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Synthetic data
RCM · Live template preview
Claim denial control tower
Parse 835 ERAs, group denials by CARC/RARC, and auto-draft appeals.
Authored byStealth Falcon — Developer 1108@stealth-falcon-1108
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
| Denial | Patient · Payer | CARC/RARC | $ | Age | Status |
|---|---|---|---|---|---|
| DN-10248 | Marcus Reyes Aetna PPO DN-10248 | CO-197/ N210 | $1842.50 | 42d | Appealing |
| DN-10251 | Linnea Park UHC Choice Plus DN-10251 | CO-16/ M51 | $612.00 | 40d | Open |
| DN-10262 | Jordan Whitlow BCBS IL DN-10262 | CO-50 | $3208.75 | 36d | Appealing |
| DN-10271 | Sasha Beaumont Cigna OAP DN-10271 | CO-29 | $248.00 | 33d | Resolved |
| DN-10288 | Dimitri Vasquez Humana Gold DN-10288 | CO-22 | $1120.00 | 29d | Open |
| DN-10299 | Ines Bertolini Aetna PPO DN-10299 | CO-45 | $482.40 | 26d | Open |
| DN-10311 | Theo Marquardt Medicare A/B DN-10311 | CO-151/ N115 | $2860.10 | 22d | Appealing |
| DN-10328 | Aiyana Crowfoot Molina Medicaid DN-10328 | CO-11 | $184.00 | 19d | Open |
| DN-10341 | Bryant Okafor UHC Choice Plus DN-10341 | CO-197 | $5102.00 | 15d | Open |
| DN-10357 | Pilar Nakagawa BCBS IL DN-10357 | CO-18 | $770.50 | 11d | Resolved |
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 / N210 — Precert/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
