Integration pattern

EHR-Embedded Knowledge

Your users make billing decisions inside your EHR every day — ordering procedures, documenting visits, capturing charges. Embed RCIntel so the right guidance shows up at each step without leaving your product.

For: EHR vendors, practice management systems, charge capture apps

Integration points

EHR workflow

Patient arrives
  │
  ├─ Check-in
  │   └─ RCIntel: payer filing rules            (available)
  │
  ├─ Provider orders procedure
  │   └─ RCIntel: expected payment              (available)
  │
  ├─ Visit documented
  │   └─ RCIntel: NCCI edits for the codes      (available)
  │
  ├─ Charge captured
  │   ├─ RCIntel: expected payment for patient  (available)
  │   └─ RCIntel: PTP + MUE check               (available)
  │
  └─ Claim submitted
      └─ RCIntel: pre-submission scrub          (Claim Scrubber)

What RCIntel replaces in your product

You currently maintain	RCIntel capability
Fee schedule lookup tables	Payment API — available
Payer rules database	Payer rules — available
NCCI edit tables	Coding edits — available
Denial code reference	Denial decode — available
Provider directory lookups	NPI lookup — available

Code example

A React hook for embedding a source-linked payment estimate in your charge capture UI:

typescript — React hook

import { useState, useEffect } from "react";

interface PaymentEstimate {
  allowed_amount: number;
  source: string;
}

export function usePaymentEstimate(code: string, ccn: string) {
  const [estimate, setEstimate] = useState<PaymentEstimate | null>(null);
  const [loading, setLoading] = useState(false);

  useEffect(() => {
    if (!code || !ccn) return;
    setLoading(true);

    // Call from your server so the API key stays server-side.
    fetch(`/api/rcintel/payment?code=${code}&ccn=${ccn}`)
      .then((r) => r.json())
      .then(setEstimate)
      .finally(() => setLoading(false));
  }, [code, ccn]);

  return { estimate, loading };
}

Embed billing knowledge in your EHR

Get a free read-only key and try a payment call, or talk to us about an embedded integration.

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