Investigation
Open a case, append billing to shared history, add support evidence + NYS verification, then verify fee flags, patterns, and provider network results.
0 Case workspace
None selected yet — create or pick one below.
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Select an investigation first.
Workspace · —
1 Case details this investigation
Everything below is scoped to this case. Complete steps in order, then process at the end.
2 Billing data choose file
Attach the billing CSV here. Upload & process runs in step 5.
3 Supporting evidence pick a document type
Paste already-extracted text (no OCR). Choose a type, then open the paste form.
4 NYS Office of Professions provider verification
Optionally set a profession hint, then enrich a provider from OP paste.
5 Upload, process & report
Upload appends to shared billing history, then runs fee checks, patterns, and a network refresh for the providers in this file (using full history). Open the flags when you want the line-level detail.
If fees + patterns finished but network failed or stuck, use Resume — no re-upload.
- 1. Upload file
- 2. Append claims / lines to history
- 3. Fee checks & features (new rows)
- 4. Pattern detection (touched providers)
- 5. Network + risk (full history)
- 6. Ready to verify
Run upload & process to populate this panel.
Pipeline steps
Normalized preview
Row errors
Upload a billing file — totals load automatically when processing finishes.
Billing line detail
Select an investigation and click Build knowledge package.
Mock output for demos. Statements below are illustrative investigation findings (observations with cited sources), not legal conclusions or filings.
Findings
Each finding names related provider(s) and the evidence types that would support it once fusion is live.
Provider-linked pattern flags
Supporting exhibits (sample)
Investigator next steps
Advanced — hierarchy and run detail
Ingestion summary
Distinct claims, patients, providers, and lines linked from this import.
Invalid rows
Why rows failed validation (grouped reasons first, then a paginated detail list).
Linked billing hierarchy
Investigation → accident (claim) → patient case → billing lines
Line detail
Click a billing line to inspect procedures and diagnoses.
1 Investigations
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2 Accidents (claims)
Select an investigation
3 Patients (claim cases)
Select a claim
4 Billing lines
Select a claim case