FirstPass^™ is a rules-based software tool that applies generally-accepted and client-specific treatment and billing guidelines to both facility and professional medical claims, such as the CMS 1500 and UB04 hospital claims. By applying these guidelines to claims prior to entering the system, errors may be spotted or eliminated before they are populated in downstream applications.

FirstPass^™ allows health plans and payor organizations to check for all key clinical editing functions. These edits range from basic checks for accuracy of codes, appropriate use of modifiers, and validation of patient gender and age, to complex relationships such as instances of code fragmentation, utilization violations, mutually exclusive services, diagnosis/procedure relationships, and more. Nineteen edit categories utilizing nearly 200 edits, which encompass millions of service combinations, have been incorporated into FirstPass^™.

The Context⁴ Healthcare Inc. line of knowledge and fee products is the most comprehensive source of coding information available today. Whether users need the latest CPT^®, HCPCS, or ICD-9-CM codes, or specific-fee information, Context⁴ provides one-stop shopping for both products and service. Our proven track record in customer service as well as our experience in the industry has made Context⁴ a leading choice for knowledge products for thousands of the nation's insurance companies, healthcare organizations, and healthcare providers.

Context⁴ UCR offerings make certain that insurance companies, employer groups, and other healthcare organizations or administrators have direct access to the fee information necessary to operate in today's diverse and widespread healthcare environment. The Context⁴ UCR databases were developed over several years by a team of fee experts and mathematicians. As a result, users can now acquire cost-effective fee management solutions that are exceptionally credible and defensible. UCR fee databases are constructed using over one billion new charge points which are added annually.