ai Available
AI Contextual Help Assistant
Inline assistant that understands the current page, field, and state — plus free-form chat over a per-tenant knowledge base.
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AI Consistency Analyzer
Detects inconsistent decisions vs. similar prior claims, flags analyst drift, and checks policy-rule conformance on every decision.
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AI Eligibility Suggestions
On every claim, AI surfaces structured eligibility flags with rule citations and missing-information pointers. Staff decide; AI starts the draft.
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AI Incoming Document Processing
OCR, classify, extract structured fields, and auto-route incoming documents to the right claim. Human review only for low-confidence cases.
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Bulk Document Intake with AI Routing
Scan a stack of 120 pages; VCPMS splits it into individual documents, classifies each, extracts fields, and routes to the right claim. Only ambiguous documents reach the human queue.
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Mass Casualty Claim Intake
When an incident creates many victims at once, VCPMS consolidates registration, pre-establishes incident eligibility, and applies shared documentation across every victim claim.
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Medicare Rate Variance Checking
Ingest official CMS Medicare fee schedule files (PFS, OPPS, ASC, Ambulance) and benchmark submitted medical bills against published rates. Phase 2 — bill-review integration — arriving soon.
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SAFE / SANE Exam Claim Workflow
First-class workflow for Sexual Assault Forensic Examination claims — anonymous victims, facility direct-billing, evidence-kit tracking, and an optional bridge to full compensation.
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