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Claim denial control tower

Parse 835 ERAs, group denials by CARC/RARC, and auto-draft appeals.

Authored byStealth Falcon
Vibe-coded in JetBridge AI · clone in one click on launch day
Dollars at risk
$15,412
-8.4%
Open denials
8
-3
Avg age (days)
29
-2
Appeal recovery
68.2%
+4.1pp

Worklist

Parsed from 12 ERAs · 835 transaction set

Patient · Payer$AgeStatus
Marcus Reyes
Aetna PPO
DN-10248
$1842.5042dAppealing
Linnea Park
UHC Choice Plus
DN-10251
$612.0040dOpen
Jordan Whitlow
BCBS IL
DN-10262
$3208.7536dAppealing
Sasha Beaumont
Cigna OAP
DN-10271
$248.0033dResolved
Dimitri Vasquez
Humana Gold
DN-10288
$1120.0029dOpen
Ines Bertolini
Aetna PPO
DN-10299
$482.4026dOpen
Theo Marquardt
Medicare A/B
DN-10311
$2860.1022dAppealing
Aiyana Crowfoot
Molina Medicaid
DN-10328
$184.0019dOpen
Bryant Okafor
UHC Choice Plus
DN-10341
$5102.0015dOpen
Pilar Nakagawa
BCBS IL
DN-10357
$770.5011dResolved

Root-cause $ breakdown

Auth$6945
Coding$1278
Documentation$6069
Timely filing$248
Eligibility$1891

DN-10248 · Marcus Reyes

Aetna PPO · DOS 2026-03-12 · $1842.50 · CO-197 / N210Precert/auth absent

AI-drafted appeal letter

Authorization #PA-44219 was approved on 03/05/26 prior to DOS 03/12/26...

Encounter note · 4 pages
Prior auth confirmation · PA-44219.pdf
Payer LCD/NCD reference
835 ERA segment · CLP/CAS detail

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