Denial Prevention Co-Pilot
A data exercise. I generated a synthetic warehouse of 6,000 claims, wrote the discovery SQL, and used it to learn the revenue cycle end to end. The data said roughly 80% of denials trace to causes that are knowable before a claim is submitted: eligibility gone stale, prior auth missing, a modifier absent, timely filing about to lapse. So I wrote an AI PRD and built a prototype that scores each claim before it goes out, explains why in biller language, predicts the likely denial code, and offers a one-click fix the biller can undo.
What I did: generated the dataset, wrote the discovery SQL, specified the model and how it should be evaluated, and built the interface.




