ClaimGuard
CLI Tool • February 9, 2026
Autonomous medical billing denial prediction agent. Analyzes claims against CMS/NCCI rules to flag risks before submission — 100% local, HIPAA-safe by design.
TypeScript
Bun
SQLite
Claude AI
Medical Billing
CLI
TUI
Open Source
Key Features
- •ICD-10 and HCPCS code validation against CMS database
- •NCCI procedure-to-procedure edit conflict detection
- •Medically unlikely edit (MUE) unit limit enforcement
- •Add-on code and modifier validation
- •Age/sex demographic appropriateness checks
- •0-100 risk scoring with severity breakdown
- •All CMS rules data stored locally in SQLite
- •No PHI leaves your environment, HIPAA-safe