Live AI · Claude Sonnet 4.5 · Real API call

See the coding pipeline run live.

Pick a sample ER note (or paste your own — synthetic only, never real PHI). We send it to Claude Sonnet 4.5 in real time. You get back the coded claim, denial risk, recommended fixes, and documentation gaps in ~12 seconds.

ER note input

Quick pick a sample

Clinical note (synthetic only)2,578 / 10,000

CHIEF COMPLAINT: Right hand laceration.

HISTORY OF PRESENT ILLNESS:
41-year-old right-hand-dominant female presents with a 3.5 cm laceration across the right thenar eminence sustained ~90 minutes ago while cutting vegetables. Significant initial bleeding required 20 minutes of direct pressure. Reports difficulty flexing the thumb and, on arrival, notes decreased sensation over the volar thumb — initially absent but now present. Tetanus up to date.

PAST MEDICAL HISTORY: Type 2 diabetes mellitus (oral agents), obesity.
MEDICATIONS: Metformin 1000 mg BID, glipizide 5 mg daily.
ALLERGIES: Sulfa (urticaria).

REVIEW OF SYSTEMS: Positive for right hand pain, volar thumb hypoesthesia, thumb flexion difficulty. Negative for fever, other extremity complaints.

PHYSICAL EXAMINATION:
Vitals: BP 136/84, HR 88, RR 16, Temp 99.1°F, SpO2 98% RA.
General: Alert, anxious female with pressure dressing on right hand held above heart level.
Right hand: After dressing removal — 3.5 cm irregular laceration across thenar eminence with moderate contamination (visible food debris). Wound depth through dermis into subcutaneous tissue. Under digital block, tendon exploration performed: flexor pollicis brevis tendon visualized; no complete transection, but approximately 30% partial laceration of tendon sheath surface noted. Two-point discrimination volar thumb 9 mm (abnormal; contralateral 5 mm) — consistent with superficial median nerve neuropraxia. Capillary refill brisk; radial artery intact.

ED COURSE / MEDICAL DECISION MAKING:
Wound irrigated with 500 mL NS. Thorough debridement; closed with 4-0 nylon interrupted sutures ×5. Infection risk elevated given contamination, diabetes, and partial tendon involvement. Hand surgery consulted by phone — partial sheath injury does not require emergent OR, but mandatory 48-hour clinic follow-up for tendon integrity reassessment. Amoxicillin-clavulanate 875/125 mg BID ×7 days prescribed. BMP ordered (creatinine 1.1); NSAIDs avoided; oxycodone/acetaminophen 5/325 mg prescribed for pain control. Thumb spica splint applied. Patient counseled on infection signs, worsening flexion, and strict follow-up adherence. Moderate complexity: new problem with uncertain prognosis (partial tendon sheath injury, nerve involvement), specialist consultation, prescription antibiotic and opioid analgesic, laboratory data reviewed.

DISPOSITION: Discharged with hand surgery follow-up within 48 hours.
DIAGNOSES: Right thenar laceration with partial FPB tendon sheath involvement (S61.411A); superficial median nerve neuropraxia (S64.11XA).

Live call to Claude Sonnet 4.5 · ~10–15s · ~$0.02/note

Sample note ready.

Click Run live AI coding to send it to Claude. Coded claim + denial risk + doc gaps appear here.

API ready~12s response~$0.02 / note

What this means at hospital scale

$30–$120

Recovered per claim — caught undercoding, missing modifiers, denial-risk fixes.

$500K–$1.5M

Annual recovery at a 150-bed community ER (~25K visits/year).

Hospital pays nothing unless we exceed their pre-pilot baseline. We charge 15–20% of recovered revenue.

Demo uses synthetic ER notes. Production deployments operate under a signed BAA with HIPAA-compliant infrastructure. Never paste real PHI here.