management, shared analytics, and a higher API rate limit.

ClaimLens offers a REST API for programmatic access to clinical code extraction. Integrate ClaimLens directly into your EHR workflows, billing software, or custom applications. The API supports all the same features as the web dashboard: payer selection, patient type, visit type, and PHI scrubbing.

API access is available on Pro and Practice plans. Generate your API key from the Dashboard API tab.

View full API reference →