| |
| |
| |
|
|
| export interface SampleCase { |
| id: string; |
| patient: string; |
| age: number; |
| sex: string; |
| denialReason: string; |
| denialCode: string; |
| payer: string; |
| procedure: string; |
| amount: number; |
| outcome: string; |
| outcomeColor: string; |
| folder: string; |
| } |
|
|
| export const SAMPLE_CASES: SampleCase[] = [ |
| { |
| id: "001", |
| patient: "Maria Elena Rodriguez", |
| age: 52, |
| sex: "F", |
| denialReason: "Lack of Medical Necessity", |
| denialCode: "MN-204", |
| payer: "UnitedHealthcare", |
| procedure: "MRI Lumbar Spine", |
| amount: 2850, |
| outcome: "Overturn Likely", |
| outcomeColor: "#10b981", |
| folder: "001_lack_of_medical_necessity", |
| }, |
| { |
| id: "002", |
| patient: "David Anthony Chen", |
| age: 45, |
| sex: "M", |
| denialReason: "Missing Prior Authorization", |
| denialCode: "PA-101", |
| payer: "Anthem BCBS", |
| procedure: "Knee Arthroscopy", |
| amount: 18420, |
| outcome: "Overturn Likely", |
| outcomeColor: "#10b981", |
| folder: "002_missing_prior_authorization", |
| }, |
| { |
| id: "003", |
| patient: "James Robert Patterson", |
| age: 63, |
| sex: "M", |
| denialReason: "Non-Covered Service", |
| denialCode: "NC-302", |
| payer: "Aetna", |
| procedure: "Continuous Glucose Monitor (CGM)", |
| amount: 1285, |
| outcome: "Needs Strong Argument", |
| outcomeColor: "#f59e0b", |
| folder: "003_non_covered_service", |
| }, |
| { |
| id: "004", |
| patient: "Priya Sharma", |
| age: 67, |
| sex: "F", |
| denialReason: "Coding Error", |
| denialCode: "CE-150", |
| payer: "Cigna Healthcare", |
| procedure: "Transthoracic Echocardiogram", |
| amount: 1890, |
| outcome: "Overturn Certain", |
| outcomeColor: "#10b981", |
| folder: "004_coding_error", |
| }, |
| { |
| id: "005", |
| patient: "Angela Marie Thompson", |
| age: 49, |
| sex: "F", |
| denialReason: "Experimental Treatment", |
| denialCode: "EX-401", |
| payer: "BCBS Illinois", |
| procedure: "Proton Beam Radiation Therapy", |
| amount: 42500, |
| outcome: "Strong Case for External Review", |
| outcomeColor: "#f59e0b", |
| folder: "005_experimental_treatment", |
| }, |
| ]; |
|
|