From visits to claims
Organize the information needed for a professional claim, including patient, provider, injury, diagnosis, service lines, and payer details.
Why offices choose SimpliClaim01 / 02 / 03 /
Less rework between the visit and the clearinghouse.
A clearinghouse receives claims. SimpliClaim helps your team prepare them: capture the visit, complete workers’ comp claim details, review common gaps, and generate a native EDI file.
Checks before sending
Get prompts for missing or inconsistent information while your team can still correct it. AI assistance supports the review; your team makes the final decision.
Keep your route to payment
Use your established clearinghouse relationship. The exact connection and acknowledgment workflow are confirmed during onboarding.
Built for the handoff
Where SimpliClaim fits.
For offices using a workers’ comp clearinghouse such as CIC Carisk, Jopari, or DaisyBill, the question is often what happens before the file gets there.
- Your team: Documents the visit and confirms the claim details.
- SimpliClaim: Helps build, validate, and produce the 837P professional claim file.
- Your clearinghouse: Receives the file through an agreed submission route and handles its existing downstream workflow.
- Your office: Reviews responses and follow-up in the workflow selected for your account.
Questions we hear
Straight answers before you switch a step in your process.
We already have a clearinghouse portal. Why use SimpliClaim?
Your portal is still useful for its clearinghouse functions. SimpliClaim focuses on the work before submission: turning visit information into a complete professional claim, checking it, and producing native 837P EDI. Whether that saves time for your office depends on your current workflow.
Do we need to replace CIC Carisk, Jopari, or DaisyBill?
No. The goal is to fit the clearinghouse you already use. We confirm the supported submission route and technical requirements for your account during onboarding; named clearinghouses are examples, not an endorsement or a claim of partnership.
Does AI submit or approve our claims?
No. AI can suggest, explain, and flag items for review. Your staff remains responsible for confirming the claim information and deciding when to send it.
Is SimpliClaim HIPAA certified or independently accredited?
HIPAA does not offer an official “HIPAA certification.” Ask our team for current security, privacy, business associate agreement, and any independent assessment documentation before sending protected health information. We do not claim an accreditation or certification without supporting documentation.
Will every claim be accepted?
No system can guarantee clearinghouse acceptance or payment. Validation helps catch issues earlier; payer rules, clearinghouse requirements, and the underlying claim details still determine outcomes.