Audit every surgical claim before submission. Verify CPT, modifiers, implant docs. Auto-file appeals on denials. Track recovery rate by payer.

When a spine surgery is scheduled, pull the chart, identify the payer, generate the PA packet, submit, monitor for denial, auto-generate appeals, schedule peer-to-peer.

When a post-op round flags a complication, Ohtari coordinates across all three teams: schedules the wound culture (clinical), stubs the complication CPT (billing), writes the op-report addendum (charting), and routes the bundle for sign-off.