How
Works
From letter intake to submission receipts and 835 reconciliation —see the 4-step automated flow.
The Complete 4-Step Process
From initial letter intake to final reconciliation, AuditGrid automates every step of the audit response process.
Intake & Case Creation
Forward or upload letters; OCR/NER extracts payer, audit type, claim IDs, and due dates. A Case is created with clocks and a checklist automatically populated.
Evidence Collection
Pull DocumentReference, Encounter, Procedure, Condition via read‑only FHIR and add uploads. Provenance and de‑duplication included automatically.
Submission
Package builder assembles and submits via esMD (HIH), EDI 275 (supported payers), or guided portal with screenshot receipts for proof.
Reconciliation
Outcomes recorded; 835/277CA lines link to the Case for dollars at risk vs. recovered and CSV export for GL mapping.
See AuditGrid in Action
Book a personalized demo to see how AuditGrid can transform your audit response process, reduce response time by 70%, and recover more revenue from insurance audits.