Changelog
v1.0.5
Fee schedule pricing engine with Redis caching, AI appeal letter generation, charge capture auto-pricing, and appeal flow.
Released: May 26, 2026
Features
Fee Schedule Pricing Engine
- High-performance caching for fee schedule data with automatic invalidation
- CPT allowed amounts API endpoints for payer-specific and global rates
- Optimized payer-specific rate lookups for fast pricing resolution
- Fee-schedule-driven billed amounts integrated into clearinghouse submissions
- Real-time fee schedule retrieval when up-to-the-second pricing is needed
AI Appeal Letter Generation
- AI-generated appeal letters tailored to individual claim denial reasons
- Appeal letter UI with formatted display and actions
Charge Capture Pricing
- Automatic CPT price fetching during charge capture workflow
- Bulk price refresh functionality for updating all procedure prices at once
- Allowed amount integration from fee schedules into charge capture
- Success toast notifications when refreshing charge capture prices
- Save action disabled when unit charges are missing
Appeal Flow
- Appeal flow dialog integrated into encounter navigation routing
- Support for appeal initiation on partially paid claims
- Appeal letter display within the encounter workflow
Claim Validation Enhancements
- Validation issues mapped to affected form fields for inline highlighting
- Improved visual consistency across all claim validation components
Service Type Code Labels
- Eligibility verification step now displays service type codes with human-readable labels
- Improved clarity for coverage and benefit information
Coordination of Benefits
- Insurance selector on the eligibility output screen for coordination of benefits
- Support for switching between primary, secondary, and tertiary insurance views
Fixes
- Improved flexibility for charge capture pricing when unit charges are not yet set
- Fixed encounter progress tracking to correctly reflect charge capture completion
- Resolved eligibility-related bugs across multiple components
- Standardized date formatting across the application for consistency
- Added validation alerts for incomplete rows and missing charges in charge capture
- Fixed charge capture display when CPT prices are unavailable
- Improved claim validation data structure for more reliable submissions
- Various encounter flow and UI consistency fixes