Shadow Auditor Proof of Concept

Shadow Auditor is the anchor proof of concept that evaluates a clinician’s note before it is submitted, flagging documentation and coding gaps that drive preventable denials. It simulates payer-aware checks for common prediction errors such as CPT mismatch, missing functional limitations, and payer-specific requirements, then returns an approval probability score with targeted, copy-ready fixes.

Why it matters:

With 15 to 20% of claims denied due to avoidable documentation and coding issues, Shadow Auditor shifts compliance from post-visit cleanup to real-time validation. Clinicians finish the session with a clear Green Light or Warning, reducing rework, preventing CO-197 risk, and improving first-pass reimbursement outcomes.