Zero Workflow Change Every Criterion Quoted From CMS

Claims built so insurance
can't deny them.

Tavik reads the visit as the doctor speaks and checks it against the CMS policy that governs each code — closing documentation gaps before the claim ever leaves your clinic.

Watch the EHR Demo Try AI Appeal Generator

What it does, end to end

One visit, seven roles. The doctor speaks; the rules decide what the payer will ask for; a claim is built, scrubbed and gated; and if it is denied, the appeal argues from the record or refuses to be written. Watch it run on a real case →

Reads the room, not a form

Ambient speech with no speaker labels and no codes spoken. A model reads the encounter into facts — which joint, which side, whose treatment, done today or booked — and every fact is dropped unless it can be quoted from the transcript.

Rules build the claim

No model names a code. Deterministic rules map the facts to CPT and ICD, then pull that code's coverage criteria from the CMS article or NCD that governs it — quoted, cited and checked against the source.

Questions close as you speak

A gap is a question, not a verdict. It appears when the visit reaches the thing that risks the denial and disappears the moment the doctor says the missing sentence — mid-dictation, while it is still cheap to answer.

Two kinds of finding, never blended

CMS-certain findings come from deterministic data — NCCI, MUE, the ICD tabular, the LCD — and they block submission. Model findings advise and say so. A guess never stops a claim, and a fact never gets downgraded to a guess.

It refuses when it should

Asked to appeal a denial on a thin record, the generator withholds the letter instead of inventing support for it, and grades its own draft against what the payer requires before you file.

Learns from real denial causes

Each lesson names the mistake, the correction and the authority behind it, verified against the NCCI, PFS or ICD tables before it is ever shown to a doctor — and it closes itself once the note answers it.

15,147
CMS policy passages indexed, code-linked
1,727,094
NCCI code pairs checked deterministically
46,881
ICD-10-CM codes with tabular rules
1,166
National Coverage Determinations