One structured evidence review: grouped output checklist, reconciliation review, receipt review, executive summary and attestation draft checklist.
Observed amounts. Defensible rows.真实金额,生成可复核行包。
Convert a deliberately narrow, de-identified allowed-amount CSV into grouped count, 10th percentile, median and 90th percentile rows. Nothing leaves the browser.把严格限定、已去标识的 allowed-amount CSV 转为分组 count、p10、median 与 p90 行。文件不离开浏览器。
CCN · facility · billing code/system · setting/modifier · payer/plan · service date · total allowed amount · units · source period · negotiated method
V1 does not parse raw 835 files. Supply an equivalent de-identified remittance-derived extract only. Fixed-dollar negotiated charges are excluded from percentile output.
INPUT SHA-256 —
OUTPUT SHA-256
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A narrow job, mapped to the 2026 rule.只做一件事,对齐 2026 规则。
TRIGGER
Generate allowed-amount percentiles only when the payer-specific negotiated charge is based on a percentage or algorithm—not a fixed-dollar charge.
OBSERVATIONS
Use de-identified EDI 835 ERA data or an alternative equivalent remittance source. Zero-dollar remittances are excluded.
PERCENTILES
Inclusive percentile position, snapped upward to the next observed amount. CMS specifies the upward snap but does not name the underlying rank formula; this implementation is disclosed and requires human review.
WINDOW
Declare one continuous source period of 12–15 months ending on or before MRF posting. Inconsistent or short windows block export.
UNITS / ZERO
Total allowed amount is divided by whole-number units, then the unit amount is weighted into the distribution. Zero-dollar remittances are excluded; a zero-only group emits count “0” and blank percentiles.
HANDOFF
The pack is an upstream preflight. Run the resulting MRF through the official CMS Validator and complete hospital review.
PHI enters.
Export stops.
BLOCKED VALUES → email-like / SSN-like / phone-like direct identifiers
NO WORKAROUND → remove the prohibited data at source and re-export a de-identified extract
Built for the people
who sign the evidence.
Local computation reduces handling risk. Experienced hospital finance and compliance teams still own the context, exceptions and final approval.
The calculator is free. Review is the product.计算器免费,专家复核才是产品。
Local calculation and export stay free. Payment purchases a human-review workflow, evidence checklist and tracked entitlement; allowed-amount rows still never leave your browser.
Five tracked review entitlements for a 30-day service period plus a change-monitor checklist. No automatic renewal or compliance guarantee.
Review-ready,
never self-certifying.
Attestation draft — human action required
This tool can assemble a draft evidence section for hospital review. It does not name an attester, set an attestation to true, sign, submit, or represent that an MRF is complete. A hospital CEO, president, or designated senior official must oversee the final hospital process.
Not affiliated with CMS. Not legal advice. No compliance guarantee.