clinicalResearch billing automation for clinical trial finance teams
Automate Medicare Coverage Analysis, Epic charge classification, and budget reconciliation. Reduce MCA turnaround from days to hours. Recover unbilled sponsor charges. Full decision traceability for every determination.
The problem
Your billing team is underwater.
Protocols stack up. MCA backlogs grow. Sponsor invoices wait weeks. Your analysts toggle between PDFs, spreadsheets, and Epic all day. There has to be a better way.
US research sites lose billions in unbilled sponsor charges, missed holdbacks, and coding errors.
Your billing analysts spend hours cross-referencing NCD 310.1 against each protocol. Studies wait.
Charges billed to wrong payer. SOC vs research distinctions unclear. Audit findings pile up.
Protocol changes affect budgets and MCAs. Without tracking, downstream billing is wrong from day one.
Every decision documented. Exportable rationale for MAC audits.
Applies NCD logic and all applicable Medicare coverage guidelines to each determination.
Extract procedures, visits, costs from your source documents.
Ingest extracts. Classify invoiceability. Map to timepoints.
BAA-ready. SSO/SAML. Role-based access for your team.
How it works
End-to-end billing automation
Upload your protocol, budget, and CTA. Engram parses them, applies NCD logic and all applicable Medicare coverage guidelines, and produces coverage determinations with documented rationale. Feed it Epic extracts and get classified, invoiceable charges back.
Your analysts review and approve. The system learns your institutional preferences over time.
See the modulesModules
Tools for every step of the billing workflow
From coverage analysis to sponsor invoicing to amendment tracking. License the modules you need, or deploy the full platform.
"We went from a 10-day MCA backlog to same-day turnaround. My analysts now spend time on exceptions, not routine determinations."
"The audit came and went. Every determination had a documented rationale. No callouts on our coverage analysis designations for the first time in years."
Why Engram
Built for research billing
Not a general-purpose AI tool. Purpose-built for Medicare coverage analysis, Epic charge classification, and sponsor invoicing at academic medical centers.
Reads your documents
Upload protocol PDFs, Excel budgets, Word CTAs. Engram extracts visits, procedures, and costs automatically. No manual data entry.
Documents every decision
Every coverage determination includes the NCD section cited, the protocol page referenced, and the logic applied. Ready for MAC review.
Knows billing rules
Built on NCD 310.1, LCD rules, and CMS guidance. Not a chatbot—specialized models trained on actual coverage determinations.
Your team stays in control
AI classifies and recommends. Your analysts review and approve. Configurable thresholds determine what needs human review.
Security & Compliance
Ready for your IT review
Your compliance team will ask questions. We have answers. Security questionnaire, SOC 2 report, BAA, and architecture documentation available on request.
Get started
Run a pilot on your actual protocols.
Send us 3-5 protocols. We'll run full MCA analysis and show you what Engram finds—misclassified charges, budget gaps, unbilled sponsor items. No commitment required.