Payment Integrity Radar · demo

Lead queue · 2026 Q3

120synthetic providers screened6leads1cleared by risk adjustment$493,200estimated billing above peer pattern

Ranked by the screen

Not a lead

PRV-SYN-1066

Established visits billed at 99215: 10.9%, a raw outlier against peers (z 3.8). This panel's patients are much sicker, and the expected share for that risk is 10.3% (adjusted z 0.6). No lead was opened, and no model was called.

Detection is statistics only. Scores and tiers are set in code, before Claude sees anything.

PRV-SYN-2009 against 40 Physical Therapy peers

High tier

This provider Peers Peer median

Timed units per visitmedian 3.09 · z 11.1⚑ Flagged

Visits with 4 or more timed unitsmedian 17.6% · z 19.9⚑ Flagged

Visits per patientmedian 12.4 · z 0.6

Visits billed with modifier 59median 12.5% · z -0.2

Busiest day, billed time implied by codesmedian 8.9 hours · z -0.1

$243,100 estimated billing above the peer pattern. This sizes the lead and is not an overpayment finding.

Replay mode: live calls are off on this deployment.

Pick a lead.

Synthetic providers generated for this demo, with injected patterns. Illustrative unit values. A statistical outlier is a reason to look, not a finding about anyone.