Patient app · Dana Whitfield

Your ankle, in plain words

Only you and your care team see this

Your appointments{{ p.apptStatus }}

Today8:30

Urgent visit · right ankle injury Dr. Priya Raman · Riverbend Family Clinic, 14 Mill St · exam room 3

Urgent · you called in at 8:12Booked by MARA from your call{{ fd.ptCopay }}

I’d prefer a video visit for follow-ups when that’s safe

{{ up.when }}{{ up.what }} · {{ up.who }}

Forms for this visit

Your care circle · who is working on your visit

DoneNowLater

What each one can see

Every look at your record is logged, and you can see the log on this page. Only you see this whole circle.

Add to your record

Tell your care team something new. It’s marked as coming from you until a clinician reviews it.

What are you adding?

Top number

Bottom number

{{ pe.type }} · {{ pe.at }}{{ pe.status }}

Ask for a correction

If something in your record is wrong, ask for it to be fixed. The practice must answer within 60 days.

What is wrong? What it should say

{{ ar.id }} · {{ ar.what }}{{ ar.status }}

“{{ ar.text }}” {{ ar.detail }}

Under HIPAA you can ask for a change (45 CFR 164.526). A denial comes in writing, and you can file a statement of disagreement that stays with your record.

Your insurance

{{ pl.plan }} {{ pl.memberId }} · {{ pl.group }}

Coverage on file, in the order it’s billed

Any other insurance?

You tell us your coverage; the clinic and your insurer verify it. Changes show up for the front desk before your visit.

Your privacy choices

{{ cn.label }}{{ cn.desc }}

Every change is logged. You can change these at any time.

2-week check-in · Oct 2{{ fu.chip }}

A few questions so your care team knows how you’re healing. (Demo: you can answer now.)

Pain right now

Walking

Swelling

Back at work

Your answers help Dr. Raman, and (de-identified) help MARA learn how people like you recover.

Talk to a person

You can ask for a person at any time; MARA hands over everything so you don’t repeat yourself.

Your medicine list{{ pml.chip }}

No medicines on your list.

Bring this list to every visit. Allergy: sulfonamide antibiotics (rash).

Your records

Ready now · electronic copy (FHIR and PDF) · no charge

Who your record was shared with outside your care

Oct 2, 2025State immunization registry · flu and COVID-19 vaccines · required by law (public health)

This is your accounting of disclosures (6-year lookback; answered within 60 days by law). Sharing for your treatment, payment and the practice’s operations isn’t listed here; the access log on this page shows who inside looked.

What is wrong

Your radiologist has signed your X-ray report, and you can see it below now. Dr. Raman will go over what it means for you and what happens next.

Doctors call it {{ sc.ptTerm }}. {{ sc.ptDetail }}

According to your X-ray report, signed by Dr. Marcus Ogle (Sep 18, 09:34), and Dr. Raman’s signed note (09:58). Confidence: stated by your clinicians, not by MARA.

Your X-raySigned by radiologist · 09:34

Radiologist’s impression: {{ p.imgImp }}

Radiologist’s recommendation: {{ rad.recText }}

Released to you when Dr. Ogle signed, at the same time as your care team. {{ p.imgReviewNote }}

What happens next

Call the clinic now if your toes go numb, change colour, or the pain gets much worse.

From Dr. Raman’s signed plan (Sep 18, 09:58). MARA reworded it; it added nothing.

Dr. Raman hasn’t signed a plan yet. Until then, keep the ankle raised and don’t walk on it, as the nurse told you on the phone at 08:12.

What it will cost you

Unknown

{{ pl.payer }} didn’t answer our coverage check at 08:13. We won’t guess. The billing office is checking again, and this will update with a sourced figure.

Eligibility request (270) sent Sep 18, 08:13 · no response · status: coverage unknown.

Estimate

According to {{ pl.payer }} eligibility response (retrieved Sep 18, 08:13). Estimate uses contracted rates for the visit, X-ray and splint. Confidence 0.90.

Final

You owe

According to {{ pl.payer }} remittance 835 for claim CLM-88213 (received Sep 19, 14:05). {{ sc.estNote }}

Who has opened your record

{{ a.who }} · {{ a.why }} {{ a.t }}

Every read of your chart is logged. You can ask for the full log any time.

MARA platform · learning loop

Every suggestion, every decision, every outcome

Decisions in this encounterSuggestion → human decision → outcome regrade

Where

MARA suggested

Human decision

Signal

Outcome regrade

{{ lr.area }}
{{ lr.who }}

Outcome horizon · learning doesn’t end at the visit

{{ hz.when }}{{ hz.what }} · {{ hz.grades }}{{ hz.st }}

Dana’s path through her cohort

Cohorts are followed from entry into the system through demographics, history, prognosis and treatment to recovery or relapse. Synthetic demo data.

Competency ladder · from an earlier patient, Sep 301 demotion

Heard → Tried → Held → Trusted → Autonomous. A skill climbs on proven outcomes and steps down when a later outcome proves it wrong.

Guardrails on learning

Models in use

{{ md2.name }} · {{ md2.ver }}{{ md2.st }}

New signals train a release candidate. It ships only after validation and clinical-governance sign-off, and every release can be rolled back (the MAX reversibility rule).

MARA platform · compliance & audit

Every decision, the rule behind it, who made it

When

Event

Rule applied

Jurisdiction

AI involved

Decided by

Allowed by · authority

Chain (illustrative)

Rules are held per jurisdiction, and the patient’s location (Oregon) decides which state rules apply. Citations come from general knowledge; counsel should confirm them before production. The chain column is an illustrative sequence marker (“prev 9f3a…”): this demo recomputes it from the list on screen, so it shows the shape only and does not detect tampering. In MARA each entry’s full hash, over every field, is stored and verified against a trusted anchor, so a changed or deleted entry breaks the chain.

MARA platform · lifetime record

Dana Whitfield · cradle to grave

{{ ti.title }}{{ ti.detail }}{{ ti.src }}

MARA platform · value

Cost, waste and delay avoided, with evidence

Demo estimates · synthetic cohort

Episode pricing · recommendations and outliers

Episode{{ prc.episode }}

Cohort cost{{ prc.cost }}

Cohort outcome{{ prc.outcome }}

Dana so far{{ prc.dana }}

Outliers found

{{ ol2.what }}{{ ol2.detail }}

Contracting decision · Grace Liu, provider contracting

Clinical input · Dr. Priya Raman Does the care pathway behind this price match good practice?

Pricing is proposed from cohort cost and outcomes; people in contracting and clinical leadership decide. Their decisions and the outcomes that follow feed the learning loop.

MARA platform · where every fact comes from

Data sources & connections

Standard{{ dsc.std }}

Brings in{{ dsc.brings }}

Last sync{{ dsc.sync }}

Used in this visit{{ dsc.used }}

Stub · not connected to a live system

Transport{{ dsc.transport }}

Authentication{{ dsc.auth }}

Endpoint{{ dsc.endpoint }}

Sample exchange

Maps into MARA

{{ mp.src }}→ {{ mp.dst }}

Scheduled transfers

Nurse advice line · Maya Chen, RN · with MARA

Call & triage · 8:12 am

Signed by Maya Chen, RN · 08:14

MARA suggested; the RN decided

{{ qs0.intro }} Asked by {{ qs0.role }}.

Who is answering

Their relation

Their name

{{ qq.n }}. {{ qq.q }}

What they said, in their words

Ask next: {{ qq.clar }}

Say “{{ qs0.wz.q }}”

Why we ask

How people answer, and what it means

{{ qh.said }} → {{ qh.means }}

AI-driven · MARA

Their answer

Or type what they said

Ask next: {{ qs0.wz.clar }}

Every answer records who gave it. MARA’s readings of the conversation and of typed answers are suggestions until the person asking confirms them.

Call record{{ tr.doneChip }}

CallInbound · 08:12:04 – 08:19:40 (7 min 36 s) · triaged by Maya Chen, RN

Caller is

Caller name

Callback number

Patient is now in

Language

Interpreter ID

OK to leave a voicemail with clinical details Caller told the call is recorded

Maya Chen, RN · licensed in Oregon and Washington. Nursing practice happens where the patient is. Quality review: this call not selected (1 in 20 sampled).

Protocol & disposition{{ tr.dispChip }}

ProtocolAnkle injury · adult office-hours protocol (2026 edition)

Questions asked{{ tr.qLine }}

Protocol says{{ tr.protoDisp }} ({{ tr.protoWhy }})

Final disposition

Caller declined this disposition

Moving to a higher level of care is always allowed. Moving lower than the protocol needs a reason, because it carries medical-legal risk. If the caller wants to be seen, accommodate them.

Care advice & close-out{{ tr.repeat }}

Caller repeated the plan back correctly (teach-back) Caller agrees with the plan

Patient record · triage view{{ tri.recChip }}

Ask the caller for her first name, last name and date of birth (and a callback number if you want it), and enter what she says. MARA checks them against the record without showing you the record’s values.

First name

Last name

Date of birth

Callback (optional)

Every opening is logged with the purpose “triage”. Sensitive sections stay locked unless you break the glass.

Structured summary · drafted by MARA, confirmed by RN

Edited by {{ sf.by }} · {{ sf.at }} · was “{{ sf.was }}”

Allergies{{ tri.allergy }}

Conditions that change urgency{{ tri.cond }}

Prior ankle injury{{ tri.prior }}

Allergies, conditions and prior injury come from the chart and are edited there, not here.

Red flags checked

According to Riverbend triage protocol, adult ankle and foot injury (v2026.1). Any red flag would have routed her to the emergency department instead.

Call transcript · excerpt

Recorded with consent

Line {{ trl.n }}, {{ trl.who }}

Edited by {{ trl.by }} · {{ trl.at }} · original: “{{ trl.orig }}”

MARA transcribed the call and drafted the summary; Maya confirmed each field before signing. Corrections never overwrite the recording: the original wording stays with each edit.

What happened next

Edit history{{ tri.editCount }}

No changes since Maya signed at 08:14.

{{ ed.what }}{{ ed.who }} · {{ ed.at }}

From “{{ ed.from }}” To “{{ ed.to }}”

Nina Park · Scheduler · Riverbend Family Clinic

Scheduling · Dana Whitfield

Sees appointments, referrals and auth status · no clinical notes

Requests for Dana{{ sch.openCount }}

Dr. Raman · today

{{ ss.t }} · {{ ss.who }} · {{ ss.why }}{{ ss.type }}

MARA holds two same-day slots each morning for triage bookings like Dana’s.

Reminders & messages

Reminders go by text and in the app, 48 hours and 2 hours before. Replies of “can’t make it” reopen the slot.

Patient access · eligibility & benefits · run by MARA at 08:13

Coverage check · 270 / 271

Request · 270 sent 08:13Triggered by the triage booking

Payer: {{ pl.payer }} · payer ID {{ el.payerId }}
Provider: Riverbend Family Clinic · NPI 1245319870
Subscriber: Dana Whitfield · DOB 1992-03-14 · {{ pl.memberId }}
Date of service: 2026-09-18
Asked about: 30 plan coverage · UC urgent care · 4 diagnostic X-ray · 12 medical equipment (splint)

Response · 271{{ el.respChip }}

Coverage: Active · {{ pl.plan }}
Payer type: {{ pl.type }}
Network: {{ pl.network }}
Cost sharing: {{ pl.costShare }}
Copay at check-in: {{ fd.copayText }}
Prior auth: None for X-ray or splint · CT and MRI need prior auth

Parsed by MARA from the 271. It becomes the patient’s estimate, the front desk’s copay and the doctor’s coverage note.

No 271 after 60 seconds. Retried at 08:14 and 08:20 with no answer. Coverage is recorded as unknown, never as active.

Raw eligibility response

Illustrative X12 271 excerpt (demo data, not a valid transaction). Kept alongside MARA’s plain-English reading for audit and disputes.

Where this answer went

Patient appEstimate {{ pl.estimate }} before she arrived

Front desk{{ fd.copayText }}

DoctorCoverage and prior-auth rule before the order

BillerClaim scrub: eligibility confirmed

Riverbend Pharmacy · Omar Haddad, PharmD

Prescription review · Dana Whitfield

MARA’s authority here

{{ au.full }} · step {{ au.step }}

{{ qs0.intro }} Asked by {{ qs0.role }}.

Who is answering

Their relation

Their name

{{ qq.n }}. {{ qq.q }}

What they said, in their words

Ask next: {{ qq.clar }}

Say “{{ qs0.wz.q }}”

Why we ask

How people answer, and what it means

{{ qh.said }} → {{ qh.means }}

AI-driven · MARA

Their answer

Or type what they said

Ask next: {{ qs0.wz.clar }}

Every answer records who gave it. MARA’s readings of the conversation and of typed answers are suggestions until the person asking confirms them.

New e-prescriptionNCPDP SCRIPT NewRx · 09:59

Drug{{ rx.drug }}

Directions{{ rx.sig }}

Quantity{{ rx.qty }}

PrescriberDr. Priya Raman · NPI 1720394856

Coverage{{ rx.cov }}

MARA safety review

{{ rc2.label }} · {{ rc2.text }}{{ rc2.st }}

Checked against her reconciled medicine list, allergy list, kidney function (Mar 2026 labs), today’s intake and the openFDA ibuprofen label. The pharmacist decides.

Your decision · Omar Haddad, PharmD Decision

Why you’re not following MARA’s suggestion (required)

Your decision, and any reason, feed MARA’s learning.

Riverbend Orthopaedics · Dr. Nia Adeyemi, MD · specialist

Referral visit ·

MARA’s authority here

{{ au.full }} · step {{ au.step }}

Referral from Dr. Raman · Sep 18{{ sp.auth }}

Reason: {{ rad.docImp }}
Radiology: {{ rad.recText }}
Treatment so far: Short-leg posterior splint, crutches, non-weight-bearing
Medicines: {{ meds.line }}
Allergy: Sulfonamide antibiotics (rash)
Intake vitals: {{ ik.bpText }} BP · pain {{ vit.pain }}/10

Arrived with the referral, so nothing was re-asked or re-imaged.

Your plan · Sep 25 Treatment

Why you chose differently (required)

MARA context: {{ sp.cohort }}

Cohort figures describe similar patients, not Dana. Synthetic demo data.

This visit bills as its own claim through the same coder → biller → payer path.

Signed Sep 25, 10:20 · sent to Dr. Raman and the patient app

Luis Ortega · Front desk · Riverbend Family Clinic

Today · Thursday, Sep 18

Minimum necessary: scheduling, insurance, consents, billing · no chart

{{ qs0.intro }} Asked by {{ qs0.role }}.

Who is answering

Their relation

Their name

{{ qq.n }}. {{ qq.q }}

What they said, in their words

Ask next: {{ qq.clar }}

Say “{{ qs0.wz.q }}”

Why we ask

How people answer, and what it means

{{ qh.said }} → {{ qh.means }}

AI-driven · MARA

Their answer

Or type what they said

Ask next: {{ qs0.wz.clar }}

Every answer records who gave it. MARA’s readings of the conversation and of typed answers are suggestions until the person asking confirms them.

Dr. Priya Raman · schedule

ScheduledUrgent · called inWalk-in

Time

Patient

Reason

Type

Status

MARA booked D. Whitfield into the 8:30 same-day hold from her 8:12 call and sent her the forms. A. Rossi walked in at 8:22 and was added to the queue.

Visit · Dana Whitfield · 8:30{{ fd.st }}

Reason: Right ankle injury after a fall from a curb
Visit type: Urgent · called in 8:12
Booked by: MARA from the triage call; confirmed by you at 8:14
Patient: DOB 1992-03-14 · (555) 010-7731 · 88 Alder Ln, Riverbend
PCP: Dr. Priya Raman, MD · Family Medicine · NPI 1720394856 · last seen Mar 12, 2026
Pharmacy: Riverbend Pharmacy · 210 Mill St

Insurance{{ b.eligChip }}

Plan: {{ pl.plan }} · subscriber: self
Payer type: {{ pl.type }}
Who pays claims: {{ pl.sponsor }}
Member / group: {{ pl.memberId }} · {{ pl.group }}
Effective: Jan 1, 2026 · card scanned Jan 8, 2026 (front and back)
Cost sharing: {{ fd.costShare }}

Identity & registration{{ reg.chip }}

Photo ID

Language{{ reg.lang }}

Privacy noticeCurrent edition Feb 2026. Dana acknowledged the 2024 edition; the updated notice was offered in her app. A new signature isn’t required.

Advance directiveAsked: none on file. Not required for a physician office; offered information.

Other coverage

Ask the Medicare Secondary Payer questions above

Cost notices{{ reg.notices }}

Name on ID vs. insurance card is the classic identity-theft red flag (FTC Red Flags Rule). The language-assistance notice is posted in the lobby and the app in 15 languages (Section 1557).

Coverage verification{{ cov.fdChip }}

Coverage order · who pays first{{ cob.chip }}

{{ cbr.pos }}{{ cbr.name }}{{ cbr.meta }}

MARA recommendsyou decide

{{ cbx.pos }}: {{ cbx.name }}. {{ cbx.why }}

Your order differs from MARA’s. Why?

Order rules: employee plan before a spouse’s plan (NAIC coordination-of-benefits model rule); Medicaid pays last; Medicare Secondary Payer rules (42 CFR 411). A self-funded plan follows its plan document. Every change is logged.

Forms & consents

Done

Billing at check-in

Guarantor: Dana Whitfield (self)
Account balance: $0.00 · last statement paid Mar 28, 2026
Copay at check-in: {{ fd.copayText }}
Collect today: {{ fd.collect }}
Estimate for visit: {{ fd.estimate }}
Card on file: Visa ending 4417 · consent to charge after the claim: {{ fd.cardConsent }}

Checked in 08:28 · sent to intake (Tessa Lin, MA)

Tessa Lin, MA · Pre-intake · Room 3

Intake ·

DOB 1992-03-14 · MRN 00-481-227{{ ik.chip }}

{{ qs0.intro }} Asked by {{ qs0.role }}.

Who is answering

Their relation

Their name

{{ qq.n }}. {{ qq.q }}

What they said, in their words

Ask next: {{ qq.clar }}

Say “{{ qs0.wz.q }}”

Why we ask

How people answer, and what it means

{{ qh.said }} → {{ qh.means }}

AI-driven · MARA

Their answer

Or type what they said

Ask next: {{ qs0.wz.clar }}

Every answer records who gave it. MARA’s readings of the conversation and of typed answers are suggestions until the person asking confirms them.

From Dana’s app · waiting for review

{{ re.type }} · {{ re.at }}{{ re.src }}

Correction request {{ ra.id }} · {{ ra.what }}Decide by {{ ra.due }}

“{{ ra.text }}”

Dr. Raman decides correction requests.

Vitals · today against her last visits

Measure	Today	Previous · Mar 26 · Nov 25 · Mar 25
Blood pressure	/	114/72 · 118/74 · 112/70
Heart rate		66 · 72 · 64
Temperature °F		98.2 · 98.4 · 98.1
SpO₂ %		99 · 98 · 99
Weight lb		146 · 144 · 148
Height in		65.5 · — · 65.5
BMI	{{ ik.bmi }}	23.9 · — · 24.3
Pain 0–10		0 · 2 · 0

Pregnancy possible?

MARA flag: {{ fl.text }}

Previous readings from the chart (Riverbend Family Clinic). Flags compare today with her own baseline. They are for Dr. Raman to weigh, not diagnoses.

Medication reconciliationChecked against RxNorm + openFDA

Allergy: sulfonamide antibiotics · rash, Nov 2025

Allergy list confirmed with the patient today Gave Dana a written, updated medicine list (paper and in her app)

No active medicines on the list. Ask about over-the-counter pills, supplements and birth control.

Patient reports taking

New medication

Not active, from the chart: TMP-SMX (stopped Oct 2025, rash), nitrofurantoin (completed Nov 2025), vitamin D3 (stopped Mar 2026, level normal).

Screenings & care gaps{{ scr.chip }}

Depression screen (PHQ-2) · over the last 2 weeks, how often has she been bothered by:

Fall riskNot due: routine fall-risk screening is for adults 65 and older.

Influenza 2026–27

Other gapsTdap current until May 2031 · cervical screening next due 2027 · lipids rechecked Mar 2026

Depression screening for adults: USPSTF, grade B. Fall-risk screening: USPSTF, adults 65+. Vaccine and screening dates from the chart and the state immunization registry.

Note to Dr. Raman

Sent 08:35 · on Dr. Raman’s screen

Dr. Priya Raman, MD · Family Medicine

Exam room 3 ·

MRN 00-481-227Allergy: sulfonamides

MARA’s authority here

{{ au.full }} · step {{ au.step }}

Ask MARA · treatment question{{ tx.auth }}

Dr. Raman asked: “Ibuprofen or acetaminophen for her pain, given her med list and her sulfa allergy?”

{{ tx1.grade }}{{ tx1.text }}
Source: {{ tx1.src }}

A recommendation, not an order. Dr. Raman decides; her choice and Dana’s 2-week check-in teach MARA.

Pre-visit brief · drafted by MARA from the 08:12 callSourced

Stepped off a curb at 07:40 and rolled her right ankle inward. Immediate pain on the outer ankle, swelling within minutes. Could not take four steps at the scene. No numbness. No prior ankle injury. Active medications: {{ meds.line }}.

Patient phone call, 08:12, summarised by MARA and read back to the patient. Chart: allergy list (updated 2025-11-04), med list ({{ meds.srcNote }}).

From Dana’s app · waiting for review

{{ re.type }} · {{ re.at }}{{ re.src }}

Correction request {{ ra.id }} · {{ ra.what }}Decide by {{ ra.due }}

“{{ ra.text }}”

Dr. Raman decides correction requests.

Remote follow-up · Dana’s 2-week check-in

Her answers{{ fu.summary }}

MARA observation: {{ fu.obs }}

Pharmacist suggestion · Omar Haddad, PharmDYour decision

Intake · Tessa Lin, MA{{ ik.chip }}

Intake is in progress. Vitals, reconciled medicines and Tessa’s note appear here when she sends them.

MARA flag: {{ fl.text }}

Medicines (reconciled 08:35): {{ meds.line }}

Tessa’s note: {{ ik.note }}

Ottawa ankle rules · your exam

Coverage, before you order

No prior auth neededEst. patient cost {{ pl.estimate }}

Ankle radiograph, 3 views (CPT 73610) is covered without prior authorization for acute trauma under {{ pl.payer }} policy RAD-114.

According to {{ pl.payer }} medical policy RAD-114 and eligibility response 271 (both retrieved Sep 18, 08:13). Confidence 0.96.

Coverage unknown

{{ pl.payer }} did not answer the eligibility check. The cached copy of RAD-114 (Aug 30) says no prior auth for this order, but the patient’s active coverage is not confirmed. Clinical need doesn’t wait on this. Billing is re-checking.

270 sent Sep 18, 08:13 · no 271 received · policy RAD-114 cached 2026-08-30.

Order · drafted by MARA, yours to sign Council 2 of 2 agree

Study: XR ankle, right, 3 views CPT 73610 · FHIR ServiceRequest
Clinical question: Rule out fracture of the lateral malleolus after inversion injury.
Context sent: Ottawa positive (posterior lateral malleolus tenderness; unable to bear weight 4 steps). Pregnancy screen: {{ ik.pregShort }}. No prior imaging in this practice.
To: Riverbend Imaging, in-house suite

Signed 08:52 · sent with context to Riverbend Imaging

Imaging · XR ankle R, 3 views · ACC-7719-3302{{ d.readChip }}

Visit note

MARA starts the note draft when the X-ray read comes back. The coder sees suggestions as it’s written.

Radiology result · routed back to this encounterDr. Marcus Ogle · 09:34

Impression: {{ rad.docImp }}

Recommendation: {{ rad.recText }}

Visit note · MARA draft

Council 2 of 2 agreeHighlights support codes

S. 34-year-old woman stepped off a sidewalk curb at 07:40 today and inverted the right ankle. Immediate lateral pain and swelling; unable to bear weight four steps. No numbness. No prior ankle injury.

O. Swelling and bruising over the lateral malleolus. Bone tenderness at the posterior edge of the lateral malleolus; none medially, at the navicular or 5th metatarsal base. Skin intact (closed). Pulses and sensation intact. XR right ankle, 3 views: {{ rad.xrLine }}.

A. {{ rad.assess }} Initial encounter. New problem; evaluated and imaged before treatment, separate from splinting.

P. Short-leg posterior splint applied in clinic. Crutches, non-weight-bearing. {{ sc.painNote }} Elevate, ice. Return for numbness, colour change or pain out of proportion. Definitive fracture care: orthopaedics, seen within 1 week. {{ sc.recPlan }}

A. Sprain of the right ankle, lateral; ligament not specified. No fracture on the signed read. Initial encounter. New problem; evaluated and imaged.

P. Lace-up ankle brace (clinic stock, not billed). Weight-bearing as tolerated. {{ sc.painNote }} Elevate, ice. Physiotherapy referral if not improving in 2 weeks. Return for numbness, colour change or pain out of proportion. {{ sc.recPlan }}

Built from the encounter: triage call 08:12, your exam 08:47, report 09:34. {{ sc.painSrc }}

Signed 09:58 · coder, biller and patient view updated

Riverbend Imaging · Dr. Marcus Ogle, radiologist

Worklist

Sees the order and its context, not the whole chart

MARA’s authority here

{{ au.full }} · step {{ au.step }}

Time	Patient	Study	Question arrived with	Status
08:05	R. Chen	XR chest, 2 views	Cough 3 wks, smoker	Read
08:52	D. Whitfield	XR ankle R, 3 views	{{ g.rowQ }}	{{ g.rowStatus }}
09:10	M. Osei	MRI knee L	Locking, PA on file	Scheduled

Acquisition · Kevin Tran, RT(R) · X-ray room 2{{ g.acqChip }}

Right ankle, 3 views: AP, mortise, lateral. The pregnancy screen and the order’s context are already attached, so the patient doesn’t get asked again.

Acquired 09:12 · AP, mortise, lateral · accession ACC-7719-3302. MARA’s AI pre-read ran at 09:13, circled one suspected finding and moved the study up the worklist.

AI flag: suspected fracture · 0.94

What arrived with the order

Question: Rule out lateral malleolus fracture after inversion injury
Exam: Posterior lateral malleolus tenderness; unable to bear weight 4 steps
Onset: Sep 18, 07:40 · fall from curb
Pregnancy: {{ ik.pregLong }}
Prior imaging: None in this practice · outside records not searched (no consent on file)

ServiceRequest signed by Dr. Raman, 08:52. “Not searched” is reported as not searched, never as “none”.

Your report

The report opens once images are acquired. MARA’s AI pre-read runs first and hands you a circled finding to confirm or reject.

Your report · Dr. Marcus Ogle{{ r.chip }}

Findings: {{ r.findings }}

Impression: {{ r.impText }}

Recommendation: {{ r.recText }}

Image: {{ r.imgSummary }}

Prefilled from MARA’s AI pre-read (09:13). Nothing is signed until you choose.

Image annotations

AI circle (finding 1):{{ r.aiState }}

Your markers: {{ r.markCount }} of 3

Findings Impression / diagnosis Recommendation

Result communication {{ rc.text }}

For findings that need action, document the date, time, method, who received it and what was said (ACR practice parameter on communication of diagnostic imaging findings).

Jordan Pike, CPC · Riverbend coding

Code while the note is written

Codes validated against ICD-10-CM FY2026

MARA’s authority here

{{ au.full }} · step {{ au.step }}

Diagnosis A · the models disagreeCouncil split · sent to you

MARA won’t average this away. Pick the code the documentation supports.

{{ sc.dxSrc }} Both codes valid for date of service Sep 18, 2026.

Code

Description

Evidence in note

Council

2/2

What the note needs to support these codes

Accepted 10:22 by Jordan Pike · {{ dxCode }}, W10.1XXA · {{ sc.cptList }}

Alex Moreno · Riverbend billing office

Claim CLM-88213

X12 270/271 · 837P · 835

Charges{{ b.charges }}

Allowed{{ b.allowed }}

Plan paid{{ b.paid }}

Patient owes{{ b.owes }}

Eligibility · {{ pl.plan }}{{ b.eligChip }}

Member: {{ pl.memberId }} · active since 2026-01-01
Payer type: {{ pl.type }} · claims paid by {{ pl.sponsor }}
Cost sharing: {{ fd.costShare }}
Copay at check-in: {{ fd.copayText }}
Prior auth: Not required for 73610 or 29515 (policy RAD-114)

No 271 came back for the 270 sent at 08:13. Coverage is recorded as unknown. It is not assumed active, and the claim can’t go out until it is confirmed.

837P · assembled by MARADx A {{ dxCode }} · Dx B W10.1XXA

CPT

Mod

Dx ptr

Units

Charge

A, B

Total

{{ b.scrubElig }} NPI & taxonomy valid Dx pointers on every line {{ sc.modScrub }} Attached: report + signed note (PWK) {{ rcm.timely }}

Claim status

{{ cs2.at }}{{ cs2.tx }} · {{ cs2.text }}{{ cs2.st }}

Denial worklist · Dana WhitfieldCARC / RARC codes from 835s

Claim · line

Denial code

What it means

Action taken

Status

Corrected claims go out with frequency code 7. Contractual (CO) denials can’t be billed to the patient.

835 remittance · {{ pl.payer }} · Sep 19{{ sc.remitChip }}

CPT

Allowed

Copay

Deductible

Coins.

Plan paid

Contract adj.

Total

Posted Sep 20, 09:10 · statement explained in the patient app

{{ pl.payerOrg }} · {{ y.who }}

MEMBERDana Whitfield

MEMBER ID{{ pl.memberId }}

GROUP{{ pl.group }}

EFFECTIVE2026-01-01

PCPDr. Priya Raman

URGENT VISIT{{ pl.copayShort }}

Membership record

Payer type: {{ pl.type }}
Pays the claims: {{ pl.sponsor }}
Administers: {{ pl.admin }}
Network: {{ pl.network }}
Coverage today: {{ b.eligChip }}
Subscriber: Self · spouse Jordan Whitfield is not on this plan
Eligibility checks: {{ y.eligLog }}

ID card & mailings{{ idc.chip }}

Cards and letters go to the print-and-mail vendor as nightly files; digital cards update in wallet apps at once.

Benefits · in networkHighlighted: today’s services

Service

Member pays

Authorization

Plan year 2026 benefit summary · {{ pl.admin }}. Benefits describe coverage, not a promise of payment for a specific claim.

Today’s visit · who pays what, and when{{ fd.copayChip }}

Service

Allowed

Copay · at check-in

Deductible · billed later

Coins. · billed later

Plan pays

Total

Coverage on file · coordination of benefits

Coverage type

Status

Order

Checked against the member’s enrollment file and the plan’s coordination-of-benefits questionnaire (answered Jan 8, 2026).

Care team on file

{{ tm.role }} · {{ tm.who }}{{ tm.note }}

Claims, pharmacy claims, prior auths & referralsSelect a row for full detail

Date

Claim

Provider

Codes

Billed

Plan paid

Member

Member balance

Status

Claim detail · {{ hd.id }}{{ hd.status }}

Type: {{ hd.type }}
Provider: {{ hd.prov }}
Date of service: {{ hd.date }}
Diagnoses: {{ hd.dx }}

Code

Description

Billed

Allowed

Adjudication

Status history

· {{ hh.text }}

Prior authorization · {{ pa.id }}{{ pa.status }}

Request{{ pa.study }} · from Dr. Priya Raman · received Sep 18, 10:05

Decision clock{{ pa.clock }}

Rule{{ pa.rule }}

AttachedSigned radiology read and images, visit note, exam findings

MARA check: {{ pa.mara }}

Specific reason, if denying

Claim	Member	Service	Evidence at submission	Status
CLM-88190	J. Alvarez	97110 therapy ×12	None	Pended · records requested
CLM-88201	R. Chen	71046 chest XR	Report	Paid
CLM-88213	D. Whitfield	{{ sc.cptShort }}	{{ y.rowEv }}	{{ y.rowStatus }}
CLM-88220	M. Osei	73721 MRI knee	PA on file	In review

Policy RAD-114 · criteriaCouncil 2/2: meets criteria

Each box points to a line in the attached evidence. MARA recommends; your approval decides.

Adjudication · recommended

Allowed: {{ m.allowed }} ({{ pl.rateNote }})
Copay: {{ m.copay }}
Deductible: {{ m.ded }}
Coinsurance: {{ m.coins }}
Primary paid: {{ m.prior }} (Summit Mutual PPO)
Plan pays: {{ m.plan }}
Diagnosis on claim: {{ dxCode }}
Duplicate check: No 73610 for this member in 12 months

{{ cl.stageTitle }} Decision

Reason (category · specific)

Why you’re not following MARA (required)

Letters & notificationsGenerated · human-approved

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Letter preview · {{ cl.letterTitle }}Plain language · 6th-grade reading level

When	Diagnosis	Treatment	Outcome
2025-10	Acute cystitis N30.00	TMP-SMX, then nitrofurantoin	Resolved · sulfa rash
2025-03	Vitamin D insufficiency E55.9	D3 2,000 IU daily, 12 months	Normal Mar 2026
2025-03	Borderline LDL	Diet advice	118 → 104
2024-04	Seasonal allergic rhinitis J30.2	Fluticasone spray, seasonal	Controlled

Test	Mar 12, 2026	Mar 4, 2025	Reference	Flag
Complete blood count
WBC	6.2	5.8	4.0–11.0 ×10⁹/L
Hemoglobin	13.1	12.9	12.0–15.5 g/dL
Platelets	248	262	150–400 ×10⁹/L
Metabolic panel
Glucose, fasting	88	92	70–99 mg/dL
Creatinine	0.78	0.81	0.57–1.00 mg/dL
eGFR	>90	>90	>60 mL/min/1.73m²
Potassium	4.1	4.3	3.5–5.1 mmol/L
ALT	18	21	7–35 U/L
Calcium	9.4	9.2	8.6–10.2 mg/dL
Lipids, A1c, thyroid, vitamin D
Total cholesterol	182	196	<200 mg/dL
LDL	104	118	<100 mg/dL	H
HDL	62	58	>50 mg/dL
Triglycerides	80	99	<150 mg/dL
Hemoglobin A1c	5.2	5.3	<5.7 %
TSH	1.8	2.1	0.4–4.0 mIU/L
Vitamin D, 25-OH	34	22	30–100 ng/mL	2025: L
Urinalysis · Oct 28, 2025 (urgent care)
Nitrite / leukocyte esterase	+ / +	—	negative	Treated

Medicine	Started	Ended	Why it ended
Vitamin D3 2,000 IU daily	2025-03-04	2026-03-12	Level back in range
Nitrofurantoin 100 mg twice daily × 5 days	2025-10-30	2025-11-04	Course completed
TMP-SMX DS twice daily	2025-10-28	2025-10-30	Stopped · rash → allergy recorded
Fluticasone nasal spray, seasonal	2024-04-02	2024-06-30	Seasonal course

Region	AI result	Confidence
Lateral malleolus	Fracture, nondisplaced (finding 1)	0.94
Fracture level	Below syndesmosis · Weber A	0.88
Medial malleolus	No fracture	0.97
Posterior malleolus	No fracture (lateral view)	0.95
Mortise alignment	Congruent · MCS 3 mm	0.92
5th metatarsal base	Not assessed · partly out of field	—

Your ankle, in plain words

Every suggestion, every decision, every outcome

Every decision, the rule behind it, who made it

Dana Whitfield · cradle to grave

Cost, waste and delay avoided, with evidence

Data sources & connections

Call & triage · 8:12 am

Scheduling · Dana Whitfield

Coverage check · 270 / 271

Prescription review · Dana Whitfield

Referral visit ·

Today · Thursday, Sep 18

Intake ·

Exam room 3 ·

Worklist

Code while the note is written

Claim CLM-88213

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CLINICAL HISTORY

COMPARISON

TECHNIQUE

FINDINGS AI

IMPRESSION AI

RECOMMENDATION AI

Your ankle, in plain words

Every suggestion, every decision, every outcome

Every decision, the rule behind it, who made it

Dana Whitfield · cradle to grave

Cost, waste and delay avoided, with evidence

Data sources & connections

Call & triage · 8:12 am

Scheduling · Dana Whitfield

Coverage check · 270 / 271

Prescription review · Dana Whitfield

Referral visit · Dana Whitfield

Today · Thursday, Sep 18

Intake · Dana Whitfield

Exam room 3 · Dana Whitfield

Worklist

Code while the note is written

Claim CLM-88213

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Referral visit ·

Intake ·

Exam room 3 ·