← Home/Denial Engine · v1
From a denied claim to a correction and an appeal letter.
Paste an EOB excerpt or denial letter. Three sequential model calls produce a structured denial analysis, a proposed corrected claim, and a payer-ready appeal packet — all grounded in the original denial text and claim context.
Synthetic samples only — no PHI. The production architecture for handling real payer correspondence is described on the architecture page.
Step 1 will call /api/denial/analyze.
1. Analysis
No analysis yet. Click Analyze denial.
2. Correction
No correction yet. Run the analysis first.
3. Appeal packet
No appeal yet. Generate the correction first.
Honest limitations
No live payer integration
Nothing is submitted anywhere. The appeal packet is generated for inspection, not transmission.
Synthetic denials only
Sample EOB excerpts and claim contexts were written for this demo. No real payer correspondence and no PHI is processed.
Not legal, billing, or coding advice
Output needs a certified coder and the payer-specific policy in front of them before any production claim is corrected or appealed.
No catalog validation in v1
Suggested CPT and ICD-10 codes are not validated against current AMA/CMS catalogs here — that's the next deterministic layer, mirroring the E/M demo's NCCI table.
Three single-shot calls, no agent loop
Each step is one Gemini call with the prior step's result as input. No retry, no critic pass, no tool use. Deliberate simplicity for v1.
HIPAA-aware, not HIPAA-compliant
This route calls Google AI Studio without a BAA. Production deployment requires Vertex AI under BAA — see the architecture page.