Upload Referral Document
Drop a redacted referral PDF here or click to browse. PHI must be redacted before upload.
Supported: PDF (scanned or digital) — Max 20MB — PHI-redacted documents only
V2 Pipeline: 7 Reader Agents + Procedure Classifier + 4 Policy Matchers = 12 agents per document
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BCBSTX Cardiology Policy Database
15 procedures mapped with 4-layer verification requirements, documentation checklists, ICD-10 codes, and 19 subtle denial triggers. eviCore manages cardiac imaging auth; BCBSTX handles devices and interventions directly.
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Appeals & P2P Dashboard
Patients at risk of denial or currently in appeal / peer-to-peer review. Powered by denial-risk analysis across all processed referrals.
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