u/Efficient-Newt-1291

Billed vs. Paid vs. Allowed

Are you still managing workers’ comp revenue with spreadsheets and guesswork?

ClaimCalcPro gives adjusters, bill review teams, and providers an instant way to see if a claim is underpaid, correctly paid, or overpaid—before it becomes a problem.

✅ Automated fee schedule calculations for workers’ comp

✅ Side‑by‑side comparison of billed vs. allowed vs. paid

✅ Transparent audit trail for every adjustment and denial

✅ Faster decisions for negotiators, bill review, and recovery teams

If you handle workers’ comp claims, ClaimCalcPro turns confusing EOBs into clear, actionable numbers in seconds.

🔗 Learn more & request early access: www.claimcalcpro.com

#WorkersComp #RevenueCycle #MedicalBilling #InsurTech #RCM #ClaimCalcPro

reddit.com
u/Efficient-Newt-1291 — 18 days ago
▲ 2 r/u_Efficient-Newt-1291+1 crossposts

GA SB68, AR Act 28, and LA SB231: Why the Old Model for Phantom Damages is Breaking

Hi everyone,

Georgia SB68. Arkansas Act 28. Louisiana SB231.

In just the last 18 months, these three states have fundamentally reshaped phantom damages law. These shifts change everything about how reimbursement, valuation, and litigation support must operate.

The problem? Most vendors are still trapped in the past—relying on static spreadsheets, fragmented documentation, and manual interpretation across different jurisdictions. That model is breaking.

I built ClaimCalcPro™ to solve this. We developed a “Citations as Code™” framework that translates complex, jurisdiction-specific laws into structured, executable reimbursement logic. We’re replacing "best guesses" and manual entry with consistent, defensible outputs.

This isn't just theory—it’s infrastructure built from 15+ years of experience navigating the real-world failure points of revenue cycles and claims processing.

We are currently onboarding a limited number of early partners as we scale our first five paid pilots. If you’re working within regulated claims or reimbursement workflows, I’d love to get your perspective on where the current system is failing you.

Melissa Cousin, CRCR Founder & CEO |ClaimCalcPro™info@claimcalcpro.com

reddit.com
u/Efficient-Newt-1291 — 25 days ago