New Claim — Verity HCLM

Patient & Insurance

Patient *

Encounter (optional) Pick an existing encounter for the patient, add one inline, or leave blank.

Authorization Ref

Payer *

Policy / Member ID

Claim Type *

Date of Service *

Discharge Date

Priority

Clinical Details

Department

Doctor

Diagnosis ICD-10

Diagnosis Description

Primary Procedure Code

Claim Lines

#	Service Date	CPT/Service Code	Description	Qty	Unit Charge (QAR)	Billed (QAR)

Lines

0

Total Billed

QR 0

Notes & Submission

Internal Notes

ℹClaim will be saved as Draft. Submit for internal review after verifying all details and attaching required documents.

AI Claim Readiness

Run the readiness check to surface missing authorization details, incomplete documentation, diagnosis/procedure alignment, and payer submission readiness before the claim is sent. Some of these checks mirror the types of issues that often surface later during payer adjudication, but the provider sees them earlier during claim preparation.

Create New Claim

+ New Encounter