D4H | HCC Chart Auditor — Demo

D4H

Workspace › Projects

Projects

Chart Review Dashboard

💾 Stored locally in browser

Chart Verdicts

Code Status

Reviewed Charts

AI-Powered HCC Code Audit with Guideline Intelligence & Risk Adjustment Review

📄

Clinical Document

PDF, Word, CCDA/XML, YAML, JSON, CSV, text/Markdown, or image

Document name optional If left blank, a short label will be generated from the document ID.

Claims documents optional Attach one or more member-level XLSX, CSV, X12 837 TXT, or FHIR JSON claims sources. They are reconciled with model findings and are not sent to Claude.

Add claims

Compare current and legacy HCC models Show the configured CMS category change and an illustrative per-code coefficient fluctuation.

Guideline Intelligence optional

📚

Coding Guidelines

PDF, DOCX, or TXT

Guideline Label

Effective From Effective To

Preparing upload... 0%

Every document is stored in private Amazon S3 first · Claude analysis starts after verification for PDF, DOCX, structured text, and supported images

Analyzing with Claude…

—

—

of —

130%

Waiting for document ← → keys · Esc to deselect

Document Insights

Chart Checks

Document notes

Add a note

For text, click a line first; Shift-click selects a range.

Loading PDF…

Evidence

HCC Coding

Load a chart to begin review.

Review decisions

Non-HCC Codes (Excluded)

Reviewer Note

📚 Load Coding Guideline

Upload an organization-specific guideline document. The engine will index it by HCC and surface relevant rules for each annotation.

📂

Click or drop — PDF, DOCX, or TXT

Guideline Label

Effective From Effective To

Review claims import

New Project

Project Name *

Type

Contract ID (optional)

Payment Year (optional)

New Member

Member Name *

External Member ID (optional)

Date of Birth (optional) Gender (optional)

MBI (optional)

Export Project

Decision not saved

Reviewer access needed

This session is not currently connected to a reviewer account, so the coding decision was not saved.

Reviewer access has not been configured for this session yet.

Sign in with a reviewer account, or ask an administrator to enable review access, then try again.