We design the Claims Lifecycle AI API to effectively predict denials at the pre-adjudication phase and to work in conjunction with existing edits. It goes beyond what the conventional Validation endpoint does, which is essentially a syntax and format checker. It provides line-by-line analysis of what is likely to be approved and what is NOT likely to be approved, and points out mistakes if values are entered incorrectly.
You can use this tool to evaluate Professional claims before submitting them.
Updated 3 months ago