Your coders second-guess every ICD-10 entry. Your compliance officer is drowning in HIPAA paperwork. Meanwhile, Anthropic just released AI that connects directly to CMS, ICD-10, and the NPI Registry.
See what Claude's Healthcare AI suite looks like for Nashville practices — live.
AI digests docs, validates NPI/ICD-10/CPT, cross-references CMS coverage, and generates determination summaries in minutes.
AI validates ICD-10 codes against clinical documentation and flags mismatches before submission.
AI maintains real-time audit readiness with automated gap analysis and evidence collection across all safeguard categories.
AI triages by clinical urgency, drafts routine responses, and routes to the correct department automatically.
AI pulls CMS coverage criteria, cites PubMed evidence for medical necessity, and drafts appeal letters with supporting documentation.
FHIR Developer skill generates HL7 FHIR R4 compliant data exchange resources, accelerating the 2027 federal mandate.
Anthropic released purpose-built connectors that plug Claude directly into authoritative healthcare data sources. This isn't a chatbot — it's an AI that queries the same databases your billing team uses.
Query Local & National Coverage Determinations in real-time. Powers prior auth checks, coverage verification, and claims appeal arguments.
Look up diagnosis and procedure codes for accurate medical coding, billing pre-checks, and claim validation. Reduces coding errors that cause denials.
Validate provider credentials, verify referring physicians, support credentialing workflows, and maintain accurate directories.
Search 35M+ biomedical citations for evidence-based clinical decisions, medical necessity documentation, and appeals supported by published research.
These aren't generic business tools — they're purpose-built healthcare agent skills that combine Anthropic's healthcare connectors with Claude's reasoning to automate complex clinical and administrative workflows.
Digests prior auth documentation, validates NPI, verifies ICD-10 codes, cross-references CMS coverage policies, checks CPT codes, and summarizes the medical necessity argument.
Generates HL7 FHIR R4 compliant resources (Patient, Observation, Encounter) with correct LOINC/SNOMED CT/RxNorm coding. Validates against the FHIR spec.
Control inventory across 47 HIPAA safeguards with automated audit calendars, evidence collection, and gap analysis across Administrative, Physical, and Technical categories.
Map patient intake, prior auth, and claims workflows end-to-end. Identify manual bottlenecks and design AI-automated flows that cut steps by 60%.
Match insurance ERA/EOB to patient accounts, flag underpayments and overpayments, and auto-post routine payments — reducing manual reconciliation by 80%.
Build self-contained analytics dashboards with Chart.js — KPI cards, interactive charts, filterable tables — all running client-side with no server required.
Watch how Claude's Healthcare AI processes a prior auth request — connecting to CMS, ICD-10, and NPI in real-time to build a determination summary that used to take your billing team half a day.
Prior auth request form, clinical notes, imaging results, and relevant medical records.
Patient demographics, procedure details, diagnosis codes, requesting and performing provider information.
Requesting and performing providers are verified against the National Provider Identifier Registry — taxonomy codes confirmed, credentials checked.
Diagnosis codes are cross-referenced against clinical documentation. Mismatches and missing specificity are flagged before submission.
The relevant LCD/NCD is retrieved with specific coverage criteria, required documentation, and clinical indications that must be met.
Procedure codes are confirmed for accuracy, checked against coverage criteria, and validated for the performing provider's specialty.
A complete prior auth summary is produced with medical necessity argument, supporting evidence, and recommendation — ready for payer review.
This is a fully interactive dashboard built with Claude's Dashboard Builder plugin. Every chart is clickable, every metric is filterable. Toggle "Before/After AI" to see the difference.
Drag the sliders to match your practice. The savings estimate updates instantly.
Estimated Annual Savings
See your real numbers — not estimates.
The dashboard above is built with the same tools I'll use for your practice. If you want this running on your real data — customized to your workflows and payer mix — let's talk.