Knowledge Base
Reference articles, SOPs, and protocols. Different from skills: the KB is human-readable; skills are AI-consumed.
Surgical CPT & modifier reference (v5.0)
Bilateral procedures require modifier 50. Multiple procedures need modifier 51. Distinct service: 59 (use sparingly).
Bea Ramirez
198 reads
Yesterday
UHC denial reason → appeal playbook
Maps top 12 UHC denial codes to appeal strategy. Includes evidence packet templates per reason.
Karen Mitchell
142 reads
1 week ago
Implant invoice matching — vendor SKU map
Stryker, Zimmer Biomet, DePuy Synthes, Smith & Nephew SKU → CPT mapping with implant log entries.
Bea Ramirez
89 reads
2 weeks ago
BCBS state plan reference (multi-state)
Plan-by-plan PA documentation requirements and contact lines for medical directors.
Karen Mitchell
67 reads
1 month ago
Aetna recoupment dispute SOP
30-day window. Required: original PA, op report, payment history, recoupment letter, formal dispute form.
Bea Ramirez
24 reads
3 weeks ago