SPED Compliance Copilot
Policy question answering, grounded in approved and citable sources
Not available yet
Answering compliance questions requires a versioned, approved policy source set so every answer can cite the manual and effective date it came from. ClaimBridge does not have one yet, and answering Medicaid policy questions without a citation is a compliance risk rather than a convenience. Deterministic findings, which do cite their evidence, are available today.
What a review answers today
These questions are answered against your own uploaded evidence, with a citation from each finding back to the source row.
What documentation is required for speech therapy claims?
Findings check for Medicaid ID, procedure code, and a documentation reference on every claim, and flag each missing field with a citation to the source row.
How do I ensure IEP services match billed Medicaid codes?
The IEP alignment rules flag services not present in the IEP grid, and claims outside the IEP window or over the authorized session minutes and group size.
What are common reasons for Medicaid claim denials?
Imported remittance denials are grouped by denial code and turned into remediation tasks with owners.
When is parental consent required for Medicaid billing?
Every claim is checked against an active consent record covering the service date; claims without one are flagged as critical.
What qualifications must staff have to bill for OT services?
The provider rules check credential against the service type, Medicaid billable status, and whether the provider was active on the service date.
How should transportation be documented for reimbursement?
Each ride is checked for Medicaid eligibility on the ride date, an IEP authorizing specialized transport covering that date, district responsibility, pickup and dropoff, same-day attendance, and a same-day covered service.