Surgical billing. Transparent.Validated.
- For Attending Physicians Fees that truly reflect your work
- For Insurers Detect overbilling before you pay
Tariff Intelligence Platform
Billing Intelligence — Four Specialized Systems
Q2 · VVG Surgical (Inpatient)
VVG Inpatient
AI-assisted billing validation for inpatient VVG additional services. Calyria AI analyses the complete operative context and generates structured, insurer-validated billing documentation.
- Positions uploaded by customer
- ~2,200 positions, all surgical specialties
- DYNAPTIQ-Q Score applied automatically
- VVG compliance verified
- VVG compliance verified
Q3 · TARDOC OutpatienT
VVG Outpatient
- DynaptiQ Lump Sums + Individual Services
- Cumulation Rule Checking
- OAAT Catalog Integration
- (In progress)
Q4 · VVG Outpatient
VVG Outpatient
- Inclusive Position Analysis
- Consultation VVG Fees
- Audit-Proof Fee Review
- Automatic Audit Trails
PCAA · PROCEDURE-CENTRIC AI ARCHITECTURE
The AI that reads your operative report and bills accordingly.
Structural Additional Service Recognition
Qualification-Based Compensation (DYNAPTIQ-Q Score)
The DynaptiQ quality score evaluates the physician’s surgical and medical skill, experience, and specialisation — and applies it automatically to every billing position.
Precise Documentation
Every fee invoice is structured, traceable, and prepared for legal review. Audit-proof and court-ready — before submission.
Internationally Scalable
Structurally correct billing. Verifiable. Court-proof.
Six automated verification mechanisms ensure that only services actually performed and tariff-compliant are billed — preventing under-billing, over-billing, and disputesEvery fee invoice is structured, traceable, and prepared for legal review. Audit-proof and court-ready — before submission.
Forensic Case Analysis
15 real VVG surgical cases forensically analysed — billing deviations systematically identified and quantified.
- 15 real cases forensically analysed
- Laparoscopic cholecystectomy: +16.2% billing delta detected
- Average structural deviation in forfait positions: 20.4%
- 54.4% of forfait positions contain inclusive clause risk
Swiss Healthcare Billing
MediTariff
One framework. Every Swiss tariff. Continuously updated.
Tariff Validation
Inclusive Check
Surgery Reports
AI Analysis
FOR INSURERS
Know exactly what was billed — and why.
Calyria AI reads the operative report and validates every billed position against what was actually performed. Inclusive clause violations, illegal surcharges, and double-billing are detected automatically.
Inclusive Clause Violations
Procedures billed that were never performed. The forfait price is calculated assuming all included services are executed — when they are not, the insurer overpays.
Illegal Surcharges
In recurrence cases, only the operating surgeon is permitted to apply a surcharge — the anesthesiologist is not. Urgency or complexity surcharges on forfait anesthesia positions in these cases constitute an illegal billing practice.
Double Billing
The same clinical service billed simultaneously via two different positions — creating artificial fee duplication.
Physician Portal
Works with your tariff. Or ours.
Calyria maps any tariff system negotiated between physicians and insurers. Upload your own positions — or use the DynaptiQ reference system as a starting point.
