Switch to RCIntel
You're already doing this work — parsing CMS files, maintaining payer rules, building billing logic. RCIntel replaces all of it, as a workspace your team uses or an API your product calls.
Internal rules engine
You built a billing rules engine in-house. It works, but it's expensive to maintain, hard to keep current, and only as good as the engineer who built it.
What you deal with today
- —CMS updates require manual ingestion every quarter
- —Payer rules are hardcoded and go stale
- —The payment math lives in one or two people's heads
- —New facility types require weeks of development
- —Modifier logic grows harder to change with every edge case
With RCIntel
Replace the entire engine with Knowledge Resolution capability. One call returns the complete billing context — billing form, POS code, modifiers, payer rules, and expected payment. CMS data updates automatically. New facility types work on day one.
Migration effort
1-2 weeks to integrate and validate before retiring your rules engine
AAPC Codify / Find-a-Code
Your team uses AAPC Codify or Find-a-Code for manual code lookups. It's a per-seat subscription designed for humans, not software.
What you deal with today
- —Per-seat pricing that scales linearly with your team
- —No API — results can't be embedded in your workflow
- —Manual copy-paste from a web interface
- —No facility-specific context (same results for every provider)
- —No payment calculation or payer rules
With RCIntel
Replace manual lookups with Code Research capability. Your software calls the API, gets structured results with CPT codes, modifiers, documentation requirements, and NCCI edit checks — all contextualized to the specific facility via CCN.
Migration effort
Days, not weeks — drop in the API call wherever your team looks codes up by hand today
Raw CMS data downloads
You download MPFS RVU files, GPCI tables, NCCI edit tables, and fee schedule addenda directly from CMS. You parse them yourself.
What you deal with today
- —Dozens of CMS sources in different formats (CSV, Excel, PDF)
- —Cross-referencing requires 19+ interconnected data tables
- —Quarterly updates break your parsing scripts
- —No structured resolution logic (CCN → state → GPCI → payment)
- —One wrong join produces wrong payments for months
With RCIntel
RCIntel has already ingested, normalized, and cross-referenced every CMS data source. The L1–L6 knowledge graph resolves the complete chain from a single CCN. You get structured JSON instead of parsing spreadsheets.
Migration effort
Replace your data pipeline with API calls. The parsing, cross-referencing, and update tracking is handled for you
Payer portal lookups
Your team logs into individual payer portals to check filing deadlines, prior auth requirements, and appeal rules. It's manual, slow, and different for every payer.
What you deal with today
- —3,400+ payers with different portals and formats
- —Rules change without notification
- —No structured data — just PDFs and web pages
- —Filing deadline mistakes cause unrecoverable denials
- —Institutional knowledge that walks out the door with turnover
With RCIntel
RCIntel tracks payer rules across 3,400+ payers in a structured, searchable format. Payer Intelligence capability returns timely filing limits, appeal levels, prior auth rules, and policy details for any payer — programmatically.
Migration effort
Immediate — start querying payer rules today
How to switch
Get a free key
Generate a read-only key and open the docs.
Run in parallel
Call RCIntel alongside your existing system. Compare results to build confidence.
Cut over
Point your code at RCIntel and retire the internal rules engine and per-seat subscriptions.
Scale
Flat monthly plans with published overage rates.
Stop maintaining what RCIntel can manage
Use RCIntel as a workspace, managed payer model, or developer platform. Run in parallel, compare answers, and move workflows over when your team is confident.
Questions about migrating? Talk to us