Extract claims forms to structured JSON
Claims forms like CMS-1500, UB-04, and ADA pack hundreds of fields into dense gridded layouts for healthcare reimbursement. A single wrong character means a denied claim. Sensible extracts claims data into validated JSON for adjudication, compliance, and analytics.
Why claims forms challenge extraction tools
Dense field grids, tiny print, and strict positional requirements make claims forms demanding.
The CMS-1500 has 33 numbered boxes with sub-fields, checkboxes, and multi-line entries on one page. Sensible maps every field position.
Claims forms contain ICD-10, CPT, and NPI code fields where one wrong character causes denial. Sensible validates each.
CMS-1500, UB-04, and ADA dental forms each have unique layouts. Sensible detects the form type and applies the correct extraction config.
Fields we extract
Extract any data you need from claims forms into your desired output schema
Patient name, DOB, member ID, group number, provider name, NPI, tax ID, referring provider, facility name/NPI
ICD-10 codes (primary through quaternary), CPT/HCPCS codes, modifiers, place of service, dates of service, units, charges
Total charges, amount paid, balance due, prior authorization number, assignment of benefits, signature, employer information
American Dental Association standard claim form for dental services.
Institutional healthcare claim form used by hospitals and inpatient facilities.
Standard professional healthcare claim form used by physicians and outpatient facilities.
Supported claims form types
Sensible processes all major claims form types, with pre-built configs in our healthcare template library. Custom form configurations can be built in hours.
CMS-1500 (professional), UB-04/CMS-1450 (institutional), ADA Dental Claim Form, pharmacy claims (NCPDP)
ACORD claims forms, state-specific first report of injury, workers comp forms, auto injury claims
Common Questions
Details on Sensible claims form extraction.
Sensible captures date of service, place of service, CPT/HCPCS code, modifiers, diagnosis pointers, charges, units, and rendering provider NPI for each service line.
Sensible extracts ICD-10 diagnosis codes, diagnosis pointers, date of onset, and related cause indicators. For CMS-1500, all 12 diagnosis code fields are captured.
Yes. Sensible extracts billing provider name, NPI, tax ID, address, rendering provider, referring provider, and facility information from both CMS-1500 and UB-04 forms.
Yes. Sensible has pre-built configurations for CMS-1500 (professional claims) and UB-04 (institutional claims). Each form's unique field layout is mapped precisely.
Yes. Sensible sends extraction results to your webhook endpoint when processing completes. You can also poll the API for status.
Yes. Sensible flags extractions with low confidence for human review. You can configure review thresholds and workflows.
Sensible is SOC 2 Type II certified and HIPAA compliant. Data is encrypted in transit and at rest.
Documents are deleted after 30 days by default. You can configure shorter retention periods or request immediate deletion via API.
Yes. Sensible offers a free tier with 50 documents per month. No credit card required to start.
Sensible uses per-document pricing for predictable costs. No token-based billing or usage surprises. Volume discounts are available for higher throughput.
Sensible provides REST APIs and SDKs for Python and Node.js. Most integrations take a few hours. Webhooks, Zapier, and direct API calls are all supported.
Sensible processes PDF, PNG, JPG, and TIFF files. PDFs can be native or scanned.
Accuracy depends on document quality and configuration. Most production deployments achieve 95%+ accuracy with proper validation rules and confidence scoring.
Most documents process in 2 to 10 seconds depending on complexity and page count.