What these kits do
Pick a job to narrow the tiles below.
Where they slip, and where to watch
Across 148 named failures
- Applied the wrong rule · 33%
- Added or dropped an item · 20%
- Cited the wrong source · 14%
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HealthcareUC0034Check a clinician's credentialing file before committee review55 files measuredHealthcareUC0063Catch a provider contract loaded at the wrong rate50 contract extracts measuredHealthcareUC0147Catch urgent referrals a clinic marked routine100 referral intake record measuredHealthcareUC0170Decide which enrollment window a health plan member gets288 enrolment determination packs measuredHealthcareUC0196Check what a prior-authorization packet actually proves40 prior-authorisation packets measuredHealthcareUC0236Sort out a health plan's rejected enrollments60 reply-file packs measuredHealthcareUC0237Sort out why a health insurance claim got stuck60 pended claims measuredHealthcareUC0238Reconcile a health plan's premium withholds against its ledger60 premium withhold packets measuredHealthcareUC0239Sort a health plan's Medicare refusal file60 reconciliation packets measuredHealthcareUC0240Check a health plan's vendor compliance packets60 FDR reconciliation packets measuredHealthcareUC0241Pull the four breach factors from a clinic's incident report60 privacy incident files measuredHealthcareUC0242Decide inpatient or observation for a hospital stay60 admission records measuredHealthcareUC0243Catch a health plan's missed complaint clock60 member contact records measuredHealthcareUC0244Catch a health plan's late notices and weak proof60 episode snapshots measuredHealthcareUC0245Name the real cause behind a health plan complaint74 complaints measuredHealthcareUC0345Check what CMS paid a health plan64 reconciliation packet measuredHealthcareUC0349Turn a scanned remittance into a posting recorddocument30 remittance advices measured · 63 pagesHealthcareUC0383Catch coverage mismatches between a state and your health plan200 roster reconciliation packets measuredHealthcareUC0430Check a health plan's paid claim for an overpayment64 paid claim files measuredHealthcareUC0465Turn a payer eligibility screenshot into a benefit recordimage60 screenshots measured · 60 pagesHealthcareUC0487Check a broker's recorded Medicare enrollment call for required disclosuresaudio64 recorded enrollment calls measured · 64 filesHealthcareUC0518Catch producers a carrier's agency change leaves unattached64 agency hierarchy change packets measuredHealthcareUC0554Draft a health plan member call's case note and promises64 member calls measured
Rebuilt from the kit files at every deploy · last deploy before this build: 18 Oct 2026