Institutional Demo

ASC Billing: Dual-Format Claims

Watch the same surgical procedure generate two different claim formats based on payer requirements — automatically.

ASC / Institutional Billing Demo

This interactive demo is being built and will showcase the unique dual-format billing capabilities for ambulatory surgical centers — a key differentiator for Prometheus RCM.

1

Choose a Facility Type

Select "Surgery Center" to enter the ASC billing flow with surgical patients.

2

Select a Surgical Patient

Choose from Medicare and commercially-insured patients undergoing orthopedic, ophthalmic, or GI procedures.

3

Review AI Coding with Revenue Codes

See the AI suggest CPT and ICD-10 codes alongside ASC-specific revenue codes.

4

See the Dual Format

View side-by-side 837P (Medicare/CMS-1500) and 837I (Commercial/UB-04) claim output from the same surgical encounter.

Medicare Patient
→ 837P
CMS-1500 • POS 24
Same Surgery
Commercial Patient
→ 837I
UB-04 • TOB 831 • Rev 0490

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