Claim with confidence
Meet the Payor Greenlight System (PGS), an AI tool that checks for medical necessity, predicts first-pass success, and keeps reimbursements flowing.
in one pass.
compared to hours of manual effort.
on criteria and completeness.
in the DME & HME industry.
The key to faster, smarter claims.
Payor Greenlight System (PGS) performs a real-time compliance assessment based on your designated payor’s reimbursement criteria.
Why Payor Greenlight System
PGS checks claims for medical necessity and compliance before submission so you can catch issues early and reduce rework.
PGS improves first-pass success rates, helping claims move through faster without expanding your billing team.
With fewer denied claims and less back-and-forth, your team spends less time reprocessing and more time advancing care and operations.
Designed for high-volume DME and HME providers, PGS reviews 100+ claims at once with accuracy. Backed by real-world performance across top industry players.
Features
Your smartest reimbursement hire yet
Detect missing ICD-10 codes
PGS’s Preflight Report shows ICD-10 codes found within your funding packet, and suggests relevant ICD-10s that are missing.
Easy to read results
Know instantly that your claim is qualified! We provide an overview on which criteria Pass vs. Fail, plus a summarized explanation for claim errors.
Dive deeper
Wanting to know more about your results? We provide detailed Q&As to answer every question your payor would ask on the claim. This sets you up for success on any future appeals!
The ultimate advocate
This AI was built to be the ultimate advocate for your reimbursement team. With payors constantly approving your claims, you can accelerate order processing, avoid deferrals, minimize write offs, and prove your accuracy on audits and appeals.
Case Studies
Apria
"We have been so impressed by Notable’s excellent customer support and just how quickly and dramatically we’ve been able to see results."
Lindsey Moon
Director of Support Services
Enovis
"Enovis can now send—within minutes—emails to our hundreds of sales personnel around the U.S., letting them know if an order is 100 percent complete or if more data is required."
Birt Stem
Vice President of Automation and Sales
Electromed
“We’ve been able to take Notable to the next level. It’s giving us a lot more efficiency.”
Stephanie LaBelle
Senior Business Relations Manager