Get the claim call right.
Then learn why it gets missed.
Practice real medical-claim decisions on realistic, made-up claims. Make the call, then a veteran breaks down the right answer, the trap most people fall for, and how to stop it for good. Whether you pay claims or send them. Free to try, no card.
Which side of the claim are you on?
Same engine, same cases — pointed at your job. Pick your path.
I pay claims
Claims examiners, health plans & TPAs. Ramp new examiners faster, get the whole team deciding the same way, and keep dollars from going out on the wrong call.
ClaimCaliber for examinersI send claims
Billers, coders & RCM teams. Spot the denial before you submit, get claims paid the first time, and win the appeals worth fighting instead of writing them off.
ClaimCaliber for billersImproper payments: FFS $31.70B · Part C $19.07B · Part D $3.58B — CMS, FY2024. Examiner judgment is one lever among several.
Every case gives you three things
Most quizzes stop at the right answer. The third one is the point — it's how you stop making the mistake, not just spot it once.
You make the call
You get a realistic claim laid out like a real worktable — who the patient is, what was billed, what was approved. You decide what to do, and you get the reasoning for whatever you picked.
A veteran breaks it down
How an experienced examiner actually reads the claim — the tell, the trap, and the thing newer people miss. Plain English, no textbook-speak.
You see how to stop it for good
How often this one slips through, why it happens, and the fix that prevents it across a whole team — the check, the rule, or the workflow change that catches it next time.
See a few cases
Four to start — easy to hard, across different skill areas — so you can see the whole thing end to end: you make the call, a veteran breaks it down, and you learn the fix.
The claim that sat in a drawer
Everything on this claim is fine except one thing: it was filed too late. Learn the two dates a pro checks before anything else.
Covered yesterday, not today
A clean, well-coded visit you should still deny — because the patient's coverage had already ended. The gate that comes before everything else.
The claim that came back twice
The same claim shows up twice. Learn how examiners catch true duplicates — the most common way money quietly leaks out.
The line that won't pass edits
One field on this claim contradicts all the others. Learn to scan a claim the way pros do — for the value that doesn't fit.
Safe to bring into the office
Whether you're a health plan or a billing company, training has to clear compliance and security before anyone hits play. ClaimCaliber was built for that from day one.
Every claim is made up
No real patients, no real providers, no protected health info. Nothing here can leak, so it passes your compliance and security review.
Not tied to any insurer
Cases teach the judgment, not one plan's internal rules. You learn the pattern — the kind that works no matter who you're billing or paying.
Written by someone who's done the job
Every breakdown is in a veteran examiner's voice — the real tells and traps, not a textbook paraphrase.
Train your whole team on this.
ClaimCaliber helps claims teams get new hires productive faster, make fewer costly mistakes, and decide the same way across the board. Anyone can practice for free; teams get a private case library built around their work, plus progress tracking for everyone.