Illustrative flags from 1,000 synthetic records.
SYNTHETIC SAMPLE · NO HOSPITAL, PATIENT, PAYER, OR CUSTOMER DATA · ALL FIGURES BELOW ARE ILLUSTRATIVE MODEL OUTPUTS
Example deliverable · not evidence of results
Pilot findings report
This artifact shows the structure and review boundary of a ClaimAct pilot report. Every identifier, count, percentage, and AED value is synthetic. It must not be read as observed leakage, recoverable revenue, coding advice, or a customer result.
What the delivered report makes reviewable
These four cards are fabricated examples of model outputs. They demonstrate layout and prioritisation only; they do not establish prevalence, accuracy, recovery, or financial value.
Illustrative encounters selected for first human review.
Synthetic prioritisation value, not booked or recoverable revenue.
Fabricated example rate, not a benchmark or customer result.
Patterns, reasons, and review boundaries
Severity-tier candidates
Fictional records where the ruleset produced a higher model candidate than the captured tier. A CDI reviewer must verify documentation and coding before any action.
HTLOS review candidates
Fictional stays crossing a modelled trim point. The flag does not establish eligibility, payer acceptance, or an amount due.
Payer-pattern queue
Fabricated concentration used to demonstrate sorting by payer and service line. It is not a claim about any named payer's behaviour.
Workflow suppression
Example of a facility reviewer marking an expected flag so it can be suppressed in later review. The hospital owns the decision and audit trail.
Example rows in the prioritised review queue
| Synthetic claim | Captured tier | Model candidate | Illustrative reason | Modelled review amount |
|---|---|---|---|---|
| SYN-018342 | Tier 1 | Tier 3 | Synthetic severity-family variance; human documentation review required | AED 18,400 synthetic |
| SYN-019104 | Tier 1 | Tier 2 | Synthetic ruleset candidate; not a coding determination | AED 12,250 synthetic |
| SYN-019287 | Tier 2 | Tier 3 | Synthetic HTLOS review prompt; eligibility unverified | AED 9,800 synthetic |
| SYN-020041 | Tier 1 | Tier 2 | Synthetic payer-pattern queue example; no payer allegation | AED 7,600 synthetic |
The gates around a real 30-day pilot
Define the historical set, fields, transfer method, and data agreement. No claim data is transferred before agreement.
Confirm the agreed fields and document exclusions. Timing is a pilot plan, not a performance guarantee.
Generate model candidates and demonstrate the human-review workflow against the agreed set.
The findings report and workflow demonstration are delivered before any subscription is offered.
What the report does not claim
- Model candidates are not clinical, coding, compliance, reimbursement, or legal determinations.
- Modelled AED values are prioritisation aids, not booked, collectible, or guaranteed recovered revenue.
- The hospital retains responsibility for source documentation, human review, payer rules, and every submitted action.
- This synthetic sample is free proof of report shape only. It contains no measured accuracy, customer outcome, testimonial, or production benchmark.
AED 7,500 once · 30 days · no auto-renewal
The pilot covers one agreed historical claim set, a findings report, and a workflow demonstration. Scope and data agreement come before any transfer. Standard at AED 7,500/mo and Enterprise at AED 15,000/mo are post-pilot anchors only: neither starts automatically, and either requires a separate explicit opt-in after this report is delivered.
Start the AED 7,500 pilotCACT-PILOT-7500 · ONE-TIME PILOT · SUBSCRIPTION NOT INCLUDED