Module 02
Sentry OS · Pre-submission scrubber
Real-time NCCI / LCD / modifier rule engine. Flags every claim before it leaves the practice — with the citation and the fix.
Live · 6 active flags
NCCI v32.1 · LCD L33631
Scrub a claim
Live toolRisk flags
Claims scrubbed · last 30d
47,283
2,841 caught at submission
Clean-claim rate
96.4%
↑ from 85.1% pre-Practice OS
Days in A/R
13.2
↓ from 41 days
Live flag stream
Blocking
Claim #SP-47291 · Patient #4071
Anthem CA · 14s ago
Modifier 25 missing on E/M with same-day procedure
CPT 99213 billed same DOS as 97140. Anthem will deny CO-4 (procedure inconsistent with modifier) without 25 attached to the E/M.
Warning
Claim #SP-47297 · Patient #4083
Anthem CA · 47s ago
CPT 97110 + 97140 same DOS without modifier 59
PTP edit pair. Without 59 (or X{EPSU}) Anthem CA will deny CO-97 (payment is included in another service). Anthem CA quirk: rejects 59 on documentation under 8 minutes — needs XS subset modifier.
Info
Claim #SP-47301 · Patient #4112
Medicare CA · 1m 32s ago
LCD frequency edit · CPT 97110
Patient at 11 of 12 allowed units this benefit period under LCD L33631 (Outpatient Therapy Services). Next visit triggers reasonable-and-necessary review.
Blocking
Claim #SP-47314 · Patient #4145
Aetna · 2m 11s ago
8-minute rule violation · CPT 97530
5 minutes documented; CMS 8-min rule requires ≥8 min for one timed unit. Aetna will deny CO-50 (non-covered services because not deemed medically necessary).
Warning
Claim #SP-47318 · Patient #4163
UHC · 3m 04s ago
POS 11 vs payer-listed POS 02 mismatch
Submitted POS 11 (office) but UHC has provider on file as POS 02 (telehealth). Will deny CO-5 (procedure code inconsistent with POS).
Info
Claim #SP-47323 · Patient #4188
Cigna · 4m 19s ago
Auth on file · 4 of 12 visits remaining
Cigna prior-auth #CG-882104 valid through 2026-07-31. Trigger renewal flow at 2 visits remaining.