Dashboard
18 decisions · 17 governed
3
MS
Today — 9 August 2026
18 agent decisions
17 fully evidenced
1 pending clinical review
94%
34
Claims in queue
5 from yesterday
8
Complex claims pending
3 require clinical review
26
Auto-adjudicated today
97% accuracy
1.8 days
Avg determination time
0.2 vs last month
Your Pending Claims
Member M-8832 — Cardiac Rehab Extension
Clinical Review Required
High Complexity
Due today
Phase III cardiac rehab — 12 additional sessions requested beyond standard benefit
Member M-6614 — Experimental Treatment
Prior Auth Review
High Complexity
Due tomorrow
CAR-T therapy request — requires medical director review
Member M-3291 — Out-of-Network Emergency
Claim Review
Medium Complexity
Due in 3 days
ER visit at non-network facility during travel — balance billing dispute
Member M-7745 — DME Request
Prior Auth
Low Complexity
Due in 4 days
CPAP machine replacement — prior unit 3 years old
Recent Brain Activity
Auto-adjudication completed for 26 routine claims
45 min ago
All within standard benefit parameters · Fully governed
View batch →
Clinical guideline update — ACC/AHA Cardiac Rehab 2026
2 hrs ago
3 pending claims affected by updated criteria
View impact →
Care gap analysis for Member M-8832
4 hrs ago
2 preventive care gaps identified
View analysis →
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