Billing platform that replaces the manual transcription bottleneck between hospital rounds and clearinghouse submission. Offshore billing reviewers upload marked-up census PDFs (handwritten attending notes, strike-throughs, room/bed scrawls, ICD-10 abbreviations). A vision-language pipeline lifts every encounter on the page into structured form: patient, MRN, date of service, attending, diagnoses, CPTs, modifiers, units, place of service. Each field carries a confidence score and a bounding box back to the source pixel.

A six-rule validation pack runs before export: CPT-versus-diagnosis sanity, retired-code blocks, ICD-10 validity against the live CMS dictionary, fuzzy payer matching, stay-continuity across multi-day admissions, non-billable parent-code disambiguation. Approved encounters consolidate into a real X12 837P file. A closed denial loop ingests CARC/RARC responses, routes disputes, and materializes refiles without leaving the tool.