Claims calculators available now

Get your ducks
in a row.

Smarter Claims. Better Outcomes.

Claims calculators, auditing tools, and trouble ticket tracking — built for insurance professionals handling CMS and commercial claims.

Calculators
Auditing
Ticket Tracking
Claims Toolkit
Calculators • Auditing • Tickets
Secure
Allowed Amount Calculator CMS Fee Schedule 2025
CPT Code
99213
Locality
04 - Dallas
Allowed Amount $110.28
TKT-0042: Modifier review
Assigned to claims team • Due tomorrow
Open
HIPAA Compliant
PHI protected
CMS + Commercial
Calculators ready
Powerful Features

Your claims
toolkit

Practical tools built specifically for insurance claims professionals — calculators you can use today, with auditing and ticket tracking on the way.

Claims Calculators

Quick, accurate calculators for allowed amounts, fee schedules, coinsurance, deductible allocations, and other common claims math — CMS and commercial.

Claims Auditing Tool

Audit claims for errors, inconsistencies, and compliance issues. Spot problems before they become denials or payment delays — all within a secure, HIPAA-compliant environment.

Coming Soon

Trouble Ticket Tracker

Track, assign, and manage claims trouble tickets from identification through resolution. Keep your team organized and issues moving forward.

Coming Soon

Built for HIPAA Compliance

Designed from the ground up to handle protected health information securely. Role-based access, audit logging, encryption at rest and in transit — compliance without compromise.

Simple Process

Up and running in three steps

Secure onboarding, no complex integrations. Connect your workflows and start resolving claims issues in minutes.

1

Securely Onboard Your Data

Import claims data from your system into a secure, HIPAA-compliant environment. Encrypted in transit and at rest, with full audit logging from day one.

2

Analyze & Detect

Our engine scans every claim against thousands of rules — CMS requirements, payer edits, coding guidelines — and flags issues instantly.

3

Resolve & Export

Review suggested fixes, export findings, and use your private key to re-link results back to original claims. Apply fixes in your own system with confidence.

Built for Your World

CMS-focused. Commercial-ready.

Purpose-built for CMS claims processing, with powerful tools that extend seamlessly to commercial payers.

Primary Focus

CMS Claims

Complete tooling for Medicare, Medicaid, and government payer claims — troubleshoot errors, validate coding, and export actionable fixes within a fully compliant environment.

  • CMS-1500 & UB-04 validation and error detection
  • Medicare LCD/NCD coverage determination rules
  • ANSI reason code interpretation & suggested actions
  • Remittance advice (ERA/835) reconciliation tools
Also Supports

Commercial Payers

Extend your claims analysis to commercial insurance — bring data from any payer and apply the same powerful troubleshooting and auditing tools.

  • Multi-payer rule engine with commercial edits
  • Prior authorization status tracking
  • Contract-based fee schedule validation
  • Cross-payer denial pattern analysis
Security & Compliance

Built for
HIPAA & beyond

ClaimDuck is designed to handle protected health information with the security controls, access management, and auditability that healthcare compliance demands.

Encryption at Rest & In Transit

All data is encrypted using industry-standard protocols. PHI is protected at every layer — storage, transmission, and access.

Role-Based Access Control

Granular permissions ensure users only access the data they need. Full audit trails record every action for compliance reporting.

BAA & Compliance Documentation

Business Associate Agreements available. We work with your compliance team to meet HIPAA, SOC 2, and organizational security requirements.

Compliance Framework
HIPAA Compliant

Full BAA available • PHI handled per 45 CFR requirements • Minimum necessary access controls

SOC 2 (In Progress)

Security, availability, and confidentiality controls aligned with SOC 2 Type II requirements

Audit Logging

Every access, export, and modification logged with user, timestamp, and context — ready for compliance review

Early Access

Pricing tailored to you

We're working with early customers to build the right plans. Get in touch to discuss your needs.

What's included
  • Claims calculators & fee schedules
  • Claims auditing & error detection
  • Trouble ticket tracking
  • HIPAA-compliant data handling
  • BAA & compliance documentation
  • Team access & role management
Let's talk

Pricing depends on your team size, data volume, and compliance requirements. We'll work with you to find the right fit.

Contact Us

Or register for early access below

Ready to get your ducks in a row?

Get your ducks
in a row.

Practical claims tools built for insurance professionals — secure, compliant, and ready to work.