Stop Medicare ambulance claims from being denied - before you submit them.
Catch avoidable Medicare denials caused by mileage and origin/destination modifier errors before billing.
No workflow change. Not a billing system. Not a medical review.
Decision-support compliance tool. Final billing responsibility remains with the provider.
Medicare denials aren't random. They're paperwork.
Most ambulance agencies lose thousands every month due to avoidable Medicare denials.
Missing mileage, incorrect origin/destination modifiers, and dispatch mismatches are often only caught after submission - when rework and delayed payments already cost you money.
The real cost of avoidable denials
Avoidable denials typically cost $25-$50 per claim in internal rework, plus weeks of delayed cash flow.
Missing mileage
Incorrect modifiers
Dispatch mismatches
A final compliance check before you bill.
What ClaimGuard Does
- Validates mileage and required CMS-1500 fields
- Verifies origin/destination modifiers against dispatch data
- Flags high-risk claims before submission
What We Don't Do
- Does not submit claims
- Does not replace your billing software
- Does not make medical necessity decisions
Think of ClaimGuard as a safety net - not an autopilot.
Three simple steps
Upload your claim data and dispatch log
Export your pre-submission claims file and dispatch records. Upload securely to ClaimGuard.
ClaimGuard runs pre-submission compliance checks
Automated validation of mileage, origin/destination modifiers, and claim-to-dispatch consistency.
Get a clear result
Pass / Warning / Error - with specific fix suggestions for each flagged issue.
Simple pricing, aligned with real losses.
Standard Plan
Not available for now
- Pre-submission Medicare ambulance claim validation
- Mileage checks
- Origin/Destination modifier validation
- Dispatch vs claim consistency
- Clear Pass / Warning / Error reports
This plan is currently not available.
Founding Pilot Track
Limited seats - high-touch onboarding
We are selecting pilot partners now to co-build the product with real billing teams.
No commitment from this form. We contact you first to assess fit.
- Priority access before public launch
- Direct product feedback loop with our team
- Influence on roadmap and compliance rule priorities
- High-priority onboarding and support cadence
We are currently accepting a small number of pilot organizations.
Apply as PilotEarly Bird
Not available for now
This plan is currently not available.
- Early access after founding customers
- Early access onboarding
- Standard onboarding
Decision-support compliance tool only. Final billing responsibility remains with the provider.
Request a Contact
Complete the form below and our team will contact you.
Built for compliance-first teams.
HIPAA-conscious approach
Minimize PHI, encrypt data in transit and at rest
Audit-friendly
Every issue shows the rule and fix suggestion
Narrow scope by design
Paperwork and compliance checks only
Frequently Asked Questions
Will this eliminate all Medicare denials?
No. ClaimGuard targets avoidable paperwork-related denials before submission. It catches mileage errors, modifier issues, and dispatch mismatches - not clinical or medical necessity denials.
Do you submit claims to Medicare?
No. ClaimGuard is a pre-submission validation layer only. You continue to submit claims through your normal clearinghouse or direct submission process.
Do you review medical necessity?
No. We do not make medical decisions. ClaimGuard focuses exclusively on paperwork compliance: mileage, modifiers, and dispatch consistency.
Is the $199 refundable?
Yes, until the first onboarding call. If you change your mind before onboarding, we'll refund your $199 in full.
Do you keep our data?
No. We do not keep customer files long-term. Processing happens within active sessions, and session data is deleted afterward to protect your information.
Who is this not for?
ClaimGuard is not designed for one-off transports, non-Medicare billing, or medical necessity reviews. It's built for ambulance services with recurring Medicare volume (500+ claims/month).