Tickmark reads the paper superbills, tick sheets, and CMS-1500s that still move through every hospital and returns submission-ready rows in under two seconds. Three model consensus. CMS HCPCS Level II validated. Nothing retained.
The PDF on the left is a representative HCPCS encounter sheet. Press Run extraction to see the output Tickmark produces on this document — pre-rendered from the live engine for the demo, but identical to what the engine returns end to end. On real uploads the work happens in roughly a second and a half. Nothing leaves memory.
Tickmark is not one model with a prompt. It is a deterministic preprocessor, a consensus stage across two frontier models, and a crosswalk validator against the live CMS HCPCS Level II dataset. Every row carries its full provenance.
Tables, columns, and tick boxes are pulled with PyMuPDF before any model sees the page. Clean scans never burn an LLM token. The preprocess produces a typed table the consensus stage reasons over instead of free text.
Sonnet drafts the row set. Opus reviews the same input and either signs off or challenges. Mismatches escalate; matches ship. Every attempt is logged with model, latency, and token counts.
Every code is matched against the current CMS HCPCS Level II crosswalk. Modifier combinations validated against payer-specific rules. Rows that cannot be validated are surfaced with a reason instead of silently dropped.
Move the median charge-entry shift from forty minutes per encounter to under two. Cut front-end denials tied to manual transcription. Free your senior coders for the cases that actually deserve their attention.
Tickmark hands you a structured table with codes, units, and modifiers already paired. You review, adjust if needed, and submit. No keying digits off a faded scan.
CSV export drops straight into your billing system. Files clear before lunch instead of clearing by week-end. Audit trail per row stays with the encounter forever.
Zero document retention. BAA available. SOC 2 preparation underway. Pay per extraction or by clinic seat. The contract you can put in front of compliance fits on one page.
Files enter encrypted, are parsed in memory, and are destroyed the moment your CSV is ready. No backups. No object store. No replay.
Customer documents are never used to train, tune, or evaluate any model. Contractually excluded. Auditable in the per-row provenance log.
Business Associate Agreement signed before any production use. HIPAA-grade controls on the processing path. Jurisdiction-neutral by architecture.
Type II preparation underway. Audit firm selection in progress. Status updates available to enterprise prospects on request.
Tickmark is in invoice-only pilot until the UAE merchant approval clears. Pilots run on a flat fee per clinic for the duration, with the rate you sign at grandfathered against any future list pricing. Reach out and we shape the pilot together.