AI Clinical Coding Assistant
Clinical Documentation
Drag & Drop Fax/PDF
or click to scan via OCR
Extracted Coding
Primary Diagnosis (ICD-10)
Procedure (CPT)
Confidence Score
94% Accuracy
HIPAA Compliance Note
All data displayed is processed locally. Audit logs (45 CFR § 164.312(b)) are generated for every query. PHI Masking is enabled by default.
Check Parameters
Contacting Payer Gateway (EDI 270/271)...
Authenticating securely via HIPPA-compliant tunnel
Coverage Details
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Effective Date
--
Plan Structure
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Deductible (Individual)
--
Deductible Met (YTD)
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Co-Insurance
--
Co-Pay (Office)
--
OOP Max
--
Network Status
In-Network
Patient 360 AI™
Risk Adjustment Factor
--
Win Probability
--
Propensity to Pay
High
Open Care Gaps (HEDIS)
SDoH Flags
Audit Trail & Logs
[SYSTEM] Ready...
Stream
// EDI X12 Stream initialized...
Live Payer Call
Bot ID: V-9938 • Line: Secure SIP Trunk
Extracted Benefits
Benefit Type
--
Authorization Req?
--
Reference #
--
Total Claims
0
Outstanding AR
$0.00
Denial Rate
0%
Active Claims Tracker
Waiting for eligibility data...
| Claim ID | Patient | Diagnosis (ICD-10) | Payer | Status (277) | Amount |
|---|---|---|---|---|---|
| No claims loaded. Run Eligibility Check first. | |||||
AI Denial Resolution
Automated analysis of EDI 835/277 denial codes.
$0.00
Actionable Revenue
No denials detected yet.
AI Generated Appeal Draft
Patient Payment Portal
Scan to pay balance: $150.00
System Architecture
Client (Browser)
React / HTML5 / Tailwind
API Gateway
FastAPI / Node.js
Eligibility Bot
Python Selenium WebDriver
EDI Translator
X12 Parser / FHIR Converter
Payer Portals
Availity / Optum / CMS
NexGen Copilot
Generative AI Assistant