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Product walkthrough

See RCIntel in action

One source-linked dataset — payer rules, reimbursement math, denials, and coding edits — reached four ways. Here is what it looks like when you actually use it, and a plain account of what is generally available today versus what is still in preview.

Payment Calculator

Generally available

Enter a provider CCN and a CPT/HCPCS code or a DRG and get the full reimbursement breakdown — physician RVU math, OPPS facility rates, clinical lab, DME, MS-DRG, and Medi-Cal APR-DRG — with every input traced back to its CMS source.

For billing, RCM, and dev teams who need a fast, sourced estimate without building a fee-schedule pipeline.

Source-linked Medicare and Medi-Cal calculation. Computed in your browser from public CMS fee schedules; the paid API returns the same numbers.

Open the calculator
RCIntel Payment Calculator: a lookup for Mayo Clinic (CCN 100151) and CPT 10040, resolving to a $42.25 physician payment and a $209.52 OPPS facility payment with the RVU, GPCI, and conversion-factor math shown.

Remit Explorer

Preview · beta

Drop in an 835 remittance and see it decoded: CARC/RARC reason codes in plain English, adjustments ranked by dollars, payer scorecards, PLB takebacks, and an underpayment check against Medicare rates.

For revenue cycle teams working denials and underpayments who want the story in a remittance without a spreadsheet.

The 835 is parsed entirely in your browser — the file never leaves the machine.

Open Remit Explorer
RCIntel Remit Explorer: a dashboard summarizing $64,346 billed against $39,730 paid across 5 payers, and a payer scorecard showing each payer's paid rate and top denial codes.

NCCI

Generally available

Enter a code and see every NCCI edit that touches it — PTP bundling pairs with their modifier indicators, MUE unit limits by setting with the adjudication rationale, and add-on code relationships — for both professional and facility claims.

For coders and billing teams checking a claim before it goes out, or working a bundling or units denial after the fact.

Built from the quarterly CMS NCCI files — PTP edits, MUE limits, and add-on relationships, each shown with its rationale.

Open NCCI
The RCIntel NCCI tool showing every edit for code 10040: a summary of 2 MUE, 409 PTP, and 0 add-on edits; two MUE cards (Practitioner and Hospital Outpatient, both 1 unit max, MAI 2, Code Descriptor / CPT Instruction rationale); and procedure-to-procedure edits pairing 10040 with 0213T and 0216T, each flagged with its modifier indicator and claim type.

NPI Lookup

Generally available

Search the NPPES provider registry by NPI, name, organization, or taxonomy and open a full provider record — identity and status, credential, primary taxonomy, and practice and mailing addresses — with the raw JSON one click away.

For teams verifying a provider and pulling the registry details that anchor the rest of the billing context.

Live from the CMS NPPES provider registry.

Open NPI Lookup
The RCIntel NPI Lookup tool searching the NPPES registry for the organization Mayo Clinic: a results table of matching organization NPIs with practice address, phone, and primary taxonomy, and a selected record (NPI 1881018208, Mayo Clinic, Rochester MN — Clinic/Center, Multi-Specialty) showing status, taxonomy, practice and mailing addresses, and the raw JSON payload.

Developer API & MCP

Available

Every capability is an endpoint. Call reimbursement, denials, coding edits, and payer rules over REST, or connect the same intelligence to an AI agent over MCP.

For product and engineering teams embedding revenue cycle intelligence into their own software or agents.

The same data the web tools use, returned as structured JSON. Payment is generally available; other capabilities are in preview.

Read the docs
An RCIntel API JSON response for a code payment lookup, showing structured fields for payer, state, code, and CCN.

Workspace — Prior-Auth Brief

Live demo · no sign-in

Rather than a screenshot, this one you can run yourself. Pick a payer and see the prior-authorization answer for a procedure, each line cited back to the policy it came from.

Interactive demo on the Workspace page. No account required.

Current stage of development

We hold a hard line on what we call finished. A capability is generally available only after it is validated against its source, documented, reachable, cost-bounded, and covered by a regression test. Everything else is real and usable, but labeled preview.

CapabilityStage
Payment estimates (calculator + API)

Medicare & Medi-Cal reimbursement, tool and API reconciled to one golden set.

Generally available
340B Policy Radar

Contract-pharmacy access and manufacturer policies, source-linked and versioned.

Preview · beta
Remit Explorer

In-browser 835 decoding, payer scorecards, and underpayment checks.

Preview · beta
Claim Scrubber

In-browser 837 structure, NPI, and NCCI edit checks before submission.

Preview · beta
Coding edits (NCCI / MUE)

PTP pair and MUE limit validation.

Generally available
NPI Lookup

NPPES provider search enriched with GPCI, MAC, and payment-system context.

Generally available
Implant Module

Device catalog to predicted HCPCS and revenue-code context (assistive).

Generally available
Payer document Q&A

Upload a payer policy and get answers cited to the page and section.

Preview · beta
MCP server

The layer as tools an AI agent can call — live today for 340B, expanding as capabilities reach preview.

Preview · beta

Capabilities still in the lab that we don't yet stand behind publicly are not listed here.

Try it, or build on it

The web tools are free to use. Get a read-only API key to call the same data from your own software.

Want us to run it for you? Talk to us.