ARIA — Autonomous Revenue Intelligence Agent
Reads the current visit's clinical notes and maps them to ICD-10 / procedure codes, flags under-coding, and predicts claim outcomes before submission.
This mo.
312
Encounters auto-coded
Recovered
₹6.8L
Revenue from caught under-coding
Needs review
7
Low-confidence mappings
Accuracy
96.4%
vs. human-coded audit sample
Current visit — Salah Ahmed · 12 Mar 2026
Source: AI Scribe noteMapped from the signed SOAP note — assessment of likely early inflammatory arthritis with comorbid hypertension and diabetes.
M06.9Rheumatoid arthritis, unspecified92% confidence
I11.9Hypertensive heart diseaseConfirmed dx
E11.9Type 2 diabetes mellitusConfirmed dx
Z82.61Family history of arthritis68% confidence
Suggested secondary code Z82.61 would strengthen the claim narrative — add if clinically appropriate.
Flagged for review
| Patient | Visit date | Issue | Suggested action | Status |
|---|---|---|---|---|
| Mukhilan Elangovan | 18 Aug 2026 | Missing secondary ICD-10 | Add M54.5 — low back pain | Open |
| Dan George | 20 Aug 2026 | Procedure code mismatch | Reconcile CPT with therapy order | In review |
| Benjamin Smith | 15 Aug 2026 | Under-coded visit complexity | Upgrade E/M level per note length | Open |
Claim outcome prediction
ModelledBased on 1,140 similar claims processed by Star Health and ICICI Lombard, this claim has an 91% predicted approval likelihood at first submission with the suggested codes.
Documentation is sufficient
SOAP note supports both primary and secondary diagnoses.
Pre-authorisation not yet filed
File before the therapy referral to avoid processing delay.
Predictions are directional, drawn from de-identified historical claims. Final coding judgement rests with the billing team.
Revenue recovered this month
Under-coded visits caught22
Avg. uplift per correction₹3,090
Denials prevented9
Total recovered₹6,79,800