Pre-Submission Review Queue
Claims Requiring Documentation ReviewPrioritized review queue
synthetic demo · showing 9 of 36Prioritized queue. Packets are grouped by lane and ordered by expected documentation work, not upload order. Queue order never changes the engine verdict.
Pre-Submission Documentation Audit
LCD L33718 (rev. eff. 2024-01-01) · A52467 · SDR A55426- Upload one de-identified packet.
- Veridax runs deterministic policy checks.
- Reviewers score findings; scoring does not override the engine.
---. Do not enter PHI unless Veridax has enabled a PHI-authorized pilot environment.Upload a synthetic CSV of structured L33718 rows (declared facts plus per-criterion engine outcomes), not raw clinical notes. The file is parsed in your browser, the governing verdict is derived client-side, and nothing is uploaded or stored. Do not upload real patient data.
Appeal a Denial
- 1Claim documentation
- 2Audit result
- 3Denial reason
- 4Appeal preview
1 · Claim documentation
2 · Audit result
No audit run yetRun the L33718 audit above to see the deterministic audit result here. The appeal uses these audited facts as the clinical source of truth — Appeals performs no independent extraction of its own.
3 · Denial reason
Quoted verbatim · no clinical facts read from this textThe denial text is quoted verbatim in the appeal (grounding: denial_quote). No clinical facts are extracted from it — the only clinical facts come from the audit result above.
4 · Appeal preview
Client-only · grounded · human-reviewedClient-side only — no network, storage, model, or /appeal call. The packet is composed from the audit result, the verbatim denial text, and policy wording pinned to the deterministic L33718 engine. Unsupported facts become reviewer actions, not assertions.
Reviewer sign-off
Human review · does not change the verdictSign-off records that a human reviewed the audited facts against the source chart before any use. It does not change the deterministic engine verdict and cannot change a failed criterion to PASS. To change a verdict, correct the documentation and re-adjudicate; the engine governs.
Batch appeal preview
Client-only · synthetic · human-reviewedLoads a built-in batch of synthetic L33718 cases and composes a grounded appeal draft for each, entirely in the browser, using the same offline composer as the single preview. No network call, no /appeal backend, nothing stored. You can also upload a synthetic CSV batch below; it is parsed in-browser and composed through the same offline path.
Upload a synthetic CSV of structured L33718 rows (declared facts, per-criterion engine outcomes, and a synthetic denial), not raw clinical notes. Each row is composed into a grounded draft in your browser using the same offline composer as the built-in batch. No network call, no /appeal backend, nothing stored. Do not upload real patient data.