HEALTHCARE DECISION INTELLIGENCE

Find risk before it reaches the work queue.

Machine-readable intelligence for claims operations, prior authorization, reimbursement, and other healthcare workflows. Send structured inputs and receive deterministic, calibrated decisions with confidence and explanation factors — before risk materializes downstream.

Full API documentation →

Should this claim be routed, reviewed, or submitted?

Same decision abstraction as the rest of Sentinel Signal: observe the evidence, understand it, decide, and act — before the claim moves downstream.

Denial-risk triage

Score claims for denial probability with calibrated confidence and explainable top factors, before submission.

Prior-authorization intelligence

Check completeness and likely outcome ahead of a prior-auth submission.

Reimbursement variance

Identify claims likely to reimburse below expected amount, with payer and CPT-level context.

Appeal workflows

Structured support for appeal drafting and routing on adverse determinations.

INTEGRATION

Schema-first API, hosted MCP access.

  • Deterministic, versioned scoring API
  • Workflow discovery and payload schemas
  • Dry-run validation before scoring
  • Batch scoring for queues
  • Hosted MCP endpoint for agent runtimes
  • Structured feedback loop for calibration
curl -s https://api.sentinelsignal.io/v1/score \
  -H "Authorization: Bearer YOUR_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "workflow": "healthcare.denial",
    "payload": {
      "payer_id": 44,
      "cpt_code": "99213",
      "icd10_code": "E119",
      "billed_amount": 250.00
    }
  }'

Start with one endpoint.

Mint a trial key instantly, inspect the workflow schema, validate the payload, then score or batch route by risk across healthcare workflows.