Every carrier's legal billing guidelines are different. VIP Claims Command reads yours — the rates, the caps, the cycle, the words you use for what you won't pay — and turns them into rules that run on every invoice before a human ever opens it.
Most bill review runs one set of rules for everyone and asks you to live with the gaps. Claims Command keeps a versioned guideline profile for each carrier: billing cycle and submission windows, time increments and rounding, daily hour caps, invoice minimums, appeal windows, expense thresholds, team limits, required codes. Change a value, and every invoice from that day forward is scored against it. Frozen reviews keep the version they were scored under.
Your guidelines say what a vague entry looks like, which tasks are clerical, which expenses are overhead. We ship sensible defaults and you replace them with your own lists. The engine flags what your list says, in the amount your guidelines prescribe: the whole line, a re-rate to the paralegal card, or a cap at the allowed units.
| Rule | Your list says | Outcome |
|---|---|---|
| Vague entry | “Review file”, “attention to” | Flag whole line |
| Clerical task | Scheduling, copying, filing | Flag whole line |
| Attorney on paralegal work | Document indexing | Re-rate to paralegal card |
| Overhead expense | Postage, in-house copies | Flag whole line |
| Over allowed units | Research above cap | Cap at allowed units |
By attorney, by role, or by task type — hearings at one rate, research at another.
Flat-fee items alongside hourly lines.
Lien services, record retrieval, contract staff — no bar number required, same rules applied.
Recorded once and cited on the line, so the auditor never hunts for the email.
Some rules only work when you can see a timekeeper's whole book, not one invoice: eight hours across three files on one day, a hearing billed in full to four matters before the same judge, the same document reviewed twice a month apart. Claims Command runs those across every invoice you hold and shows you, in dollars, what was flagged, what the auditor cut, and where they disagree.
Nothing here pays, approves or rejects an invoice. Every finding is a next action for a person, with the suggested outcome your guidelines already call for. Reviewers confirm rather than re-judge — one click, not one argument. Everything is audited; nothing is rewritten.
Line 14 · Document indexing · 2.4 hrs · billed at attorney rate
Guideline: clerical-adjacent work billed at the paralegal card.
Share the document your panel already bills against.
Every parameter, every list, every deadline — for your legal operations team to review.
Your second carrier entity, or your next program, starts from the same page.