MICRA-BEV™ Explainer · 01 of 05

Card to Report in 60 Seconds

Drag the scrubber to explore each stage, click any pipeline icon, or press play to watch the full animation.

0.0s
Upload
AI OCR
EDI 270
271 Parse
Report

Card Image Upload

Staff upload front + back card images via browser, mobile camera capture, or API POST. Supported formats: JPEG, PNG, PDF, HEIC. Images are encrypted in transit (TLS 1.3) and at rest (AES-256).

0–3 seconds
BlueCrossBlueShield of MA
PPO
SARAH M. JOHNSON
Member ID
XXP882741901
Group
BCBS-MA-44021
Effective
01/01/2025
Copay PCP/Spec
$25 / $40
Drop zone ready

AI Card Extraction

Custom-trained computer vision models — one per payer — extract all structured fields. A 95% confidence threshold flags low-confidence extractions for human review.

3–8 seconds
Payer
BCBS of MA
99.7%
Member ID
XXP882741901
99.4%
Group #
BCBS-MA-44021
98.9%
Subscriber
Sarah M. Johnson
99.8%
Plan Type
PPO
97.2%
RxBIN
004336
96.1%

EDI 270 Eligibility Request

A real-time EDI 270 transaction fires through the dual-clearinghouse pipeline — Availity as primary, CLAIM.MD as failover. No single point of failure.

8–35 seconds
EDI 270 → Service Type 30 (BH)
Availity
Sending...
CLAIM.MD
Standby
Awaiting 271 response...

BH-Specialized 271 Parsing

The raw EDI 271 is parsed by our BH-specialized engine — extracting session limits, telehealth parity, carve-out detection, and prior auth flags that generic parsers miss.

35–50 seconds
Deductible
$500 / $387 met → $113 remaining
Copay
$25 per session (90837)
Coinsurance
20% after deductible
Telehealth
✓ Parity — covered same as in-office
Session Limit
Unlimited (MH parity)
Prior Auth
Not required for 90791 / 90837

Structured Benefit Report

Three tenant-branded PDF deliverables are generated: Card PDF, Report PDF, and Combined PDF. All available for download, API retrieval, or direct EHR population.

Under 60 seconds total
Benefit Report — BCBS MA PPO
Card PDF
Report PDF
Combined PDF