20 years of healthcare IT. 15 years on the payer side.
We build claims intelligence software because we've lived the problem from both sides of the equation.
The Founder
James Cofield brings two decades of Healthcare IT experience spanning full-stack software development, cloud infrastructure architecture, and data engineering. But what sets Cofield Software Solutions apart is something most software companies in this space can't claim: 15 years of hands-on experience inside dental and vision insurance operations.
That means deep knowledge of how claims are actually adjudicated — the frequency limitations, benefit maximums, waiting periods, downcoding logic, coordination of benefits rules, and payer-specific quirks that determine whether your claim gets paid or denied.
Most practice management software is built by developers who understand technology but learn healthcare as they go. CSS was built by someone who understands both — from the inside out.
Blazor • Azure • C# • SQL
Why payer-side experience matters.
We Know the Rules
Not generic claim edits — actual payer adjudication logic. Frequency limitations, downcoding patterns, benefit structures. The rules that determine whether your claim pays or denies.
We See Both Sides
Understanding how a practice submits claims is only half the picture. We understand how the payer receives, validates, and processes them — and where things break down.
We Build It Ourselves
No outsourced development team guessing at requirements. The domain expert is the developer. Every line of code is informed by real-world claims processing experience.
Our Mission
To give independent dental and vision practices the same claims intelligence that large DSO chains and insurance companies have — at a price any practice can afford. Every practice deserves to know how a claim will be processed before they submit it.
Ready to work with us?
Let's talk about how our claim scrubber can transform your revenue cycle.
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