Get paid for the care you give.

Carta Health checks the ICD-10 codes on every chart before the bill goes out, catching the mistakes that cost hospitals money and doctors time. Anyone on your team can use it from day one.

Live in days, not months Humans approve every code Free lookback on last year’s claims
Carta Health Review
Straight from the doctor's note
Progress note · Dr. Osei

"Febrile overnight to 39.2. Blood cultures grew E. coli. Creatinine improving with fluids. Assessment: sepsis, urinary source, responding to treatment. IV antibiotics continued."

What the highlights prove
Together they support A41.51

Every suggestion links to the exact words in the chart. Nothing is invented.

Carta Health Review
Swap suggested High confidence
A41.9 A41.51

A41.51 fits this patient's condition better

Why this code fits
Blood cultures grew E. coli
Sepsis documented by Dr. Osei
Matches the ICD-10 definition for sepsis due to E. coli
Adds to this claim+$4,957

Hospitals are losing money they already earned.

The care was delivered and documented, but the bill never captured it.

DENIALS
0%

of hospital claims are denied on the first pass, and the rate climbs every year

See how Carta Health fixes it
LOST REVENUE
$48bn

walked away from U.S. hospitals in a single year of denials

See how Carta Health fixes it
CODING ERRORS
3–5%

of net revenue is lost to coding errors that nobody catches in time

See how Carta Health fixes it
NEVER RECOVERED
0%

of denied claims are never resubmitted, so the money is simply gone

See how Carta Health fixes it
PER CLAIM
$3–8K

is the typical payment swing from one corrected code on one claim

See how Carta Health fixes it

How Carta Health gets your billing right.

Simple enough for any nurse or front-desk teammate, and rigorous enough to check every chart against all 98,262 codes in the official ICD-10 rulebook.

Findings on this chart3 open
Add E43 Severe malnutritiondocumented on day 2, never billed +$4,967
Why Dietitian documented severe protein-calorie malnutrition Meets the ASPEN clinical criteria for severity Never made it onto the claim
Swap J96.02 Respiratory failurethe note supports a more specific code
Remove K80.20 Gallstonesthe ultrasound says otherwise
Verified before you see it
A41.51
Sepsis due to Escherichia coli
Real, billable code98,262 checked
Severity confirmedmajor complication
Payment verifiedstraight from the fee tables
Confirming the supported DRG3 supportable
DRG 871Septicemia with major complication
98% pass
$12,193
Fully supported by the chart at the higher severity
DRG 872Septicemia without major complication
97% pass
$7,410
DRG 870Needs ventilation documentation
41% pass
$18,102

Pass rates come from your payer contracts and your hospital's own claim history.

Ready to hand off3 formats
Codes back to your EHRwrite-back
Spreadsheet for billingCSV
EHR-ready bundleFHIR R4

Plus the full audit trail: every finding, approval, and answer, timestamped.

Works with the systems
hospitals already run

No integration needed to start

Start with a free lookback
Epic
Oracle Health
MEDITECH
athenahealth
eClinicalWorks
NextGen
Veradigm
TruBridge
837I
FHIR R4
Claim files & spreadsheets

Files the selected codes back to your EHR, or hands your billing team a clean CSV they can post from.

Interface standards

FHIR R4 bundles and HL7 v2 messages, the languages your interface team already speaks, when you're ready to go deeper.

Made for everyone who touches the chart.

No coding certification required. If you can read a sentence and tap a button, Carta Health works for you.

Physicians

Select your codes in the EHR the way you always have. Carta Health checks them like spell check, against your own note, before they go anywhere.

Learn more

Nurses & admin staff

Double-check the physician’s coding without decoding the medical language. Every code explains itself and traces straight back to the note.

Learn more

Admin & billing

A queue sorted by what matters most, plain-English reasons on every suggestion, and one click to approve.

Learn more

Leadership

Watch it work: what was found, what your team approved, and what came back. Every dollar traceable to a chart and a person.

Learn more

Built to protect patient data at every step.

Healthcare first, software second. Patient data stays encrypted end to end under a signed BAA, the AI reads and forgets, a person approves every change, and every action leaves a permanent, replayable trail.

HEALTH DATA PROTECTED · HEALTH DATA PROTECTED · HEALTH DATA PROTECTED · HIPAA PRIVACY & SECURITY
BUSINESS ASSOCIATE AGREEMENT · BUSINESS ASSOCIATE AGREEMENT · BUSINESS ASSOCIATE AGREEMENT · BAA SIGNED FIRST
SECURITY · AVAILABILITY · TRUST · SECURITY · AVAILABILITY · TRUST · SECURITY · AVAILABILITY · TRUST · SOC 2 PLANNED
ENCRYPTED AT REST AND IN TRANSIT · ENCRYPTED AT REST AND IN TRANSIT · ENCRYPTED AT REST AND IN TRANSIT · AES-256 END TO END

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Product

The tool that gets every code right.

Carta Health reads the chart, proposes ICD-10 codes with the evidence to back them, verifies everything against the official rulebook, and files the selected codes back for your team.

11%of claims denied on first pass over coding issues
$3–8Ktypical swing when a missed complication is corrected
65%of denials are recoverable. Few are resubmitted.

From chart to clean codes in four steps.

No new burden on physicians, and nothing leaves the building without a person signing off.

01

Upload the chart

Drop in the note or connect the EHR. No IT project, no new workflow for physicians.

02

AI proposes, with proof

Every suggested code arrives with the exact sentences in the note that support it.

03

The spine verifies

Deterministic checks against all 98,262 codes, severity tiers, DRG rules, and payment tables. The AI never gets the final word.

04

You approve and export

A person accepts every change. The selected codes go back to your EHR and on to whoever runs your billing.

Findings

Finds what the chart supports and the claim missed.

Missing diagnoses, codes that should be more specific, and codes the record does not support. Each finding shows the dollar impact and the reasoning, in plain language.

Additions, swaps, and removals in one review
Every finding cites the note behind it
Audit risks flagged before the payer sees them
Chart review complete3 findings
AddE43 Severe malnutritiondocumented on day 2, never billed+$4,967
SwapA41.51 Sepsis, E. colireplaces unspecified A41.9+$4,957
RemoveI10 Hypertensioncontradicted by the recordaudit risk
Progress note · Dr. Osei

“Blood cultures from day 2 grew Escherichia coli; patient remains febrile, started on IV cefepime.”

The proof for A41.51, highlighted in the note
Verification

Every code is proven against the official rulebook before you see it.

Carta Health does not rely on AI alone. A deterministic engine checks each suggestion against the official coding tables, so hallucinated codes, false positives, and invalid combinations are caught before they reach your queue.

All 98,262 ICD-10 codes, current fiscal year
CC and MCC severity confirmed independently
Codes that cannot appear together are caught automatically
How patient data stays protected →
Verified before you see it
Real, billable code98,262 checked
Severity confirmedmajor complication
No conflictsExcludes1 clean
Payment verifiedstraight from the fee tables
Optimization

Accuracy first. Upgrades only when the chart supports them.

Every chart gets an accuracy check first: the assignment the documentation actually supports, determined by rule. Only then does Carta Health look for more: if the record supports a more specific or higher-severity code, it shows you that option with the evidence attached. It never shops codes by payment.

The correct assignment comes first, every time
Never proposes what the chart cannot support
Higher-severity options appear only with their evidence
Confirming the supported DRG3 supportable
DRG 871Septicemia with major complication
98% pass
$12,193
DRG 872Septicemia without major complication
97% pass
$7,410
DRG 870Needs ventilation documentation
41% pass
$18,102
Lookback

Recovers money already left on the table.

Before touching tomorrow’s claims, Carta Health rescans the last twelve months of paid claims inside the rebill window and finds the ones worth correcting. That is money with no new patients attached.

Runs on past claims first, so proof comes before commitment
Every rebill packaged with its evidence
The lookback is free, start to finish
How the pilot is priced →
Lookback · last 12 months1,240 claims rescanned
RebillJ96.01 Acute respiratory failuremissing on 38 claims+$188,442
RebillN17.9 Acute kidney failuredocumented, never coded+$121,006
SwapA41.51 Specific sepsis organismupgraded on 22 claims+$109,054
Temporal integrity

Knows the difference between history and today.

Notes are full of old problems. Carta Health fences the current encounter from the patient’s history and screens history language deterministically, so resolved conditions never sneak onto a new claim. That is one of the most common denial triggers, gone.

Current encounter fenced from past sections
History phrasing caught by rule, not guesswork
Denial-prone codes stopped at the source
Reading the note in time
HISTORYCHF exacerbation in 2023, resolvedscreened out
HISTORYFormer smoker, quit 2019screened out
CURRENTAcute on chronic diastolic heart failurecodes
Only conditions treated this visit reach the claim.
Exports

Drops into the systems you already run.

The approved codes leave Carta Health in the formats your billing and interface teams already use. No rip and replace, nothing new to learn downstream.

EHR write-back, billing spreadsheets, FHIR R4
Complete, timestamped audit trail on every claim
Live in days, not months
See every integration →
Ready to hand off3 formats
Codes back to your EHRwrite-back
Spreadsheet for billingCSV
EHR-ready bundleFHIR R4
Plus the full audit trail: every finding, approval, and answer, timestamped.

Simple to start. Simple to keep.

For clinics

Free

Full platform, no invoice. We would rather grow with the clinics that need this most than bill them.

For hospitals and systems

Per reviewed discharge

Sized by your annual volume, with outcomes-aligned options. Large systems move to an annual subscription.

See how pricing works →

Accuracy here is architecture, not a promise.

The AI proposes

It reads the chart, drafts the codes, and cites its evidence. It never decides anything.

The spine decides

A deterministic engine checks every code against the official tables. Same input, same answer, every single time.

Your team approves

Nothing changes on a claim until a person accepts it. Carta Health drafts, your people sign.

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Who it’s for

Three jobs get easier the day Carta Health turns on.

Physicians check their own coding the way they spell check a note. Nurses and admin staff verify it without decoding medical language. Billing teams watch the savings add up.

Physicians

Spell check, for your codes.

You select ICD codes in your EHR exactly as you do today. Carta Health reads your selections and your note together, flags what is missing, wrong, or unsupported, and shows the sentences that prove it. One pass, then back to patients.

Checking your codes2 catches
SwapA41.51 Sepsis, E. coliyour note names the organism. Your selection said unspecified.+$4,957
AddE43 Severe malnutritiondocumented on day 2, missing from your selections+$4,967
Matches your note9 lines cited
In the EHR

Code the encounter the way you always have. Nothing new to learn.

One pass

Carta Health checks your selections against your own documentation.

Sign off

Keep what is right, fix what it caught, get credit for the care you gave.

Verifying Dr. Osei’s codesplain language
AgreesA41.51 Sepsis, E. coliblood cultures grew E. coli on day 2
What this meansexplained in plain words
Where it comes fromtraces to the note, line by line

Nurses and admin staff

Double-check without decoding the medicine.

You verify the physician’s coding before it goes out. Every code explains itself in plain language, offers Carta Health’s own suggestion when it disagrees, and traces straight back to the patient’s records and the doctor’s notes. You never have to decode medicine to check it.

Queue

Each claim arrives explained in plain words, not in code.

Trace

Click any code and see the exact note lines behind it.

Approve

Agree, or accept the suggestion. Either way it is on the record.

CFOs and billing teams

Watch the savings add up.

Carta Health keeps score of what checking is worth: recovered rebills from the lookback, denials that never happened, lift per corrected claim, month after month. Every total drills down to the claim and the evidence behind it.

Savings over timeleadership view
Recovered on rebills+$309,882
Denial risks removed41 codes
Average lift per corrected claim$3–8K
Week 1

The lookback report lands. Findings on real paid claims.

Monthly

Recovered and protected dollars, tracked over time.

Anytime

Drill from any number to the chart line that earned it.

Community hospitals first.

Large systems staff armies of coders and consultants to fight for every dollar. Community hospitals run lean, and every denied or underpaid claim cuts deeper. Carta Health gives a lean team the same rigor, without adding headcount.

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Integrations

Built for the systems hospitals already run.

Carta Health sits beside your EHR, not inside it. Charts go in, verified codes come back in the formats your billing and interface teams already use.

The EHRs your teams live in.

Start by uploading charts directly, no integration required. Direct EHR integrations are in progress.

Epic

Chart and claim export today. Interface connection where your team wants it.

Oracle Health

Works beside Millennium workflows with file-based intake.

MEDITECH

File-based intake from Expanse and Magic environments.

athenahealth

Spreadsheet and document export straight from athenaOne.

eClinicalWorks

Document export intake. No workflow changes for the practice.

NextGen

File-based intake alongside your existing billing flow.

Veradigm

Works beside Veradigm practice systems through file exchange.

TruBridge

Built for community hospital systems first.

Don’t see your system? Ask us. If it can export a chart, Carta Health can read it.

All product names and logos are trademarks of their respective owners. Carta Health is an independent product.

What goes in. What comes out.

In

The chart, as it exists

Discharge summaryPDF
Progress notesTEXT
Encounter and claim dataCSV
Last 12 months of paid claimsBULK
OutApproved

Codes you approved

A41.51E43DRG 871

Every code checked against the official rulebook, accepted by a person on your team, and filed back in the format your systems expect.

Full audit trail attached, timestamped.

EHR write-backCSVFHIR R4

How your codes get back to your systems.

EHR

Write-back

Files the selected codes back into your system, ready for your billing flow.

CSV

Billing spreadsheet

A file your billing team can open, sort, and post from today.

FHIR R4

EHR-ready bundle

Structured output for interface engines and write-back.

HL7

Hospital interfaces

FHIR R4 and HL7 v2, the languages your interface team already speaks.

Live in days, not months.

One pipeline, three stops. Charts flow in, the engine checks everything, money flows back.

Day 1 · Your systems
Epic
MEDITECH
athenahealth
+ 5 more

BAA signed, charts loaded. No IT project.

Days 2 to 5 · The engine
Carta HealthCarta Health
Reads every chart, cites its evidence
Verifies against all 98,262 ICD-10 codes
Your team approves every change

Same input, same answer, every time.

Week 1 · Money out
EHRcodes filed back
CSVbilling sheet
FHIR R4EHR bundle

First corrected rebills out, evidence attached.

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Security

Built to protect patient data at every step.

Healthcare first, software second. Patient data stays encrypted end to end under a signed BAA, the AI reads and forgets, a person approves every change, and every action leaves a permanent, replayable trail.

HEALTH DATA PROTECTED · HEALTH DATA PROTECTED · HEALTH DATA PROTECTED · HIPAA PRIVACY & SECURITY
BUSINESS ASSOCIATE AGREEMENT · BUSINESS ASSOCIATE AGREEMENT · BUSINESS ASSOCIATE AGREEMENT · BAA SIGNED FIRST
SECURITY · AVAILABILITY · TRUST · SECURITY · AVAILABILITY · TRUST · SECURITY · AVAILABILITY · TRUST · SOC 2 PLANNED
ENCRYPTED AT REST AND IN TRANSIT · ENCRYPTED AT REST AND IN TRANSIT · ENCRYPTED AT REST AND IN TRANSIT · AES-256 END TO END

How patient data is handled.

01Encrypted end to end

AES-256 at rest and in transit. Patient data is never stored or moved in the clear.

02BAA before any PHI

A signed Business Associate Agreement comes first, with every deployment. No exceptions.

03The AI reads and forgets

The model reads the chart to do its job and retains no PHI afterward.

04A person approves everything

Nothing changes on a claim and nothing is submitted anywhere without a human approving it.

05Everything on the record

Every finding, question, answer, and approval is timestamped and replayable for auditors.

06Least-privilege access

Role-based access for your team and ours. People see only what their job requires.

And what the AI never does
Retain PHI after the job is done

Read and forget. Nothing persists beyond the work itself.

Decide or submit anything on its own

A person approves every change and every export. By architecture, not by policy.

Common questions.

Where does our status stand on certifications?

HIPAA-aligned controls are in place today and a BAA is standard with every deployment. We are preparing for a SOC 2 Type II audit and will share the report once it is complete. We would rather tell you exactly where we are than put a badge on it early.

Does patient data train the AI?

Charts are processed to produce findings for your claims. Any use beyond that, including improving our models, happens only if your agreement and BAA explicitly allow it. You stay in control.

Can Carta Health submit a claim by itself?

No. The system drafts and verifies, but a person on your team approves every change and every export. That is an architectural rule, not a setting.

What does the AI actually see?

The minimum the job requires: the chart for the encounter under review and the claim data attached to it, under the BAA, encrypted in transit and at rest.

What happens if we leave?

Your claims, findings, and audit trail export with you, and PHI is deleted from our systems on a documented schedule you can verify.

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Pricing

Simple pricing. Free for clinics.

Hospitals pay per reviewed discharge. Large systems run on an annual subscription. And clinics are free, because tools like this should not be out of reach.

Start free. Scale when you’re ready.

No prices to decode. Clinics run free, and everyone else shapes a fair number with us on one call.

Free for clinicsClinics
Free

Full platform. No invoice. No catch.

Every chart checked before the claim files
Findings with evidence, in plain language
Free lookback on last year’s claims
Self-serve setup with email support
Community & regional hospitals
Per reviewed discharge

Sized by your annual volume. Part of the fee can ride on recovered dollars, so it pays for itself.

Every discharge reviewed before the claim files
Physician queries, severity checks, and the full audit trail
Guided onboarding and EHR connection
Starts with a free lookback on last year’s claims
Large systems & enterprise
Annual subscription + usage

Sized by discharge volume across your facilities. Outcomes-aligned options available.

Everything hospitals get, across every facility
Dedicated staff for integration and maintenance
Security review and procurement support
Named account team with priority SLAs

Why free for clinics?

American healthcare loses billions every year to broken billing, and the smallest practices absorb the worst of it. We started Carta Health to help bend the cost curve of American healthcare. Tools like this should not cost so much that the people who need them most cannot afford them. If you run a clinic, we would rather partner with you and grow together than send you an invoice.

Common questions.

What does the free lookback cost?

Nothing. We rescan your last twelve months of anonymized claims and hand you the rebilling opportunities we find, and you keep the report either way.

How does pricing actually work?

The way this industry actually prices: by the discharge. Clinics run free. Hospitals pay per reviewed discharge, sized by annual volume, and part of the fee can be tied to recovered dollars so the platform pays for itself. Large systems move to an annual subscription across facilities. Exact numbers get shaped on a call with your volume, not on a pricing page.

Is there a lock-in?

No. The lookback commits you to nothing, and ongoing pricing is month to month unless you want otherwise.

Who approves what gets rebilled?

Your team. Carta Health packages each finding with its evidence, and nothing is resubmitted without your approval.

See which claims were left behind last year.

Send one export, see every dollar missed in your claims, and the lookback is free.

BAA first · no integration · the lookback is free

Talk to sales

See your own claims in Carta Health.

The fastest way to judge us: bring a handful of discharge summaries and we will walk through what they support, live. Twenty minutes, no slideware.

Tell us a little. We do the rest.

We reply within one business day.

What happens next

01
A short intro call

Twenty minutes on your claims mix, your EHR, and whether Carta Health is a fit. If it is not, we say so.

02
A shadow lookback

Under a BAA, Carta Health rescans a slice of your past claims and builds the findings report.

03
The findings review

We walk the report together, claim by claim. You keep it either way.

No PHI needed for the first conversation. De-identified or sample charts work fine.