What does a typical Claims Lifecycle AI API response look like?

The response is an object containing the version of the API model that scored the claims in the request, with an array of claims and lines along with predictions. It contains advice about the subcategories of denials per line with suggested ERA response codes. Probabilities are numbers between 0 and 1 (from least likely to most likely).

{
    "requestId": "2ce32a10-79c3-11ea-a2b4-9d34940a98ff",
    "modelVersion": "0.14.7",
    "claims": [
        {
            "claimId": "000000001",
            "claimDenied": false,
            "drg": false,
            "lines": [
                {
                    "lineId": "1",
                    "lineDenied": false,     
                },            
                {
                    "lineId": "2",
                    "lineDenied": false,
                },
                {
                    "lineId": "3",
                    "lineDenied": false,
                },
                {
                    "lineId": "4",
                    "lineDenied": true,
                    "denialReasons": [
                        {
                            "reason": "Registration/Eligibility",
                            "probability": 0.644,
                            "eraCarcCodes": [
                                {
                                    "code": "CO97",
                                    "probability": 0.662
                                },
                                {
                                    "code": "OA94",
                                    "probability": 0.316
                                },
                                {
                                    "code": "PI97",
                                    "probability": 0.01
                                }
                            ]
                        },
                        {
                            "reason": "Payer Re-Coded Service Line",
                            "probability": 0.359,
                            "eraCarcCodes": []
                        },
                        {
                            "reason": "Service not covered",
                            "probability": 0.219,
                            "eraCarcCodes": [
                                {
                                    "code": "CO96",
                                    "probability": 0.612
                                },
                                {
                                    "code": "PI96",
                                    "probability": 0.251
                                },
                                {
                                    "code": "CO256",
                                    "probability": 0.12
                                }
                            ]
                        }
                    ]
                }
            }
        }
    ]
}

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