TransferredOliver ExampleClinical queryNurse team · context shared09:17
CompletedAmelia SampleReschedule appointmentMoved to Thu · 13:0009:05
Your HIS systemOutpatient › Registration
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New SessionDCDr. Demo
Friday, 23 October · 9:30 AM
Add or find patient's name or ID…Sample patient · MRN 1042from Your HIS system
Out-patient
00:00
TranscriptClinical Notes
To begin transcription, click on the start session button in header.
Session in progress · listening
DoctorGood morning. What brings you in today?
PatientI have had a fever and a dry cough for about three days.
DoctorAny shortness of breath, chest pain or vomiting?
PatientNo, just a mild sore throat and body aches.
DoctorTemperature is 38.4, oxygen 98 percent. Chest is clear.
DoctorI will order a blood count and start paracetamol and fluids.
Processing audio filePlease wait while your audio is being transcribed
NOVODOC FINALIZEDCodes 4Short ⌄
Temp38.4 °CSpO₂98%Heart rate92 bpmBP118/76Resp. rate18 / min
Chief Complaint0:42
Patient History0:42 · 1:05
Examination2:10
Primary Diagnosis3:02
Secondary Diagnosis0:42
Plan3:20
Prescription3:34
#
Drug name
Dosage
Frequency
Duration
Instructions
1
Paracetamol 500 mg tablet
1 tablet
Every 6 hours if needed
3 days
After food. Maximum 4 doses a day.
2
Oral rehydration salts
1 sachet
Twice daily
3 days
Dissolve in 200 ml of water.
3
Dry cough syrup
5 ml
Up to three times daily
3 days
At night if cough disturbs sleep.
Suggested codes readyR50.9R059921385025
SuccessSummary successfully generated
Approved · pushed to Your HIS systemEncounter HO-1042 · consultation note filed
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TRANSCRIPT IDHO-1042
General practice
Dr. Demo Clinician
23-10-2026
30-10-2026
Chief complaint: Fever and dry cough for three days. History: Intermittent fever up to 38.6 °C, dry cough, mild sore throat, body aches. No shortness of breath. Examination: Temp 38.4 °C, SpO₂ 98%, throat mildly erythematous, chest clear. Plan: CBC to rule out bacterial infection. Paracetamol, fluids, rest. Review in three days.
Consultation note · approved Pushed from AI Scribe
Chief complaint Fever and dry cough for three days.
History Intermittent fever up to 38.6 °C with dry cough, mild sore throat and body aches. No breathlessness. No known sick contacts. No chronic illness.
Examination Temp 38.4 °C · SpO₂ 98% · HR 92 · BP 118/76. Throat mildly erythematous. Chest clear on auscultation.
Plan CBC to rule out bacterial infection. Paracetamol, fluids and rest. Review in 3 days or sooner if worse.
Diagnoses & services Waiting for codes
Code
Description
Type
R50.9
Fever, unspecified
Dx · primary
R05
Cough
Dx · secondary
99213
Outpatient visit, established
CPT
85025
Complete blood count
CPT
Claim Scrubber
No file loaded · 0 engine rows · 0 findings
Payer rules · All marketsRule libraryClear
XML
HO-1042.xmlExported from Your HIS system
Drop claim XML hereor browse. Exported from Your HIS system.
XML
HO-1042.xml3 KB · 3 claims
Parsing claim XML
Applying payer rule library · 214 rules
Scoring denial risk per claim
01Exposure KPIsClaims flagged, clean rate and value at risk.
02Failure concentrationSee where your team needs to act first.
03Top causes to clearThe highest-priority findings in the batch.
✓Validated 3 XML files · 3 claims · batch HO-1042
Submission ready67%2 of 3 claims can go out today
Exposure at riskUSD 600.001 flagged claim
Recoverable by RCMUSD 0.00Awaiting documentation review
Blocked outside RCMUSD 600.001 claim waiting on the HIS
87%
High denial risk
HO-1042 is likely to be denied if submitted today
2 findings: authorisation reference missing from the claim XML, and the ordering clinician ID does not match the facility licence record.
Claim value USD 600.00High priorityPayer rule set
Risk drivers
Authorisation
Provider ID
Coding
Failure concentration this batch
Missing authorisation reference1USD 600
Ordering clinician ID mismatch1USD 600
Diagnosis–procedure mismatch0USD 0
Modifier / payer format0USD 0
Recurring pattern sample history
Lab order+No authorisation reference→Denied
This bundle caused most sample denials at this facility. Fixing it at registration and in the HIS prevents the next one.
Every file, what it contained, and whether it reached the ledger.
File
Type
Lines
Status
claims-HO-1042.xml
Claim file
3
Committed
remittance-HO-1042.xml
Remittance
3
Parsing…
3lines matched to claims
1paid · USD 600
1awaiting · USD 800
1rejected · USD 400
Finance overview
From claimed to paid, in one view. Every step links to the claims behind it.
Where the money is
USD 1,800Claimed
USD 0Price difference
− USD 400Rejected
− USD 800Awaiting remittance
USD 600Paid
Rejected USD 400 → work queueAwaiting USD 800 → ageing & deadlinesPaid USD 600 → period statement
Claimed, paid and open balance
ClaimedPaidOpen balance
Unpaid balance by payer
Sample insurer AUSD 700
Sample insurer BUSD 500
USD 1,200 open across 2 payers
Rejections & resubmissions
Every rejected line has an owner, a deadline and a next step.
UNASSIGNEDUSD 4001 open denied line nobody ownsFOLLOW-UPS OVERDUEUSD 00 past follow-up · 0 due todaySTALE OVER 7 DAYSUSD 0nothing sitting in one statusOWNED0across 0 owners
All eligibleDue todayOverdueUnassignedClosing within 21 days
Work queue
Claim · activity
Payer
Denial
Value
Work
HO-1044Sample patient · MRN 1044
Sample insurer
MNEC-004
USD 400.00
OPEN
1Submitted
2Rejected · MNEC-004
3Resubmitted
Rejection reasons
Each rejection code has a type, a preventable flag and a plain-language description.
Top rejection codes
By amount. The line is the running share of all rejected value.
Preventable at the front door
71%of rejected value
1
EligibilityCheck pre-approval need at registration
2
Claim ScrubberAdd a rule for the repeating MNEC-004 pattern
TransferredOliver ExampleClinical queryNurse team · context shared09:17
CompletedAmelia SampleReschedule appointmentMoved to Thu · 13:0009:05
03 / REGISTRATION
Eligibility Verification
Checks each patient’s insurance cover at registration. Confirms eligibility, benefits and pre-authorisation needs before the visit, so every claim starts clean.
Real-time cover checks · Fewer surprises at the front desk
Consultation note · approved Pushed from AI Scribe
Chief complaint Fever and dry cough for three days.
History Intermittent fever up to 38.6 °C with dry cough, mild sore throat and body aches. No breathlessness. No known sick contacts. No chronic illness.
Examination Temp 38.4 °C · SpO₂ 98% · HR 92 · BP 118/76. Throat mildly erythematous. Chest clear on auscultation.
Plan CBC to rule out bacterial infection. Paracetamol, fluids and rest. Review in 3 days or sooner if worse.
Diagnoses & services Waiting for codes
Code
Description
Type
R50.9
Fever, unspecified
Dx · primary
R05
Cough
Dx · secondary
99213
Outpatient visit, established
CPT
85025
Complete blood count
CPT
06 / ASSURE
Claim Scrubber
Checks every claim before submission. Catches errors before they become denials.
Every file, what it contained, and whether it reached the ledger.
File
Type
Lines
Status
claims-HO-1042.xml
Claim file
3
Committed
remittance-HO-1042.xml
Remittance
3
Parsing…
3lines matched to claims
1paid · USD 600
1awaiting · USD 800
1rejected · USD 400
Finance overview
From claimed to paid, in one view. Every step links to the claims behind it.
Where the money is
USD 1,800Claimed
USD 0Price difference
− USD 400Rejected
− USD 800Awaiting remittance
USD 600Paid
Rejected USD 400 → work queueAwaiting USD 800 → ageing & deadlinesPaid USD 600 → period statement
Claimed, paid and open balance
ClaimedPaidOpen balance
Unpaid balance by payer
Sample insurer AUSD 700
Sample insurer BUSD 500
USD 1,200 open across 2 payers
Rejections & resubmissions
Every rejected line has an owner, a deadline and a next step.
UNASSIGNEDUSD 4001 open denied line nobody ownsFOLLOW-UPS OVERDUEUSD 00 past follow-up · 0 due todaySTALE OVER 7 DAYSUSD 0nothing sitting in one statusOWNED0across 0 owners
All eligibleDue todayOverdueUnassignedClosing within 21 days
Work queue
Claim · activity
Payer
Denial
Value
Work
HO-1044Sample patient · MRN 1044
Sample insurer
MNEC-004
USD 400.00
OPEN
1Submitted
2Rejected · MNEC-004
3Resubmitted
Rejection reasons
Each rejection code has a type, a preventable flag and a plain-language description.
Top rejection codes
By amount. The line is the running share of all rejected value.
Preventable at the front door
71%of rejected value
1
EligibilityCheck pre-approval need at registration
2
Claim ScrubberAdd a rule for the repeating MNEC-004 pattern
3
Coding EngineCite note evidence for each code
✓Resubmitted to payer · HO-1044
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Claim HO-1042I11.999214
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