Check what we read from your bill and fix anything that looks wrong. Rows the AI marked as uncertain are flagged. If you added an EOB, its amounts are read too, but they are not shown here for editing.
We read 7 rows from your bill.
Select a row’s “Show on bill” button to see where it came from.
Sample Family Clinic (synthetic)
Statement of services
SAMPLE – FICTIONAL
With the bill focused, press + or − to zoom and 0 to reset.
This is a fictional sample bill drawn for the demo. It is not a real bill.
| Date | Code | Description | Units | Unit price | Charge | Modifiers | Verified | |
|---|---|---|---|---|---|---|---|---|
Row 1Sep 12, 2026 · 99213 OFFICE OUTPT VISIT EST LOW-MOD $155.00 | ||||||||
Row 2Sep 12, 2026 · 85025 CBC W/AUTO DIFF WBC $28.00 1 × $28.00 = $28.00 | ||||||||
Row 3Sep 12, 2026 · 36415 ROUTINE VENIPUNCTURE $12.00 | ||||||||
Row 4Sep 12, 2026 · J1100 INJ DEXAMETHASONE SOD PHOS 1MG $18.00 | ||||||||
Row 5Sep 12, 2026 · 96372 THER/PROPH/DIAG INJ SC/IM $45.00 | ||||||||
Row 6No date · No code on bill SUPPLIES / MISC $35.00 1 × No unit price = $35.00 | ||||||||
Row 7Sep 12, 2026 · 71046 XRAY EXAM CHEST 2 VIEWS $325.00 1 × $325.00 = $325.00 |
Verify the 3 flagged rows to continue.