Watch a denial move beyond the appeal letter.
A recorded walkthrough of the Inveto workbench on synthetic cases — from the denial queue and source-cited packet through physician review, staff-controlled filing, follow-up, and a recorded payer outcome. Below the recording, the extraction and citation pipeline runs live on one disclosed sample.
Run the pipeline live.
This public demo runs one disclosed synthetic case. Every case fact and source passage used by this preview is shown below and fixed for the run. The production workbench accepts real PDFs and requires physician attestation before final export.
- Patient
- K.M. · GA · synthetic
- Coverage
- Apex Health · Apex Select Pro · commercial
- Request
- Pembrolizumab continuation · J9271
- Denial
- Step therapy
- Denial letterdemo-denial-letter.txt
Apex Health denied J9271 pembrolizumab continuation. Reason: plan requires progression on platinum chemotherapy.
- Clinical notedemo-clinical-note.txt
Clinical summary: Prior platinum-based chemotherapy was stopped for grade 3 neuropathy and functional decline. Treating clinician assessment: pembrolizumab continuation remains clinically indicated.
- Plan policydemo-plan-policy.txt
Prior platinum therapy intolerance may satisfy the step requirement. Expedited review is available when treatment delay risks clinical deterioration.