Claims calculators available now

Smarter Claims.
Better Outcomes.

Claims calculators, auditing tools, and trouble ticket tracking — built for insurance professionals. Upload de-identified data, keep PHI where it belongs: with you.

Calculators
Auditing
Ticket Tracking
Claims Toolkit
Calculators • Auditing • Tickets
Secure
Allowed Amount Calculator CMS Fee Schedule 2025
CPT Code
99213
Locality
04 - Dallas
Allowed Amount $110.28
TKT-0042: Modifier review
Assigned to claims team • Due tomorrow
Open
Zero PHI
On our servers
CMS + Commercial
Calculators ready
Powerful Features

Your claims
toolkit

Practical tools built specifically for insurance claims professionals — calculators you can use today, with auditing and ticket tracking on the way.

Claims Calculators

Quick, accurate calculators for allowed amounts, fee schedules, coinsurance, deductible allocations, and other common claims math — CMS and commercial.

Claims Auditing Tool

Upload de-identified claims data and audit for errors, inconsistencies, and compliance issues. Spot problems before they become denials or payment delays.

Coming Soon

Trouble Ticket Tracker

Track, assign, and manage claims trouble tickets from identification through resolution. Keep your team organized and issues moving forward.

Coming Soon

Privacy-First Architecture

Upload de-identified claims data with PII/PHI stripped. Your private key never leaves your environment — re-link results to original records only when you're ready.

Simple Process

Up and running in three steps

No PII on our servers. No complex integrations. Upload de-identified data and start resolving claims issues in minutes.

1

Upload De-Identified Data

Export claims data from your system, strip PII/PHI using our de-identification tools, and upload securely. Your private key stays with you — always.

2

Analyze & Detect

Our engine scans every claim against thousands of rules — CMS requirements, payer edits, coding guidelines — and flags issues instantly.

3

Resolve & Export

Review suggested fixes, export findings, and use your private key to re-link results back to original claims. Apply fixes in your own system with confidence.

Built for Your World

CMS-focused. Commercial-ready.

Purpose-built for CMS claims processing, with powerful tools that extend seamlessly to commercial payers.

Primary Focus

CMS Claims

Complete tooling for Medicare, Medicaid, and government payer claims — upload de-identified data, troubleshoot errors, and export actionable fixes.

  • CMS-1500 & UB-04 validation and error detection
  • Medicare LCD/NCD coverage determination rules
  • ANSI reason code interpretation & suggested actions
  • Remittance advice (ERA/835) reconciliation tools
Also Supports

Commercial Payers

Extend your claims analysis to commercial insurance — upload de-identified data from any payer and get the same powerful troubleshooting tools.

  • Multi-payer rule engine with commercial edits
  • Prior authorization status tracking
  • Contract-based fee schedule validation
  • Cross-payer denial pattern analysis
Privacy by Design

Your PHI never
touches our servers

ClaimDuck is built around a simple principle: we don't need your patients' protected information to fix your claims. Our de-identification architecture ensures compliance without compromise.

Upload De-Identified Data

Strip claim numbers, patient IDs, and other PHI before upload. Our tools replace identifiers with pseudonymized tokens automatically.

Your Private Key, Your Control

A customer-held private key maps pseudonymized tokens back to real identifiers. We never see or store the key — only you can re-link the data.

Compliance Without Compromise

No BAA headaches for basic usage. No PHI in transit or at rest on our platform. Analyze claims freely while meeting HIPAA requirements.

How De-Identification Works
Your Claims System
Claim #A8492 SSN ***-**-1234 DOB 03/15/1982
Private Key (stays with you)
Uploaded to ClaimDuck
Token #x7f2d SSN [removed] DOB [removed]
Results Exported

Diagnosis pointer error on Line 21 — use your key to map x7f2d back to Claim #A8492

Simple Pricing

Plans that scale with you

Start free, upgrade when you're ready. No surprises.

Starter
Free

Perfect for exploring ClaimDuck's capabilities.

Get Started
  • All claims calculators
  • CMS & commercial fee schedules
  • 1 team member
Most Popular
Professional
$299 /mo

For growing teams that need the full toolkit.

Start Free Trial
  • Everything in Starter
  • Claims auditing tool
  • Trouble ticket tracker
  • De-identified data upload
  • Up to 10 team members
  • Priority support
Enterprise
Custom

For large organizations with complex needs.

Contact Sales
  • Everything in Professional
  • Bulk upload & export API
  • Unlimited team members
  • Dedicated success manager
  • SLA & HIPAA BAA
Ready to get started?

Stop losing revenue to
preventable denials

Practical claims tools built for insurance professionals — all without exposing PHI. Create a free account and start using our calculators today.