Explore the three ICS modules below. Each card links to a simple, on-page sample.
Detects deviations from the CMS-anchored accepted ICD code stored in the claim system (authoritative baseline) and flags potential unrelated treatment. Delivers monthly manager summaries and quarterly executive dashboards.
Patent Pending — U.S. Patent App. No. 19/309,582
Compares baseline vs. subsequent imaging to detect meaningful change with explainable prompts to the adjuster. Includes monthly manager summaries and quarterly executive dashboards.
Patent Pending — U.S. Patent App. No. 19/309,553
Finds closed→reopened events, surfaces treatment gaps, and generates investigative checklists. Includes monthly manager summaries and quarterly executive dashboards.
Patent Pending — U.S. Patent App. No. 19/321,847
Illustrative (fake) data to show behavior.
| Claim | WC-001234 |
| Accepted Baseline ICD (from claim system) | M54.50 (Low back pain) |
| New ICD observed | M25.511 (Pain in right shoulder) |
| Result | Mismatch detected — review for unrelated treatment |
| Outputs | Explainable alert • Immutable log • Included in monthly manager & quarterly dashboards |
Illustrative (fake) data to show behavior.
| Baseline Imaging | MRI Lumbar • 2023-02-10 • Mild disc bulge L4-L5 |
| New Imaging | MRI Lumbar • 2025-03-15 • Progression to moderate bulge L4-L5 |
| Result | Meaningful change detected — notify adjuster with explainable prompt |
| Outputs | Interpretability notes • Immutable log • Included in monthly manager & quarterly dashboards |
Illustrative (fake) data to show behavior.
| Claim | WC-009876 |
| Closed → Reopened | Closed: 2019-06-12 • Reopened: 2025-01-08 |
| Treatment Gap | ≥ 24 months before reopen |
| Prompts | ISO check • Prior medical records request • Manager visibility |
| Outputs | Explainable alert • Immutable log • Included in monthly manager & quarterly dashboards |