ClaimPilot
Vercel
It reads medical notes (PDF or text), performs ICD-10-CM FY25 compliant diagnosis coding using a RAG-enhanced extraction agent, selects the correct CPT/HCPCS procedures, interprets insurer rules, generates the complete prior-auth submission packet, and autonomously follows through with tracking or appeal generation. The system combines OCR, Gemini 2.5 Pro structured extraction, and a Qdrant-powered RAG engine enriched with official ICD-10 guidelines and historical case data. Claimpilot performs the entire workflow end-to-end, from PDF ingestion to approval prediction, submission, and appeal generation, reducing a 45-minute manual task to under 40 seconds while ensuring full coding accuracy and compliance.
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