Specialties

One platform, every coding reality.

General tools force every specialty through a physician-office mold. InteliClaim ships specialty packs that add the coding rules, reference data, and documentation prompts each field actually needs, running on the same evidence engine and the same base flow. Packs are enabled and tuned to your payers and service lines during onboarding.

Oncology / Infusion

Where one wrong unit is a five-figure mistake.

Infusion and drug administration is the least forgiving coding in medicine: the order of administrations, the units on the vial, and the waste all have to be exactly right, with the evidence to defend them.

  • Infusion hierarchy resolved correctly: initial, sequential, and concurrent administrations in the right order
  • JW / JZ drug-waste capture, with NDC units reconciled to the vial actually used
  • NCCN-referenced evidence attached for medical necessity
  • J-code / NDC capture and biosimilar handling built in
Ophthalmology

Laterality that survives all the way to the claim line.

In eye care the difference between a paid and denied claim is often a single modifier. InteliClaim carries laterality and payer step-therapy rules through from the note to the submitted claim.

  • Laterality captured once and carried through to every modifier (RT / LT / 50)
  • Anti-VEGF step-therapy sequencing checked against payer policy before submission
  • Imaging and diagnostic frequency rules (OCT, fundus photography) applied per payer
Behavioral Health

Time, parity, and place-of-service, handled.

Behavioral health coding lives and dies on documented time, the right telehealth modifiers, and parity rules payers don't always apply consistently. InteliClaim encodes all three.

  • Time-based CPT selected from the documented session length, not guesswork
  • Telehealth modifiers and place-of-service (95 / 93, POS 10 / 02) applied correctly
  • Mental-health parity (MHPAEA) rules built into the engine, so parity issues surface early
More packs

...and the rest of your service lines.

The same specialty rails carry reference data and rules for the fields below. Tell us which ones you run and we'll confirm coverage on a short call.

Cardiology

Procedure-specific coding rules and cardiac reference data.

Neurology

Neurology master data and specialty coding rules.

Orthopedic

Implant catalog and documentation requirements wired into the claim.

Pain Management

UDT frequency and device-interval medical-necessity rules.

Nephrology

Nephrology reference pack on the shared specialty rails.

Your specialty?

New packs are built on the same engine. Tell us what you run.

On rollout: packs are enabled and tuned per engagement. We validate the rules and reference data against your payers and documentation during onboarding, so coverage reflects your real book of business.

Get in touch

See it on your charts.

Book a demo or call us, and we'll run InteliClaim against your own workflow and payer mix.