Practice real medical-claim decisions on realistic, made-up claims. Make the call, then get a veteran examiner's breakdown of the right answer, the trap, and the fix. For claims examiners, coders, and billers. Free to try.
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Maker
π
Hey Product Hunt π
I'm Elias, the founder of ClaimCaliber.
Every day, medical claims get paid, denied, or sent back on human judgment calls β and getting them wrong drains tens of billions a year ($54.3B in Medicare improper payments alone in 2024). Yet that judgment is still learned the slow way: shadowing a senior examiner, or eating denial after denial until the pattern finally clicks.
I kept coming back to one thing: this is a skill β so why does no one train it like one?
ClaimCaliber is a flight simulator for claims. You get a realistic (100% synthetic, no PHI) claim on a clean worktable and make the call. Then you get two things back: a veteran's plain-English teardown of the right answer and the trap most people fall for β and the systems-level fix that stops it from happening again.
It works from both sides of the claim:
β’ Payers & examiners β sharper calls, faster onboarding, fewer dollars out the door
β’ Billers, coders & RCM β cleaner claims that pay the first time, fewer denials
It's free to try β no card, just pick a case and make the call. I'd especially love your feedback on the teardowns; that's the heart of it.
What's the claim decision that's burned you the worst? π
β Elias
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A nice practice tool. One thing that would really help me is being able to filter cases by payer type or specialty so I can drill into the exact scenarios my team sees most often. Right now it seems pretty random which claim shows up.
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Maker
@perihan69108Β Exactly the right instinct, Perihan β thank you. Quick note: the full library at claimcaliber.com/scenarios is already filterable by category and difficulty, so it's less random than the quick-play queue makes it look. But payer type and specialty aren't filters yet β and they should be. Being able to say "show me Medicare Advantage cardiology" and drill your team's real mix is a great call; I'm adding payer-type + specialty tagging to the near-term roadmap. Which payers and specialties would top your list? I'll prioritize authoring those first.
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Adding a timed mode where you have to hit a decision under pressure would be huge for sharpening the kind of split-second judgment examiners need in real workloads. Maybe even track your speed vs accuracy over time so you can see where the hesitation creeps in.
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Maker
@ceydatrcoΒ Love this, Ceyda. A timed mode is squarely on-brand β real examiners decide under pressure, and hesitation is exactly where accuracy quietly slips. The part I'm most excited about is your second half: tracking speed vs. accuracy over time so you can see where the hesitation creeps in β that's a genuinely useful signal, not just a leaderboard. Putting it high on the list. Would you want it as a separate "pressure" mode, or a toggle on the normal practice loop?
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Tried a few cardiology and ortho claims last night and the examiner write-ups really did feel like getting mentored, not just graded. Wish the answer explanations loaded a hair faster, but the traps they call out are spot on for exam prep.
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Maker
@hediye29383Β This made my day, Hediye β "mentored, not just graded" is precisely what we're going for, and hearing the traps land for exam prep means a lot. Noted on the load time: that write-up should feel instant, so I'll dig into shaving the delay. Curious β for cardiology and ortho, are there specific bundling or modifier traps you'd want more of? I'll author toward whatever's most useful for your prep.
A nice practice tool. One thing that would really help me is being able to filter cases by payer type or specialty so I can drill into the exact scenarios my team sees most often. Right now it seems pretty random which claim shows up.
@perihan69108Β Exactly the right instinct, Perihan β thank you. Quick note: the full library at claimcaliber.com/scenarios is already filterable by category and difficulty, so it's less random than the quick-play queue makes it look. But payer type and specialty aren't filters yet β and they should be. Being able to say "show me Medicare Advantage cardiology" and drill your team's real mix is a great call; I'm adding payer-type + specialty tagging to the near-term roadmap. Which payers and specialties would top your list? I'll prioritize authoring those first.
Adding a timed mode where you have to hit a decision under pressure would be huge for sharpening the kind of split-second judgment examiners need in real workloads. Maybe even track your speed vs accuracy over time so you can see where the hesitation creeps in.
@ceydatrcoΒ Love this, Ceyda. A timed mode is squarely on-brand β real examiners decide under pressure, and hesitation is exactly where accuracy quietly slips. The part I'm most excited about is your second half: tracking speed vs. accuracy over time so you can see where the hesitation creeps in β that's a genuinely useful signal, not just a leaderboard. Putting it high on the list. Would you want it as a separate "pressure" mode, or a toggle on the normal practice loop?
Tried a few cardiology and ortho claims last night and the examiner write-ups really did feel like getting mentored, not just graded. Wish the answer explanations loaded a hair faster, but the traps they call out are spot on for exam prep.
@hediye29383Β This made my day, Hediye β "mentored, not just graded" is precisely what we're going for, and hearing the traps land for exam prep means a lot. Noted on the load time: that write-up should feel instant, so I'll dig into shaving the delay. Curious β for cardiology and ortho, are there specific bundling or modifier traps you'd want more of? I'll author toward whatever's most useful for your prep.