Systems and methods are described for automatically evaluating a claim submitted to an insurance carrier. Claim information and at least one image associated with the claim may be received, where the image has been submitted to a carrier as supporting evidence of a service performed by a submitter of the claim. The system may provide image data and other claim information from the submitted claim as input to machine learning models configured to identify whether the image data, such as a radiograph, supports the other data in the claim submission, such as a treatment code.