MedCascade
Trusted by Providers, Schemes & Bureaus

MedCascade

Insight you can claim.

MedCascade provides an advanced clinical validation engine that checks every claim against scheme rules, tariffs and RPLs, ICD-10 coding requirements, and PMB entitlements. The result is an effortless workflow that empowers providers with efficient decision support to maximize claim accuracy and minimize denials.

POPIA Compliant
HIPAA Compliant
medcascade · validation run
Clean claim assembled
100%

  1. Clinical narrative received

  2. Diagnosis coding

    M54.5M75.1

  3. Procedure alignment

    7290172318

  4. Tariff reconciliation

    R 1 284.50

  5. Compliance review

    0009

  6. Claim pack assembled

Hover to pause.
70%
Less Billing Time

Automated validation and decision support cut manual coding from hours to minutes.

5x–200x
Cost Savings

Fewer denials, cleaner first-pass claims, and far less rework.

5x
Faster Claims Processing

Billing-to-claims turnaround accelerates so revenue lands sooner.

99.9%
Uptime SLA

Built to be there at the moment of billing, every day.

How It Works

Follow Claims & Authorizations Through the Cascade

One platform, three tailored flows — pick your seat and click a claim or authorization through from clinical data to a decision-ready pack.

Code with confidence and submit cleaner first-pass claims.

01
Submit Clinical Data
Upload patient records, procedure notes, or clinical transcripts.
02
Automated Validation
MedCascade analyzes ICD-10 codes, validates RPL alignment, and checks PMB compliance.
03
Decision Support
Receive coding suggestions, motivations, and pre-authorization support with flagged issues and confidence scores.
04
Submit with Confidence
Deliver a clean first-pass claim — or a decision-ready authorization request — with validated codes and documentation.
Hands-On

Try a Sample Claim

Pick a scenario from our demonstration practices and watch the validation assemble a medical report — right here in your browser.

Preview

The validation result appears here as a miniature medical report: diagnosis analysis, procedures and modifiers, tariff totals, and anything off flagged — modelled on real reports from our demonstration practices.

Money Saved

Put a Number on the Admin Time

Every validated claim is admin time your practice gets back. Estimate what that is worth each month.

How much could you save?

Estimate the admin time and money clinical validation gives back — computed from time saved per claim and the cost of an admin person's time.

Inside the Product

More Than Validation

Lookup, reporting, analytics, and a coding arena — a quick tour of the surfaces your team will live in.

code lookup
low back pain
M54.5Low back painICD-10
72901Physiotherapy consultationRPL
M51.2Other specified intervertebral disc displacementPMB
Code Lookup — search ICD-10, RPL, PMB, modifiers, and disciplines in one workbench.
validation report
Tariff Analysis3 lines
72901ConsultationR 414.10
72318Procedure — condition AR 286.30
72323Procedure — condition BR 584.10
Reconciled totalR 1 284.50
Validation reports — every line priced, sequenced, and reconciled against the scheme.
impact analytics

Value recovered

R 51.7k

Completion

72.7%

First-pass clean claims84%
Flags resolved before submission67%
Impact Analytics — recovered value, outcomes, and questionnaire feedback at a glance.
medcascade arena
12-day streak Sapphire League
#1codecascader2 840 XP
#2tariffhawk2 615 XP
#3you2 540 XP
The Arena — sharpen coding accuracy with quizzes, streaks, and a global leaderboard.
Get Started Today

Ready to Claim the Insight?

Insight you can claim.

Integrate MedCascade into your existing billing infrastructure for cleaner first-pass claims, fewer denials, and up to 5x faster claims processing.