Veridax audits DME documentation against the exact Medicare LCD criteria an auditor will check and flags what's missing — before the claim goes out. Medicare CPAP (LCD L33718) runs on a deterministic rules engine that governs every displayed verdict; AI output is used for extraction and advisory review only. Phase one is a web-workstation pilot for approved design partners, synthetic data first. Commercial-payer support is withheld until payer-specific rulesets are sourced, encoded, and validated.
Now onboarding design partners · Synthetic data first
Pre-submission review and outcome tracking today; appeal drafting returns after citation-grounding validation.
Paste a clinical note and Veridax checks the documentation against the published Medicare LCD criteria. Medicare CPAP (LCD L33718) is the only deterministic verdict lane — the rules engine governs the displayed verdict, with AI used for extraction and advisory review only. Other DME categories return documentation-completeness reviews, with payer-specific verdicts withheld until ruleset validation is complete. Missing pieces get flagged with a fix suggestion for your review.
Appeal drafting is disabled in the current pilot. It returns after citation-grounding validation is complete — every citation in a draft must trace to a verified policy source or to your own denial and note text before the feature is re-enabled. Payer-specific appeal formats are withheld until their rulesets are validated.
Mark every claim outcome as Won, Denied, or Pending — stored locally in your browser, never on our servers. Watch your overturn rate compound as you learn which documentation gaps cost you against which payers.
Phase one is a workstation-only pilot for approved design partners, running on synthetic or de-identified data first. Medicare CPAP (LCD L33718) is the only deterministic verdict lane; commercial-payer support is withheld until payer-specific rulesets are sourced, encoded, and validated.
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