Free tools

24 tools for the people who work denials, deadlines and AR. No account, no email wall, and every figure cited to the regulation it came from — including the places where we could not source one and say so.

Appeal letter generatorNewA biller with a denial and a blank pagePick the denial code and your state; get a letter that quotes the code's own standard description, makes the argument that answers that code, and cites your state's prompt-pay deadline where the denial itself came late.77 X12 codes · 50 state statutes Prior authorization deadline calculatorNewAnybody waiting on an authorisationFrom 2026, impacted payers must decide expedited requests in 72 hours and standard ones in seven calendar days (drugs excluded). Put in when you submitted and see the date.CMS-0057-F, quoted Denial cost calculatorNewAnybody who has to justify working the queueThree numbers you already have and you get the figure: denials a month, what working them costs at the published $57.23 each, and the billed value sitting in them.Premier and Kodiak published figures, cited

Good Faith Estimate generatorNewAnybody scheduling an uninsured or self-pay patientEvery element 45 CFR 149.610 requires, in a reusable template — the itemized list, the provider identifiers, the five required disclaimers and the deadlines.45 CFR 149.610, quoted Denial prevention checklistNewWhoever builds the claim, before it goes outPick your specialty and get the checks that stop its own denials — each taken from the code it came from, each linking back to it.Assembled from what is already written, nothing generated RVU to Medicare paymentNewAnybody checking what a code should payThe whole formula with every step visible — three RVUs against your three geographic indices, times the conversion factor.The published formula, GPCIs and conversion factor Write-off thresholdNewWhoever decides where the hours goBelow what balance does chasing cost more than the balance is worth? Four numbers you already know, with the published $57.23 per denied claim as an alternative.Premier’s published figure, cited, or your own arithmetic Denial code lookupWhoever is reading the remittance77 of the reason and remark codes billers hit most, with the official wording, causes and how to work each; any other reason code's X12 text through the line decoder on the same page.77 codes Remark code lookup and line decoderAnybody staring at RARCsPaste a remittance line and get the group code, the reason code and the remark codes in plain words.The X12 reason and remark code tables Prompt pay deadline calculatorWhoever makes the follow-up callThe date a payer is legally late, for any state, with the statute cited.50 state statutes Timely filing limits, with a calculatorAnybody holding an old claimEach payer’s filing window quoted from the payer’s own document, and the date yours runs out.Payer documents and state Medicaid regulations Which denials to work firstWhoever owns the worklistSort a denial mix by recovery route rather than code number, which is the order that clears money fastest.Recovery routes across the code set ICD-10-CM code lookupNewAnybody who has had a claim rejected as an invalid diagnosisAll 98,403 FY2027 codes by code or by diagnosis, and every result says whether it is billable or a category header a payer will reject. Abbreviations expanded.The government order file, FY2027 Days in AR and net collection rateNewWhoever gets asked for the numbersSix numbers you already have give days in AR, the over-90 share, net collection rate and gross collection rate — with the formula beside each answer.Your numbers, in your browser AR aging analyzerA practice manager with an aging reportPaste or choose your aging export and see how much sits past 90 and 120 days, and with which payers. Opens on a worked example.Your numbers, in your browser CPT and HCPCS modifier lookupCoders and billersWhat each modifier means and the denial it usually prevents or causes.Common CPT and HCPCS modifiers, in our words Place of service codesAnybody fixing a POS mismatchThe full CMS set with what each one means.CMS’s own list Medicare revalidation lookupWhoever keeps the enrolment calendarPut in an NPI and see the CMS revalidation due date for it.The CMS Revalidation Due Date List Medicaid managed care by stateCredentialing and enrolmentHow each state’s Medicaid is structured, which decides how many enrolments you are actually facing.50 states, each cited Revenue leakage calculatorWhoever signs off the numbersWhere money leaves a practice between the visit and the deposit, with your own figures in it.Your numbers, in your browser Seat versus a local hireAnybody weighing the twoThe whole cost of a hire against the whole cost of a seat, with the loading you choose.Published prices Revenue cycle self-checkA practice manager deciding where to look firstFive questions across the revenue cycle, and the step your answers point to first.The revenue cycle, step by step Prompt pay laws, state by stateWhoever escalates a slow payerEvery state’s clean-claim payment deadline, electronic and paper, side by side, with the statute cited.50 state statutes Percentage of collections versus a flat feeAnybody being quoted a percentageWhat a percentage actually costs as your practice grows, against a flat monthly seat.Published prices

Where each of these stops — the limits, in one place

Appeal letter generator: It will not quote a deadline for a state whose rule is not a day count, and it does not apply state prompt-pay law to Medicare, Medicaid or self-funded plans.
Prior authorization deadline calculator: It says plainly which payers the rule does not reach — commercial, self-funded, and QHPs on the federal exchanges.
Denial cost calculator: The three rates are somebody else’s measurement, not ours — we have never counted a denial at any practice.
Good Faith Estimate generator: It never asks for a patient name or date of birth — those stay as placeholders you fill in your own system — and it does not cover the convening-provider rules for several providers in one episode.
Denial prevention checklist: It is what this site names for that specialty, not a measurement of what any practice is denied most — and a denial sentence that names no single code is marked as having none rather than attached to the nearest one.
RVU to Medicare payment: It will not look a CPT code up. CPT is AMA copyright and reprinting it requires a licence, so you supply the RVUs — and the page says exactly why rather than leaving you to wonder.
Write-off threshold: It will not tell you to write anything off — contracts, Medicare rules and state law all constrain that, and no calculator can see them.
Denial code lookup: It does not guess at a payer’s own policy — that is in your contract, not in the code.
Remark code lookup and line decoder: A remark code explains; it does not by itself make a balance the patient’s responsibility.
Prompt pay deadline calculator: Two states do not count in days and it refuses to invent a date for them.
Timely filing limits, with a calculator: Where a limit could not be sourced it says so rather than borrowing another payer’s.
Which denials to work first: It ranks routes, not your practice — it has never seen your book.
ICD-10-CM code lookup: A valid code can still be denied for medical necessity, laterality or sequencing. It answers one question: is this code valid for submission.
Days in AR and net collection rate: It prints no benchmark. We hold no sourced figure for "good", and repeating one everybody repeats would be inventing a standard to judge you against.
AR aging analyzer: Nothing is uploaded. It cannot see your report and does not want to.
CPT and HCPCS modifier lookup: It is a reference, not a coding decision.
Medicare revalidation lookup: CMS publishes dates about seven months ahead; a blank means no date is posted yet, not that none is coming.
Revenue leakage calculator: It is arithmetic on what you type, not a measurement of your practice.
Seat versus a local hire: We do not publish a salary figure we cannot source — you put your own in.
Revenue cycle self-check: It points at where to look; it does not measure your practice.
Prompt pay laws, state by state: Self-funded ERISA plans and Medicare and Medicaid sit outside these statutes.

Why a billing company gives this away

Because the alternative is asking a stranger to believe a claim about us. A practice that uses the appeal letter generator has seen exactly how we think about a denial — which code, which argument, which statute, and where we refuse to guess — before anybody has asked them for anything. If that thinking is useful, the conversation about a seat is short. If it is not, they have still got a letter out of it and we have lost nothing worth keeping.

The second reason is plainer. A new company has no reputation and cannot buy one. The only thing that earns a link from somebody who owes us nothing is a page that is genuinely the best free version of the thing — so that is what these have to be, and when one of them is not, it gets fixed or it comes down.

Questions

Are these tools really free, with no sign-up?

Yes. No account, no email wall, no trial. The tools that take your claims, denials or practice figures do the arithmetic in your own browser and transmit nothing. Two kinds of exception: the ICD-10 and NPI revalidation lookups send the code or NPI you type to our own server to search the public file, and the seat cost calculator records the role, seat count and salary you model, with nothing that names you. We build them because a practice that can see how we think about a denial does not need to be sold to, and because a free tool that is genuinely the best one is the only kind of thing a stranger will link to.

Can I put patient information into them?

No, and none of them ask for it. No patient name, no date of birth, no member ID, no date of service. The appeal letter generator says so above its first field. Add patient identifiers on your own machine, inside your own system.

Where do the numbers come from?

Public sources, each cited on the page it appears on: the X12 code set, CMS rules and fact sheets, state prompt-pay statutes, state Medicaid regulations and payer-published documents. Where a figure could not be sourced, the tool says so rather than borrowing a plausible one. That rule is the whole reason these are worth using.

Can I link to these or use them in training?

Please do — no permission needed and no attribution required, though a link back is how anybody else finds them. If something is wrong, write to ops@softhomeglobal.com and it will be fixed or removed.

The tools are the free half

The other half is a person working the queue full time, on your hours, inside your own system, under a login you issue. Twenty minutes on a call is enough to tell whether that fits — and if it does not, I will say so.

Nothing you typed into the tool above is attached to this. This form sends the three fields in it and which page it came from — that is all it can send. Or write to info@softhomebpo.com and skip the form entirely. What happens to it.

If a tool answered the question, these go deeper

Next step

The tools are the free half

The other half is a person working the queue full time, on your hours, inside your own system. Twenty minutes is enough to tell whether that fits.

Book a 20 minute call See the prices

Or write to ops@softhomeglobal.com