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v0.1.0 — Public Launch

March 2026 — RCI is now available for public use.

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Knowledge Resolution Engine

  • 6-layer knowledge graph — Resolve billing context from a single CCN: location (L1), facility type (L2), care setting (L3), payer rules (L4), service group (L5), and service-level payment (L6).
  • Billing guide generation — Get the correct billing form, type of bill, modifiers, and warnings for any facility/service combination.
  • Payment calculation — GPCI-adjusted Medicare MPFS payment estimates with full RVU breakdowns.

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AI Agents

  • Code research agent — CPT/HCPCS research with documentation requirements, coding guidelines, and modifier rules.
  • Medical necessity agent — ICD-10/CPT pairing validation with LCD/NCD policy analysis.
  • Denial resolution agent — CARC/RARC interpretation with appeal letter generation and supporting evidence.
  • SENTINEL audit — Every agent execution scored for quality and security with green/yellow/red tiers.

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NCCI Edits

  • MUE lookups — Medically Unlikely Edits for practitioner, hospital outpatient, and DME settings.
  • PTP edits — Procedure-to-procedure edits for practitioner and hospital settings.
  • Add-on code validation — Verify primary/add-on code pairings.
  • Provider lookup — Search the NPPES registry by name, NPI, taxonomy, or location.
  • Provider detail — Full provider profile with addresses, taxonomies, and identifiers.

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Platform

  • Multi-tenant architecture — Full data isolation with per-API-key rate limiting.
  • API key authentication — Scoped API keys with knowledge, agents, audit, and admin permissions.
  • Structured logging — Every request logged with request ID, tenant context, and response metrics.
  • OpenAPI documentation — Full interactive API reference at docs.rcintell.com/api-reference.
Have a feature request? Email support@rcintell.com.