Research ICD-10-CM, ICD-10-PCS, and HCPCS Level II codes. Review claims before submission, investigate denials, prepare appeals, and explore payer guidance — in English or Spanish, in one connected workspace designed for non-PHI workflows.
Powering modern coding teams
Everything on a coding professional's to-do list — research, review, resolve, learn — in a single connected flow that supports your judgment instead of replacing it.
Step 1 · Research
Candidate guidance across CM, PCS, and HCPCS — with rationale and FY2027 change flags, sourced from official code sets.
Step 2 · Review
Pre-submission checks on structured, non-PHI claim input — findings ranked by severity, each with a next step.
Step 3 · Resolve
CARC/RARC interpretation, root-cause analysis, evidence-gap checks, and AI-assisted appeal letters you edit and send.
Step 4 · Learn
AI Coach teaches in English or Spanish — official code descriptions always kept in English, guidance always at hand.
Eight connected tools, one workspace — built to support your judgment, not replace it.
Search ICD-10-CM, ICD-10-PCS, and HCPCS Level II in one place — official descriptions first, AI explanations clearly labeled.
Pre-submission review on structured, non-PHI inputs. Blocking errors, warnings, and review items — each with a recommended action.
CARC/RARC interpretation, AI denial analysis, evidence-gap checks, and appeal-letter drafting. Included on Pro & Enterprise.
Ask questions against payer policy documents you upload. Answers cite the source document and flag what's missing.
Searchable payer IDs, EDI capabilities, and operational guidance in one consistent format. Every fact carries source + freshness.
Search the public NPI registry — verify provider numbers, taxonomy, and practice details without leaving your workflow.
Conversational coding and billing help that continues from your prior result — in English or Spanish.
Code Lookup, Claim Scrubber, and Denial Help in a compact browser popup. Manual, intentional input — it never scrapes your pages.
Diagnosis, inpatient procedure, and Level II codes — researched side by side, with official descriptions first and AI explanations clearly labeled.
Verify the documentation links the hyperglycemia to the diabetes, and check the chapter's instructional notes before assigning the code.
Reference data: ICD-10-CM (CDC/NCHS) and ICD-10-PCS (CMS) FY2027 public releases; HCPCS Level II from CMS quarterly files. Official descriptions remain in English.
S72.001 — diagnosis code is missing its required 7th character.
Next step: Add the applicable 7th character per the coding instructions, then re-run the review.
E11.22 billed without Z79.4 — insulin use is not indicated on the claim.
Next step: Verify the documentation; add Z79.4 when long-term insulin use is supported.
J1885 units (4) look high for a single visit.
Next step: Confirm the units against the medication administration record before submitting.
A pre-submission review on structured, non-PHI inputs — with findings you can act on, in priority order.
Decision support only — the scrubber is not a payer adjudication engine and cannot guarantee a claim will be accepted.
Understand why the claim was denied, what's missing, and what to do next — then draft the appeal without starting from a blank page.
Step 1 · Denial received
CO-50 — not deemed a medical necessity
Generalized scenario · no patient information
Step 2 · Root cause
Payer medical-necessity criteria not yet reviewed
AI analysis builds an investigation path — likely cause first.
Step 3 · Evidence gaps
Supporting documentation not attached
Flagged before you respond, so the appeal lands complete.
Step 4 · Appeal drafted
Preliminary letter, ready for your review
A starting point — verify against the payer's policy before sending.
“Dear Claims Reviewer — we are writing to request reconsideration of the denied claim referenced above. The enclosed documentation supports the medical necessity of the service as billed…”
Drafts are starting points — verify against the payer’s policy and your evidence before sending.
Ask questions, understand coding guidance, research policies, and explore denial workflows in the language you prefer — while keeping official U.S. healthcare codes and source information intact.
Official description · always English
Type 2 diabetes mellitus with hyperglycemia
AI explanation · English
Code E11.65 represents type 2 diabetes mellitus with hyperglycemia. Verify the supporting documentation and applicable coding instructions.
Source-aware explanation. Official description in English · Code value identical in both languages. AI explanations are supplemental — not official code-set translations.
Research flows into review, and review flows into resolution — each journey supports your professional judgment instead of trying to replace it.
Search by code or description across CM, PCS, and HCPCS
Review the official description first
Understand the documentation requirements
Validate against notes, flags, and exclusions
Enter structured, non-PHI claim context
Run the pre-submission checks
Review findings by severity — blocking first
Resolve flagged issues in your billing system
Select the denial reason code
Review the AI analysis and likely root cause
Identify what evidence is missing
Prepare next actions — or an appeal draft
Every journey runs on structured, generalized inputs — never patient names, member IDs, dates of birth, or medical record numbers.
Generic AI hands you text and waits. Manual references eat your afternoon. Assurlytics does the legwork and hands back something you can act on.
Grounded in official code sets — ICD-10-CM FY2027 (98,403 codes, CDC/NCHS), ICD-10-PCS (79,256 codes), and HCPCS Level II (26,180 codes) — with change tracking and POA-exempt flags built in.
Encoders, clearinghouses, and chatbots each solve one piece. These are the problems they leave behind — in coders' own words.
“My encoder tells me the code. Nobody tells me if I can defend it.”
Lookup tools stop at the description. Assurlytics gives the rationale, the documentation considerations, and the FY2027 changes behind every pick — so the code you choose is the code you can defend in an audit.
“A denial lands — and every tool goes silent.”
A rejection code tells you what happened, not what to do. Denial Help turns it into an investigation order: likely root cause, what to check first, the fix, an appeal draft, and how to stop it recurring.
“My work lives in six tabs.”
Lookup, claim scrubbing, denial work, and payer policy in one connected flow — plus a browser extension where you already work. No more hunting across an encoder, a PDF, a payer portal, and a chatbot.
“The AI I can use, I can't trust. The AI I could trust, I can't use.”
Generic chatbots invent codes, and enterprise AI needs your PHI, your EHR, and a contract. Assurlytics is grounded in the official code sets, labels verified answers, and is no-PHI by design — start in minutes, no IT review.
“National tools give national answers. My payer decides.”
Same code, different payer, different answer. Payer Intelligence and Policy Q&A show which payer, which source, and how fresh — the standard your claim will actually be judged by.
“Reference tools assume I'm experienced — and English-first.”
AI Coach teaches while you work, in English or Spanish — with official code descriptions always kept in English. New coders and bilingual teams get guidance, not just a lookup table.
“My encoder finds codes. Assurlytics helps me pick the right one, prove it, and fix it when a payer says no — and I could start using it today without asking anyone’s IT department.”
A coder, on why they switched
Start freeBuilt for workflows that don't need patient data — so research stays de-identified by design.
The workflow is designed so you never need to enter patient-identifying information — research runs on codes, payers, and generalized scenarios.
Structured, generalized inputs keep identifiers out of your research. If something looks like patient data, don't enter it — it isn't needed.
AI output arrives as recommendations — never auto-filed, never auto-submitted.
Decision support, not autonomous coding or legal advice. Official code sets and payer policies always win.
We’d rather earn your trust than oversell you. Assurlytics is decision support for professional coders — it will never:
Please don’t enter patient names, member IDs, dates of birth, or medical record numbers. Assurlytics is decision support — not a substitute for official code sets, payer policies, or qualified professional judgment.
Different jobs, same friendly workspace — tuned to what each role actually does all day.
Less reference-hopping. Transparent reasoning shows why each candidate fits — so you validate in minutes, not hours.
3 code systems
researched side by side
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The short version of everything people ask before starting.
Join the coders, billers, and RCM teams doing revenue-cycle work the supported way — grounded, verifiable, and PHI-free.