CMS 2026 · local evidence build

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。

ZERO UPLOADPHI FAIL-CLOSEDSHA-256 RECEIPTCMS VALIDATOR HANDOFF
Run a free sample运行免费样例CMS technical guide ↗
WORKSPACE / 01Allowed Amount Preflight● LOCAL ONLY
Narrow schema before calculation先过窄字段闸门,再计算

CCN · facility · billing code/system · setting/modifier · payer/plan · service date · total allowed amount · units · source period · negotiated method

Drop de-identified CSV or choose file拖入已去标识 CSV 或选择文件CSV · 25 MB local safety limit · never uploaded

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.

Policy map

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 HEADERS → patient_name / member_id / claim_id / address / DOB / email / phone / SSN / MRN
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
Human review layer

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.

Healthcare professional reviewing information on a mobile device
Human review remains the final control · real editorial photography
Stethoscope on a clinical work surface
Clinical context is not inferred by software.
Commercial access

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.

One review pack
$499

One structured evidence review: grouped output checklist, reconciliation review, receipt review, executive summary and attestation draft checklist.

30-day monitor pack
$149 / 30-day pack

Five tracked review entitlements for a 30-day service period plus a change-monitor checklist. No automatic renewal or compliance guarantee.

Evidence and boundaries

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.