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

Clinical Encounter

Primary Payer

Coverage

Prior Auth Code

Facility POS

Service Date

Submission Date

Primary Diagnosis (ICD-10-CM)

Emergency Admission

Service Line Items

Procedure Code

Units

Unit Price ($)

Standard Modifiers

Projected Billed Amount

$250.00

AI Adjudication Intelligence