Human-in-the-Loop Control
All captured data requires human review before proceeding. Warm transfer available at any time.
1
Voice Intake
2
Eligibility Check
3
Prior Authorization
MVP 1: A7 Voice Intake (VAPI)
Scripted inbound call scenarios with structured data capture
⏳ Pending
📋 Captured Patient Data
Patient Full Name
—
Date of Birth
—
Insurance Provider
—
HCP Name
—
{ "status": "awaiting_input" }
MVP 2: A5 Auto-Adjudication
Rule-based eligibility verification with deterministic outcomes
⏳ Pending
Patient Information (Auto-Prefilled)
Eligibility Results
Coverage Status
—
Remaining Deductible
—
Out-of-Pocket Est.
—
MVP 3: A4 Prior Authorization
CMN generation and simulated payer portal submission
⏳ Pending
📄 Certificate of Medical Necessity (CMN)
CERTIFICATE OF MEDICAL NECESSITY
CMS-484 — DME 484.03
Section A: Patient Information
Patient Name:
—
Date of Birth:
—
Insurance ID:
—
Section B: Supplier Information
Supplier:
PatientAccess Medical Supply
NPI:
1234567890
Section C: Physician Information
Physician:
—
NPI:
0987654321
Section D: Diagnosis
ICD-10:
G43.909 — Migraine, unspecified
🏢
Payer Portal (Availity-style Demo)
CMN document ready for upload
1
Initiated
Pending...
2
Submitted
Pending...
3
Follow-up Scheduled
Pending...