Two intake documents feed every Box 1—33. Each value carries an inline source citation. Edits re-run the cross-check against the latest ADA & Medicare rule set; the report flags pass / warn / fail in real time.
Source documents that drove every field
The intake document identifies the patient and the insurance program; the procedure notes identify the services, charges, and providers. Each highlighted span is cited by at least one CMS-1500 box.