Founder-led, in Columbus, Ohio.
ClaimYours AI is a founder-led company in Columbus, Ohio, built for Ohio DODD and behavioral health providers. We started from a simple frustration: a claim can pass every format check and still pay wrong or deny weeks later, and nobody can tell you which rule failed. So we are building software that checks each claim against Ohio’s published rules, shows the source for every result, and leaves every decision to a person on your team.
A denial shows up days after you submit, then waits in a queue until someone has time to work out why.
A denial code tells you something is wrong. It rarely tells you which rule, or what to change.
Short pays and underbilling are easy to miss, and easy to put off until the window closes.
Each rail runs on its own rules, files and agencies, not a generic national rulebook.
Waiver claims checked against the service rules in OAC Chapter 5123-9, with corrected files staged for eMBS.
All 88 Ohio counties mapped to their rate categories, and units checked against the PAWS authorization on file.
The ODM Behavioral Health Provider Manual and the Ohio Medicaid BH fee schedule (OAC 5160-27-03), checked before an MCO sees the claim.
PASSPORT, MyCare Ohio and the Ohio Home Care Waiver, matched to your Sandata or HHAeXchange visit records.
Every claim matched to its HSRM referral and paid against your Community Care Network agreement.
For any other practice, each paid line is compared with your contract rate or what that payer has really paid you.
Create an account, or start with the demo to see the platform first.
A person at ClaimYours AI reviews and approves your account.
Your practice accepts the Business Associate Agreement inside the platform.
Upload claims inside your account and see every result with its source.
Try the demo yourself, or ask for a walkthrough. No patient information needed.