Prospector Documentation¶

Welcome to Prospector, a comprehensive healthcare payment processing platform for Medicare claims.

What is Prospector?¶

Prospector provides healthcare providers and payers with tools to process Medicare claims, access CMS data, and manage provider configurations. Whether you need real-time payment calculations or want to integrate claims processing into your existing systems, Prospector has you covered.

Documentation Sections¶

App Documentation¶

Learn how to use the Prospector web application:

• Claims Processing - Process claims through IPPS, OPPS, IPF, LTCH, and IRF payment systems
• Data Viewers - Browse CMS datasets including fee schedules, MUE limits, DRG tables, and localities
• Provider Management - Configure custom provider settings and organization-specific overrides
• Customization - Create custom fee schedules and configure IOCE bypass rules

API Documentation¶

Integrate Prospector into your systems:

• Authentication - API key setup and usage
• Endpoints - Claims processing, reference data, provider management, and more
• Examples - Code samples to get started quickly
• Rate Limits - Usage limits by plan tier

Quick Links¶

Support¶

For help, contact your organization administrator or reach out to support@prospectivepayment.com.