Integration Pattern

EHR-Embedded Knowledge

Your users make billing decisions inside your EHR every day — ordering procedures, documenting visits, capturing charges. Embed RCIntel so the right guidance shows up at each step without leaving your product.

For: EHR vendors, practice management systems, charge capture apps

Payment estimates are available today. Coding edits and payer rules are in preview as they move through the same bar.

Integration points

EHR workflow

Patient arrives
  │
  ├─ Check-in
  │   └─ RCIntel: payer filing rules            (preview)
  │
  ├─ Provider orders procedure
  │   └─ RCIntel: expected payment              (available)
  │
  ├─ Visit documented
  │   └─ RCIntel: NCCI edits for the codes      (preview)
  │
  ├─ Charge captured
  │   ├─ RCIntel: expected payment for patient  (available)
  │   └─ RCIntel: PTP + MUE check               (preview)
  │
  └─ Claim submitted
      └─ RCIntel: pre-submission scrub          (Claim Scrubber, beta)

What RCIntel replaces in your product

You currently maintain	RCIntel capability
Fee schedule lookup tables	Payment API — available
Payer rules database	Payer rules — preview
NCCI edit tables	Coding edits — preview
Denial code reference	Denial decode — preview
Provider directory lookups	NPI lookup — preview

Code example

A React hook for embedding a source-linked payment estimate in your charge capture UI:

typescript — React hook

import { useState, useEffect } from "react";

interface PaymentEstimate {
  allowed_amount: number;
  source: string;
}

export function usePaymentEstimate(code: string, ccn: string) {
  const [estimate, setEstimate] = useState<PaymentEstimate | null>(null);
  const [loading, setLoading] = useState(false);

  useEffect(() => {
    if (!code || !ccn) return;
    setLoading(true);

    // Call from your server so the API key stays server-side.
    fetch(`/api/rcintel/payment?code=${code}&ccn=${ccn}`)
      .then((r) => r.json())
      .then(setEstimate)
      .finally(() => setLoading(false));
  }, [code, ccn]);

  return { estimate, loading };
}

Embed billing knowledge in your EHR

Get a free read-only key and try a payment call, or talk to us about an embedded integration.

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