Drop your source documents. Every field gets a cited home.

Drag a patient intake PDF and your procedure notes (CSV or Excel) into the boxes below. We read each line, populate every CMS-1500 box from a source, and pin each value to the exact line it came from.

After parse

0 fields

0 docs

Continue to filing output

Source documents

Drop & parse in one pass.

PDF · CSV · XLSX · text

Patient intake

PDF intake form

Drop pdf intake form here

Drop the file, or click “Choose pdf intake form” below.

Procedure notes

CSV or Excel (.xlsx)

Drop csv or excel (.xlsx) here

Drop the file, or click “Choose csv or excel (.xlsx)” below.

Drop at least one document to begin.

Need a sample? Use sample-intake.pdf and sample-procedure.csv.

Filing output — coming soon

Continue to the review packet.

Hands the populated CMS-1500 + cited source bundle to the regulator-ready filing packet on /filing.

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