VisArch

Got Proof?

Know what proof is missing before a Medicare claim is submitted.

Built For The Teams That Get Asked, “Prove It.”

VisArch shows what proof is missing before a Medicare claim is submitted, so teams can fix gaps before the payer asks.

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The closed loop

Missing proof becomes a fixable gap.

Step 1

Find Gap

What proof is missing?

Step 2

Add Evidence

Get the missing evidence.

Step 3

Check Again

Did the new evidence close the gap?

Step 4

Submit

Advance only when ready.

Defensibility graph

Proof Becomes A Drag-And-Drop Control.

proposed action

837I Submission

supporting proof

Evidence Sources

requirements

Policy Checks

decision path

Route Lock

next step

Submit or Review

Simulations

Prove the graph before claims go live.

A graph defines what proof is required. Simulations show whether that proof path works. Generate edge cases, replay historical claims, and test route changes before live submissions depend on the graph.

Graph Stress Test

Generate edge cases to find missing proof, weak policies, and broken routes before rollout.

Historical Replay

Run past claims through the graph to see recurring proof gaps, review load, and first-pass readiness.

What-If Scenario

Add, remove, or change policy checks to see how claim routing, proof gaps, and submission readiness would change.

Claim economics

Hospitals spend an estimated $18B a year fighting claims after submission. VisArch moves that work upstream.

Claims Tested

0

Claims evaluated before live submission.

Avoidable Work Found

0

Proof gaps surfaced before they became payer disputes.

Revenue Protected

$0.00M

Estimated dollars protected by fixing claims before submission.

Benefits

Keep the proof path visible after the graph is built.

VisArch keeps action, evidence, policy, route, and correction records connected so teams can see what changed before a claim moves forward.

Graph Record

Keep the action, fields, evidence, policy checks, routes, and goal in one visible proof map.

Proof Checks

Show whether the claim has the documentation, evidence, and policy support required to move.

What Changed

Compare the original and corrected claim so the team can see which proof gap closed.

Route Decision

Advance supported claims and send missing or failed proof to correction or review.

Evidence Sources

Connect attached, local, mirrored, or live evidence without changing the claim payload first.

Correction Queue

Point missing proof to the owner who can resolve it before the claim is submitted.

Ready before submission

See what proof is missing before claims go out.

Build a defensibility graph, find proof gaps, and see how VisArch helps your team move claims forward with more confidence and less rework.