AI Medical Billing · Now Live

Name + Diagnosis.
Complete Bill.

CodeProAI converts a patient's name and plain-English diagnosis into a fully coded, insurance-adjudicated bill — in seconds. ICD-10. CPT. HCPCS. CMS-1500. No coding expertise required.

By the Numbers

Built for the real pace of a medical office

99%
Coding Accuracy Target
<5s
Average Bill Generation Time
500+
ICD-10 & CPT Codes Embedded
3
Code Types: ICD-10, CPT, HCPCS
How It Works

Four steps from patient to paid

No medical coding training needed. Your staff enters what they already know.

1
👤

Enter Patient Info

Name, date of birth, and plain-English diagnosis. Insurance details optional — defaults to self-pay.

2
🤖

AI Maps the Codes

CodeProAI automatically maps ICD-10 diagnosis codes and suggests appropriate CPT procedure codes based on the diagnosis.

3
💰

Insurance is Calculated

Copay, deductible, coinsurance, and contractual adjustments are applied for Medicare, Medicaid, or commercial payers.

4
📄

Bill is Ready

A professional PDF bill is generated, CMS-1500 claim data is prepared, and every action is logged to a tamper-proof audit chain.

Features

Everything a medical office needs to bill correctly

🧠

AI Diagnosis-to-Code Mapping

Type a diagnosis in plain English. Our AI maps it to the correct ICD-10-CM code — no code lookup books required.

⚕️

CPT Procedure Suggestions

Automatically suggests the most commonly paired CPT procedure codes for every diagnosis, reducing missed charges.

🔄

Real-Time Code Monitoring

Detects ICD-10, CPT, and HCPCS code changes every billing cycle and alerts your team before claims are rejected.

🏦

Insurance Adjudication

Calculates patient responsibility for Medicare, Medicaid, Tricare, CHAMPVA, and all major commercial payers.

📑

PDF Patient Bills

Generate clean, plain-language PDF bills that patients can actually understand — with itemized services and balance due.

📋

CMS-1500 Claim Data

Export claim data in CMS-1500 format, ready to submit to any clearinghouse or payer portal.

⛓️

Blockchain Audit Trail

Every bill and code change is recorded to a persistent, tamper-proof blockchain — keeping you audit-ready at all times.

🏥

Multi-Practice Management

One login manages multiple offices, each with its own provider info, fee schedule, and billing namespace.

💲

Custom Fee Schedules

Override any CPT code fee to match your practice's chargemaster. Medicare national rates included as defaults.

🔐

HIPAA Compliant

Data encrypted at rest and in transit. Role-based access controls.

🏛️

CMS Standards

ICD-10-CM, CPT-4, and HCPCS Level II code sets maintained to CMS specifications.

📊

Audit-Ready Reporting

Immutable blockchain logs for every claim action and code change detected.

🌐

Any Specialty

Family medicine, internal medicine, mental health, urgent care, and more.

Pricing

Simple pricing. No per-claim fees.

All plans include a 14-day free trial. Cancel any time.

Starter
$49
per month · 1 provider
  • Up to 200 bills/month
  • ICD-10 & CPT mapping
  • Self-pay & one payer type
  • PDF bill generation
  • Basic audit logging
  • Email support
Enterprise
$399
per month · unlimited providers
  • Everything in Professional
  • Multi-practice management
  • REST API access
  • AI-powered diagnosis mapping (GPT-4)
  • Custom EHR integrations
  • Dedicated account manager
  • BAA Agreement included
FAQ

Common questions, answered

No. CodeProAI is designed for front-desk staff and office managers. You type the diagnosis in plain English — the AI handles the ICD-10 and CPT coding automatically.
CodeProAI supports Medicare (Part B), Medicaid, Tricare, CHAMPVA, all major commercial payers, and self-pay. Each payer has its own adjudication rules applied automatically.
Yes. CodeProAI is built on HIPAA-compliant infrastructure with AES-256 encryption at rest, TLS in transit, role-based access control, and immutable blockchain audit logging. Enterprise plans include a signed Business Associate Agreement (BAA).
Yes. The Enterprise plan includes full multi-practice management. Each office has its own provider profile, custom fee schedule, and isolated billing namespace — all managed from one dashboard.
CodeProAI's code monitoring engine detects additions, deletions, and updates to ICD-10, CPT, and HCPCS code sets every billing cycle. Your team receives automated alerts categorized by impact level — Critical, High, Medium, or Low — before the changes can cause claim rejections.
Enterprise plans include REST API access and custom integration support. We can connect to most major EHR platforms including Epic, Athenahealth, and eClinicalWorks. Contact our sales team to discuss your specific setup.