A phased orchestrator drives each case from intake through packet prep, emits live log entries for the UI, and preserves a reviewable case timeline.
Browser-assisted payer research gives operators live progress, source capture, and structured policy findings inside the web app.
A second-pass review checks binder and letter drafts for weak claims, missing support, and documentation gaps before the packet is shown as ready.
Completed outcomes can be reviewed after the fact so recurring documentation gaps become reusable guidance for the next case, without exposing raw PHI in the public demo workflow.
Known payer + CPT policy pairs can be watched for quiet rule changes. When a policy appears stale or newly restrictive, the run is flagged before the packet relies on outdated criteria.
Reads the insurance provider string and maps common aliases to the configured payer list, so operators start from the right policy bucket before human review.
Every run produces an auditable binder with payer citations, medical necessity, and appeal letter. Browser-based export packages the binder, letter, and submission form for portal upload.
Model outputs are validated before they reach the operator. If a response is malformed, the workflow records the failure path instead of silently accepting broken evidence.
Every run saves logs, policies, binder, letter, and packet into Run History with a full detail sheet. Demo scenarios are synthetic, so walkthroughs do not depend on live PHI.
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