Denial Prediction
AI
Advanced predictive adjudication & revenue integrity engine.
Authentication
Security key required for adjudication
Core Registry
Provider NPI
Billing Taxonomy
Patient Entity
Patient ID
Age
Gender
Female
Male
Other
Clinical Encounter
Primary Payer
Medicare (CMS)
Aetna
UnitedHealthcare
Blue Cross Blue Shield
Cigna
Humana
Tricare (Military)
Kaiser Permanente
Coverage
Active Valid
Inactive
Prior Auth Code
Facility POS
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Service Date
Submission Date
Primary Diagnosis (ICD-10-CM)
Emergency Admission
Service Line Items
+ Add Service Item
Procedure Code
Units
Standard Modifiers
Projected Billed Amount
$
250.00
Run Predictive Analysis
AI Adjudication Intelligence