MedMonk | EOB & Insurance Intelligence Dashboard

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AI ExtractionParse & Identify

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📂 Document Upload Center

Upload your EOB, ERA, and insurance card to auto-populate all fields. Supports PDF, PNG, JPG, TIFF.

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📄

Explanation of Benefits (EOB)

Upload the EOB document from Medicare, Medicare Advantage, or commercial payer. We'll extract patient info, dates, and payment details.

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Electronic Remittance Advice (ERA)

Upload the ERA / 835 file. We'll extract adjustment codes (including Code 253 sequestration), NPI, and claim-level details.

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Insurance Card

Upload front (and optionally back) of the insurance card. We identify plan type, BIN/PCN, payer, and Medicare Advantage vs. commercial.

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🤖 AI Document Intelligence

Upload at least one document, then click Extract to auto-populate fields. All extraction runs client-side — no PHI leaves your browser.

🔍 Document Extraction Summary

All Fields Extracted

Plan Type Detected

Plan CategoryMedicare Advantage

Part D ApplicableYes

Sequestration (253)Detected

Payer Info

Payer NameHumana

BIN15581

PCN3200000

Patient & Claim

Patient Age67

Member IDH12345678

Claim Total$1,240.00

🧠 Medicare & Medicaid Plan Intelligence

Plan Classification

Medicare Advantage (Part C)

Includes Part A, B & D

MAC / Jurisdiction

CGS Administrators

Jurisdiction 15 (KY, OH)

ID Format Match

H + 8 digits

Humana MA pattern confirmed

State Plan

Illinois

CountyCare / Meridian

⚠️ Code 253 — Sequestration Adjustment Detected: A 2% Medicare sequestration reduction applies to this claim. This adjustment is applied before copays/coinsurance. Verify on EOB/ERA under adjustment code 253.

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Patient Information

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First Name *

Last Name *

Date of Birth *

Member / Subscriber ID

Humana MA: H+8 digits | Aetna MA: starts with 10

Medicare Beneficiary ID (MBI)

Group Number

Gender

Address

City / State / ZIP

Phone

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Insurance & Payer Information

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Payer / Insurance Company

Plan Type

Contract / Plan ID

BIN

Pharmacy routing number

PCN

ADV/MEDD prefix = Part D

M3P BIN

Medicare Prescription Payment Plan

M3P PCN

Payer Phone / Provider Relations

Claims Mailing Address

State (for Medicaid Plan Lookup)

Effective Date

Termination Date

Copay Assistance Program

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Provider / Facility Information

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Provider / Facility Name

NPI

Tax ID (EIN)

DEA Number

State License #

Pharmacy Type

Provider Address

Contact / Submitter Name

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EOB / Claim Details

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Claim Number

Date of Service

Date EOB Issued

Place of Service

Billed Amount

Allowed Amount

Payer Paid

Patient Responsibility

Deductible Applied

Copay

Coinsurance

Sequestration Adj (Code 253)

Primary Diagnosis (ICD-10)

Secondary Diagnosis (ICD-10)

Service Line Items

NDC / CPT / HCPCS	Drug / Service Description	Qty	Days Supply	Billed	Allowed	Paid	Adj Code

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Copay Assistance & Patient Access

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Copay Assistance Program Name

Program / Enrollment ID

Amount Requested

Referral / Prescriber Name

Prescriber NPI

Prior Authorization #

Clinical Notes / Additional Information

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