Internal evaluation
DenialGuard · KSA
NPHIES pre-submission scrubbing — deterministic edits gating a calibrated denial-risk model
held-out sample · synthetic data
Disposition mix (2,400 held-out claims)
Review workqueue
Hard stops
Auto-released
#
Claim
Payer
Service
Amount SAR
Denial risk
Expected loss
Edits
Claim detail
Select a claim from the queue