Audit-defensible Medicare & Medicaid answers
A single claim runs through five domains, each published by a different organization, in a different format, on a different update cycle. Verbatim assembles the public regulatory backbone underneath all of it into one reproducible answer and pins a permanent, hash-verified citation to it. Your encoder keeps its job.
30 seats. Full refund within 30 days of purchase -- email billing@cmslookup.com, no questions asked. No subscription, now or later, on the Founding terms.
Each of these lives with a different publisher, in a different file, changing on its own schedule. So a single denial can send you into four tools at once, and you stitch the answer together by hand -- with no record of which version of which rule said what.
What governs all of it -- the Federal Register and the CMS manuals.
CMS / Federal RegisterThe code sets and the correct-coding edits that decide what can be billed together.
CMS / CDCNational and local coverage rules, and the diagnoses that support them.
CMS / MACsThe fee schedule for your setting -- physician, hospital, ASC, lab, DME.
CMSThe remittance codes on the back end, and the path to appeal.
CMS / X12Here is the part most billers have never had named for them. The regulatory, correct-coding, coverage, and payment backbone of US billing is public domain. It is all there, but it is scattered across publishers and formats, and you assemble it by hand. Verbatim ingests that public backbone and serves it as one reproducible, citation-permanent answer.
CPT, the AHA Coding Clinic, and the NUBC institutional lists are copyrighted, and Verbatim does not serve them. It does not need to -- those are the pieces your encoder already licenses. Your encoder keeps doing its job. Verbatim is the connective tissue around it.
Every claim moves through five domains, each answered by a different family of sources. Open any domain to see its sources, publishers, and what Verbatim carries. The gating question for every source is not "is it useful," it is whether Verbatim is legally allowed to ingest and re-serve it.
| Source | Publisher | What it answers | Status |
|---|---|---|---|
| Federal Register -- proposed + final rules | CMS / NARA | Where rules are made and changed; annual payment rules live here | Carried |
| CMS Internet-Only Manuals -- Pub 100-02, 100-04, 100-08 | CMS | The operational rulebook billers work from | Carried |
| Transmittals / Change Requests | CMS | The diffs -- what changed in the manuals and when | Carried |
| MLN articles + booklets | CMS | Plain-language education that translates the rules | Carried |
| Source | Publisher | What it answers | Status |
|---|---|---|---|
| NCCI -- PTP edits (3.13M pairs) + MUEs (33,354 limits) + Policy Manual | CMS | Which codes can or cannot combine; per-line unit limits, and the rationale | Carried |
| HCPCS Level II -- 16,733 codes + descriptors | CMS | Supplies, drugs, and DME beyond CPT | Carried |
| ICD-10-CM Official Coding Guidelines + ICD-10-PCS | CDC/NCHS + CMS | Why the patient was seen; inpatient procedures | Carried |
| Place of Service (POS) -- 52 codes + descriptors | CMS | Where the service happened | Carried |
| Institutional code facts -- bill type, revenue, condition, value, occurrence (1,442 Medicare facts) | CMS (Pub 100-04) | How an institutional claim is structured, from CMS's own instructions | Carried |
| CPT codes + descriptors (Level I) | AMA | Physician / outpatient procedures | Cited only |
| NUBC curated UB-04 master code tables | NUBC | The proprietary institutional master lists | Cited only |
Individual code facts are not copyrightable; the curated tables and the proprietary descriptor text are. Verbatim builds the operational "how to bill" layer from CMS's own public words, and points to the licensed descriptor sets your encoder already holds.
| Source | Publisher | What it answers | Status |
|---|---|---|---|
| NCDs -- National Coverage Determinations | CMS | Nationwide coverage rules | Carried |
| LCDs + Local Coverage Articles (NY jurisdiction) | MACs | Regional coverage and the exact diagnoses that support medical necessity | Carried -- NY |
Local coverage is carried for the New York jurisdiction today. National coverage (NCDs) is nationwide. All-jurisdiction local coverage is on the roadmap, not yet in corpus.
| Source | Publisher | What it answers | Status |
|---|---|---|---|
| MPFS -- Physician Fee Schedule + RVUs / indicators | CMS | Pricing plus global periods, bilateral, and assistant-surgery flags | Carried |
| OPPS / APC -- Addendum A + B | CMS | Hospital outpatient pricing | Carried |
| IPPS / MS-DRG | CMS | Inpatient pricing | Carried |
| ASC payment | CMS | Ambulatory surgery center pricing | Carried |
| DMEPOS fee schedule | CMS | Durable medical equipment pricing | Carried |
| Clinical Lab Fee Schedule (CLFS) | CMS | Lab pricing | Carried |
| Source | Publisher | What it answers | Status |
|---|---|---|---|
| Claims-processing rules -- Pub 100-04, inside the manual corpus | CMS | How claim lines are adjudicated | Carried |
| The appeals pathway -- redetermination → reconsideration → ALJ | CMS | The recourse path when a claim is denied | Carried |
| CARC / RARC maintained denial-reason lists | X12 | The canonical code table that explains a paid, reduced, or denied line | Cited only |
The "what do I do about this denial" knowledge -- the claims-processing rules and the appeal path -- is public and in corpus. Only the canonical denial-reason code table sits behind a license, so it is pointed to, never redistributed.
Verbatim duplicates every source into its own system and serves excerpts -- that is redistribution, so the question for every source is whether it is legally free to ingest. US government works are public domain; AMA, AHA, NUBC, and X12 works are not.
The practical loss is small: billers search for how to bill, which lives in the public CMS operational manuals, not in the proprietary descriptor text. The licensed descriptor sets are ones your encoder already holds.
Ask a billing question in plain language. Verbatim returns the governing Medicare or Medicaid rule as written, not a paraphrase. The wording you act on is the wording in the source.
Every answer carries a citation tied to a snapshot of the source text at the moment it was retrieved. It does not rot, move, or quietly change -- built to keep in an appeal or audit file and still resolve to the exact text you relied on.
A monthly edition scoped to your setting, payer focus, specialty, and role -- filtered to the changes that actually touch your work, rather than the full firehose everyone else receives.
When a question falls outside your usual setting or payer, scope a single inquiry to different parameters without changing your profile.
A direct line for Founding Members during the beta.
A Founding seat is for one working biller's normal day-to-day use -- about 500 questions a month, sized well past what one biller runs. The allowance keeps a single seat from being run as an automated or resale operation, not to ration a working professional.
These are real, current market prices. The point is not that Verbatim deletes any one of them -- it is that for less than what a biller already spends stitching reference tools together, Verbatim adds the connective layer that unifies them.
| The fragmented stack billers pay for today | Current market price |
|---|---|
| A facility-grade encoder (licenses CPT, runs codes and edits)you keep this | $95/mo, or ~$54-66/mo per seat |
| An authoritative coding reference (AHA Coding Clinic bundle)cited, not served | $386-$566/yr |
| A generic Medicare newsletter to catch changes | $699/yr |
| 2-3 single-dimension specialty newsletters, one per specialty | $248-$358/yr each |
A working biller already runs an encoder plus an authoritative reference plus a generic newsletter plus a few specialty titles, and that stack adds up well past $3,000-$4,000 a year -- each piece in its own tool, on its own cadence, with no reproducible record tying them together. Verbatim does not throw those tools out. It assembles the public regulatory backbone underneath them into one query, with a permanent citation for your file. Those stack prices are what the market charges today. The $399/mo Master figure is the planned price for when subscriptions open, not a price anyone is paying yet.
That is $399 a month, locked for the life of the product, for a single $100 payment -- personalized tier and all, at the ~500-questions-a-month fair-use cap. A Founding seat is the Master tier, the top of the Verbatim line, granted for as long as the product runs.
Privacy notice: we use your email only to create your Founding seat and send product updates. See our Privacy Policy. · 30 seats. Full refund within 30 days of purchase -- email billing@cmslookup.com, no questions asked. No subscription, now or later, on the Founding terms.
This is a Founding Member round, not a recurring promotion. The terms -- one-time $100, the Master tier for the life of the product at the ~500-questions-a-month fair-use cap, grandfathered into the subscription when the beta ends -- are available to the first 30 billers and to no one after them.
There is no countdown clock, because the scarcity is real and does not need theater. When the 30 seats are claimed, the page comes down. After that, when subscriptions open, Master is the planned $399/mo tier like it is for everyone else.
Put Verbatim against an actual question from your own work -- a denial you are appealing, a coverage rule you are not sure about, a policy change you need to confirm. If it does not earn its place in your day, you get a full refund within 30 days of purchase -- email billing@cmslookup.com, no questions asked. No form to fill out, no reason required.
You keep the answers you already pulled. We keep the relationship open for whenever the timing is better.
If a Founding seat is not the right move right now, leave an email and we will let you know when subscriptions open and what the coverage map looks like by then. No newsletter firehose, no selling -- just the launch note.
We use your email only to send launch updates. See our Privacy Policy. This form is a placeholder -- it is not yet connected to a live backend.
There is no catch, there is a trade. We are building Verbatim with real billers in the loop, and the first 30 seats buy us that. You get the Master tier for the life of the product at a one-time price; we get founding users whose questions and feedback shape the product before it goes to general subscription. The price reflects what you are giving us, not a discount we will repeat.
When the beta ends -- expected around September 2026 -- Verbatim opens as a normal subscription, with planned prices of Solo at $79/mo, Pro at $179/mo, and Master at $399/mo. Founding Members are grandfathered in: you keep access to Pro and Master for the life of the product at the ~500-questions-a-month fair-use cap, and you are not moved onto a monthly bill. The September timing is what we expect, not a hard commitment, but the Founding terms hold whenever the beta closes.
Your seat includes about 500 questions a month, sized well past what one biller runs in normal work. During the beta we are not enforcing it as a hard stop. If you are answering billing questions throughout your day, you are very unlikely to reach it. The allowance is there to keep a single seat from being run as an automated or resale operation, not to ration a working professional.
Two honest answers. On the free CMS bulletin: it does deliver raw Medicare changes for $0, and you should keep that subscription. The difference is what arrives. The free bulletin sends everyone the same firehose. Master sends you the changes filtered to your setting, payer focus, specialty, and role, and pairs each item with a permanent, hash-verified citation a free email does not. Master is not selling you the changes. It is selling you the noise reduction and the audit-grade citation on top of them.
On general-purpose AI: those tools answer from a broad, generalized read of the open web, and the citation they show is usually a live link that can change or break, with the answer often a paraphrase rather than the rule as written. Verbatim works the other way around. It searches a curated index built only from primary sources -- the CMS manuals, the Federal Register, the coding and coverage rules themselves -- and returns the governing text as written, pinned to a permanent, hash-verified snapshot you can keep in your file.
When a question reaches past those primary rules, the optional supplemental search does not fall back to a generic web result. It goes to trusted official and industry publications and brings back the relevant material with its citations, clearly labeled as supplemental so you always know which part of an answer is audit-grade primary source and which is supporting background. The point is not a smarter chat. It is an answer you can trace to its source.
It means access to the Master tier for as long as Verbatim runs, under the Founding fair-use terms (about 500 questions a month). You do not get re-billed when subscriptions open. If the product's scope expands over time, your seat moves with the Master tier it is grandfathered into. It is access for the life of the product at the fair-use cap, not a perpetual license to a frozen version.
Verbatim assembles the public-domain operational backbone of US billing across all five domains: the regulatory spine (Federal Register, CMS Internet-Only Manuals, Transmittals, MLN), correct coding (NCCI edits and Policy Manual, HCPCS Level II, ICD-10-CM/PCS, POS, institutional code facts), coverage (national NCDs and New York local coverage), payment (MPFS, OPPS, IPPS, ASC, DMEPOS, CLFS), and the public adjudication and appeals rules.
What it does not serve: CPT codes and descriptors (AMA copyright -- cited, never served), the NUBC UB-04 master tables, the CARC/RARC denial-reason lists, state-specific Medicaid manuals, and commercial-payer policies. Local coverage is the New York jurisdiction today, not all jurisdictions. If your question lands outside what Verbatim carries, it will not be the right tool for it, and we would rather you know that up front.
A Founding seat is a single-biller seat under fair use. If you run a bureau and want several billers covered, reply when you claim your seat and we will talk about it directly -- we would rather get that right than sell you the wrong thing.
One payment of $100. Access to Master for the life of the product at the ~500-questions-a-month fair-use cap -- the personalized changelog, the rule answers word for word, the permanent citations. Grandfathered into the subscription when the beta ends. Backed by a full refund within 30 days of purchase, by email, no questions asked.
The planned Master price is $399/mo. For the first 30 billers, it is $100, once, for the life of the product!
Claim my Founding seat -- $10030 seats total. Full refund within 30 days of purchase -- email billing@cmslookup.com, no questions asked. After the 30 seats are gone, the planned Master price is $399/mo. We use your email only to create your Founding seat and send product updates. See our Privacy Policy.