Procedure code mismatch
Pre-claim check in which models predict the CPT code to authorize from the order or operative note, flag high-confidence discrepancies against the billed code, and send mismatches to a re-authorization work queue before the claim goes out; one of three coding products on a shared locally-tuned engine, sold through a validation pilot with no published price.
Find alternatives to Procedure code mismatch
What it does
- Clinical documentation
Sources
- Pricing
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No price, plan or quota on the page or anywhere on the six-page sitemap; the call to action is "Let’s chat".
- Description
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Official documentation · 21 Oct 2026
"Flags where the authorized CPT won’t match the billed code, catching denial risk before the claim goes out." and "Models predict the CPT to authorize from the order."
- What it does
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Official documentation · 21 Oct 2026
"Models flag high-confidence coding discrepancies." (CPT code prediction from the order or operative note).
- Sold within
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Home page: "One engine, three coding products" lists Automated medical coding, Procedure code mismatch and Missed procedure detection; it states portfolio membership only, with no entitlement, add-on or price sentence, and the product page offers only a validation pilot by contact. Read with curl on 2026-10-21.
- Name
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Official documentation · 21 Oct 2026
Page heading and menu entry: "Procedure code mismatch"; home page card label "CPT mismatch".
- URL
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Official documentation · 21 Oct 2026
The product's own page, linked from the Our solution menu as "Procedure code mismatch".
- Deployment
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Official documentation · 21 Oct 2026
The page states no deployment model; saas is the vendor-operated reading, as on the sibling Automated medical coding record.
- Modalities
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Official documentation · 21 Oct 2026
Pipeline line "Order/op note → Auth vs. billed": the model reads order or operative-note text and returns a predicted CPT with a confidence value and a mismatch flag.
- Intended for
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Official documentation · 21 Oct 2026
Customer quote attributed to "Performance Manager, Northwestern Medicine"; the buyer is a hospital or health system.
Also from Decimal Code
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Decimal Code Application
Automated medical-coding engine that codes the full encounter from the clinical note (CPT, E/M, ICD-10, HCC, DRG) with a confidence score, using a model trained and run locally on the customer's own data; predictions above the site's validated threshold are automated and the rest go to the coding team; starts with a validation pilot and publishes no price.
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Missed procedure detection Application
Pre-bill review that scores every case with locally-tuned models to find procedures and charges that were performed but never coded, flags the high-confidence missed codes to a work queue for recovery, and reports a proof of concept at a large academic health system; sold through a validation pilot with no published price.
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