Hospital grade extraction · HCPCS · CPT · CMS 1500

The coding hour
your billers get back.

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. The question your RCM lead asks is what that reclaimed hour is worth. Put your own numbers in and project the charge entry cost it reclaims. Two model consensus. CMS HCPCS Level II validated. Nothing retained.

  • ~1-2sextraction · per page · sandbox
  • Twoconsensus pass · Gemini + Claude
  • 0documents retained · self serve BAA
Business Associate Agreement

HIPAA ready. Sign a Business Associate Agreement in under a minute, no sales call.

Covered clinics can review and accept NOMOI's self serve BAA before uploading PHI. Tickmark runs on Google Cloud infrastructure covered by NOMOI's Google Cloud BAA.

Self serve BAATransient processing, files not retainedGoogle Cloud BAA backed infrastructure

Legal path first

Acceptance is stored with your BAA version, organization, email, and timestamp.

Per claim ROI

Put your own numbers in. See the hour and the dollars come back.

Tickmark already proves the work. This translates that work into the frame an RCM lead or CFO signs against. Enter four numbers from your floor. Every figure below is a projection from your inputs, not a Tickmark measured outcome.

100hours reclaimed per month · projected
$2,800charge entry cost reclaimed per month · projected$33,600 across twelve months
100transcription error denials avoided per month · projected ceiling

Projections only. The hour and cost figures multiply your inputs. The denial figure assumes manual keying drives half of your front end denials, the share Tickmark can touch by removing manual entry. Tickmark does not publish a denial reduction number until a pilot produces a real clean pass rate.

Pricing

Choose the monthly plan that matches your extraction volume.

Start with 5 free extractions. No card required. A self serve BAA is available before uploading PHI.

Starter

$49/mo

  • 500 included extractions per month
  • Up to 5 pages per document
  • Superbills, tick sheets, and CMS 1500s
Buy Starter
Most common

Professional

$149/mo

  • 1,500 included extractions per month
  • Up to 15 pages per document
  • Batch processing and reviewer flow
Buy Professional

Clinic

$399/mo

  • 5,000 included extractions per month
  • Up to 30 pages per document
  • API and ZIP upload workflows
Buy Clinic
Talk firstBook 15 minutes
Representative output · no account required

What a real superbill extraction looks like.

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.

Source · PDFsample_hcpcs_superbill.pdf · 1 page
Extracted output · JSON · CSV-ready
Engine warm · awaiting input
How Tickmark works

Three layers between paper and the claim.

Tickmark is not one model with a prompt. It is a deterministic preprocessor, a consensus stage across two models, and a crosswalk validator against the live CMS HCPCS Level II dataset. Every row carries its full provenance.

01

Deterministic preprocess

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.

Engine
PyMuPDF · tessdata fallback
Latency
~280ms · single page
02

Two model consensus

Gemini drafts the row set from the document. Claude reads the same input independently. Only codes both models agree on survive the consensus filter. Every attempt is logged with model, latency, and token counts.

Primary
gemini-3.1-flash-lite
Consensus
claude-haiku-4-5
Rescue
claude-sonnet-4-6 (scanned docs)
03

Crosswalk validation

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.

Crosswalk
CMS · 2026 update
Payer rules
SEHA · DOH · CMS 1500
Who Tickmark is for

Different jobs. The same hour back.

RCM lead

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.

Coder

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.

Biller

CSV export drops straight into your billing system. Files clear before lunch instead of clearing by weekend. Audit trail per row stays with the encounter forever.

CFO

Zero document retention. Self serve BAA before upload. Pay per extraction or by clinic seat. The contract you can put in front of compliance fits on one page.

Trust architecture

The compliance answer fits in one column.

Zero retention

Files enter encrypted, are parsed in memory, and are destroyed the moment your CSV is ready. No backups. No object store. No replay.

No training

Customer documents are never used to train, tune, or evaluate any model. Contractually excluded. Auditable in the per-row provenance log.

Self serve BAA

Business Associate Agreement accepted before PHI upload. HIPAA covered infrastructure on the processing path. Jurisdiction neutral by architecture.

Security review

Security controls are documented for customer review. Current claims stay limited to the controls NOMOI operates today.

Operating envelope

The numbers your IT review will ask for.

MetricValueNotes
Document typesHCPCS superbills · CMS 1500 · ticksheets · SEHA charge formsCustom layouts: 48h turn
Latency · target~1-2s per pageSandbox observation, single page
PipelineTwo model consensus + crosswalkGemini + Claude + CMS HCPCS
AccuracyBenchmarks land at GAPilot scoping in progress
Batch sizeUp to 200 documentsSync API or ZIP upload
Output formatsCSV · JSON · XLSXDirect push: roadmap
RegionUAE · me-central-1EU + US on enterprise plans
UptimeTracked from GALive status: status.nomoi.ai
Bring your own

Upload a real superbill. Download the CSV.

The sandbox above runs on a representative sample. To extract from your own document and pull the CSV, create a free trial. Five extractions free. No card required. BAA executed before any production use.

Reviews

In their words

Operator

Assel Wanigasekara

Founder. Revenue cycle management at Sheikh Shakhbout Medical City by day, building every NOMOI instrument by evening. Tickmark grew out of denial-rate work on the actual billing floor, not a feature roadmap. Reachable directly — no sales gate, no demo theatre.