Import Claims Data
Claim files are uploaded inside a reimbursement review so every finding cites its source row
Uploads happen inside a reimbursement review
A review gives every uploaded row a home: type detection, a mapping you confirm, row-level validation before commit, a malware scan, an audit event, and a citation from each finding back to the source row. Files are scanned and validated on upload, and rejected rows never enter the review.
Claim import kinds
CSV. Column mapping is suggested and confirmed during upload.
Service logs · service_logs
One row per delivered service. Drives claimability findings and revenue exposure.
Remittance denials · remittance_denials
Denial codes and amounts. Groups denials into remediation work.
Payment events · payment_events
Paid, adjusted, and recouped amounts. Attributes recovered dollars back to denials.