プロジェクト概要

概要
Nakod is a prior authorization intelligence platform built to reduce avoidable imaging denials. Users enter CPT + payer + indication and receive a pre-submission checklist that matches payer requirements. If already denied, users can upload the denial letter to extract the reason, identify missing criteria, and generate a structured appeal.

なぜ重要なのか
Most denials aren’t about medical necessity. They’re documentation mismatch. Nakod helps clinicians submit the right evidence the first time, reduce back-and-forth, and shorten time-to-approval.

仕組み

  • Coverage lookup by CPT and payer

  • Pre-submission documentation checklist

  • Denial letter parser (reason + missing criteria + deadlines)

  • Appeal letter generation with payer-specific structure

  • Built for speed and repeatability in real clinical workflows

プロフェッショナルな展望
Prior auth is a tax on clinical time. Nakod’s wedge is simple: turn vague denial language into an actionable checklist and a clean appeal. Over time, the value increases as payer rule coverage and denial pattern recognition improves.

結論
Nakod is designed to reduce denials by making payer requirements explicit and operational—before submission and after a denial.