For billing and utilization teams

Catch missing documentation before the claim goes out.

Precue checks physician notes against payer criteria so billing teams fix gaps before submission.

Documentation aid only. Not a coverage determination.

Precue, sample rules

CPT 72148

Lumbar spine MRI without contrast

40 Gap score

    Sample rules for this demo, not verified payer policy. The score is a rule based estimate and is not a coverage prediction.

    Denials often start with a missing sentence.

    1. Manual review

      Clerks compare long, changing payer policies against physician notes by hand.

    2. Missing detail

      A missing treatment date or exam finding can send a request back for more information.

    3. Lost time

      Every rework cycle delays the approval, and the patient waits longer for care.

    From pasted note to a clear next step.

    Precue is a workflow tool for the person who checks the paperwork. It runs in a browser tab, so there is nothing to install and no integration to approve first.

    Paste the note

    The clerk pastes a physician note, then selects the procedure and planned date of service.

    Run the check

    Precue compares the note against the criteria for that procedure and shows what is documented.

    Review the gaps

    Each gap names its source policy and comes with a suggested phrase. The clinician reviews, edits, and signs it.

    Built for the back office.

    Designed for utilization and billing clerks who work all day across several systems and need a clear answer fast.

    Browser based

    No IT project to start

    Clerks open Precue in a tab on a second monitor. No EHR integration is needed to begin, and no change to how physicians document.

    Sourced

    Every flag names its policy

    Each criterion shows the policy it came from and the exact text from the note that met it.

    Clinician led

    Precue never writes clinical facts

    Suggested phrases use blank brackets for anything the note does not say. Nothing is added on the clinician's behalf.

    Narrow on purpose

    One procedure at a time

    We start with lumbar spine MRI and expand only after each rule set is verified, licensed where required, and tested with billing teams.

    Starting with one procedure.

    Each procedure goes live only after its criteria are confirmed against current payer documents.

    • Lumbar spine MRI

      CPT 72148

      In demo
    • Pembrolizumab infusion

      HCPCS J9271

      Rules in review
    • Continuous glucose monitor supplies

      Billing code update in progress

      Rules in review

    Built for regulated healthcare data.

    Compliance is part of the product from the first pilot, not something added after launch.

    HIPAA aligned design

    Business associate agreements are signed before any pilot partner sends real patient notes.

    Role based access

    Each clerk sees only the audits for their own organization, and every view and export is logged.

    Short retention

    Raw note text is designed to be deleted when a review closes. Only the structured result is kept, if the customer agrees.

    Deidentified first

    The demo and early testing use synthetic or deidentified notes until agreements are in place.

    Questions

    Is Precue a coverage decision tool?

    No. Precue is a documentation check. The payer and its delegated reviewers make every coverage decision.

    Does it predict approvals?

    No. It identifies documentation that is missing from the note, based on the criteria for a procedure. It does not promise or estimate payment.

    Where does patient data go?

    The demo and waitlist use synthetic data only. Real notes are used only after a signed agreement covers the platform and its subprocessors.

    Who is it for?

    Hospital billing, utilization management, and revenue cycle teams that check documentation before submitting prior authorization requests and claims.

    Get early access.

    We are onboarding a small group of billing and utilization teams for pilot testing. Tell us a little about your team and we will be in touch.

    Please do not include patient information, medical record numbers, or clinical notes in this form.