Track 03 · Provider Inquiries

Provider Claims Deflection

NPI + TIN-authenticated self-service for billing offices and claims agencies. Answers the top five provider questions directly from EDI 277 / 835 data — the same information HCSC already delivers, just conversational. Targets the 1/3 of provider call volume Scott has flagged for elimination.

Step 1 of 2 · Practice identification

Authenticate your practice

Demo credentials

Three mock practices are wired in. Use the table below — the challenge answer is the last 4 digits of the practice phone we have on file.

Practice	NPI	TIN	Phone last-4
Texas Imaging Center	1234567890	751234567	8842
Lone Star Orthopedics	1987654321	759988772	5511
Northwestern Family Medicine	1357913579	362468135	6700

Cross-link: Texas Imaging Center (NPI 1234567890) is the same provider whose CO-197 denial appears in the /copilot scenario 2. Authenticate as them, then ask “Why was CL-9988201 denied?” to see the provider-side view.

Continue the story

Same story, agent sideCSS Copilot DesktopWatch Lone Star Orthopedics' PA delay handled by a live specialist when deflection isn't enough.Behind the scenesMulti-level routingProvider questions with no PHI route to fast SLM; complex appeals route to a frontier LLM.CompliancePHI scanningPatient initials and masked IDs only — never raw member identifiers in transit.

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