9 working demos. Click any tab, hit a sample scenario, see the result in under 2 seconds. Or paste your own data.
X12 278 Prior Authorization Submission
Submit PA request to payer, get approve / deny / pending decision in real time. Decision logic mirrors actual payer policies: Dx-CPT matching, step therapy gates, AHI thresholds, BMI requirements, conservative-tx criteria.
Patient balance roster
Post-EOB balances driven by 835 remittance + practice mgmt data. Click any patient to preview their statement + scheduled email/SMS.
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Demo ruleset note: This demo uses ~100 hand-curated common NCCI PTP pairs + the free Q2 2026 CMS additions delta (~1,700 pairs total). Production deployment loads CMS's full quarterly PTP edits file under your AMA license. The deterministic checks (modifier 25/59, missing units/POS/NPI, add-on dependencies, DX format) are identical to production.
Pre-submission claim scrub
Paste a claim (JSON) or pick a sample. Engine checks NCCI PTP pairs, modifier 25/59 rules, required fields, add-on dependencies, and DX-CPT linkage.
Free, deterministic, no PHI persisted.
Denial appeal letter drafting
Enter CARC + RARC + claim context. Engine generates a formal appeal letter the biller can sign and send. 25 CARC codes + 15 RARC codes mapped to 10 appeal templates.
No LLM tokens — deterministic template fill.
First-level denial routing
Paste a batch of denials (or pick a sample). Engine routes each to one of 8 worklist queues, assigns priority, calculates SLA dates, and recommends next action.
Priority bumped to HIGH for billed ≥ $1,000 or aged > 30 days.
Payment posting from ERA 835
Paste an ERA (or pick sample). Engine auto-posts payments, splits contractual write-offs vs patient responsibility, flags math discrepancies, routes denials.
Denials auto-route to Lane 7. Math discrepancies flag manual review.
Coordination of Benefits
Patient + multiple coverages → engine determines primary/secondary/tertiary payer order using NAIC standard rules. Shows the COB rule that was applied + plain-English rationale.