๐ฅ Sample Cases
Five synthetic insurance denial cases for testing DenialDefender. Each case includes a denial letter PDF and a patient chart PDF. All data is synthetic โ no real PHI.
Case 001 ยท Lack of Medical Necessity
๐ฅ Maria Elena Rodriguez
52F ยท UnitedHealthcare
$2,850
MRI Lumbar SpineMN-204โก Overturn Likely
Case 002 ยท Missing Prior Authorization
๐ฅ David Anthony Chen
45M ยท Anthem BCBS
$18,420
Knee ArthroscopyPA-101โก Overturn Likely
Case 003 ยท Non-Covered Service
๐ฅ James Robert Patterson
63M ยท Aetna
$1,285
Continuous Glucose Monitor (CGM)NC-302โก Needs Strong Argument
Case 004 ยท Coding Error
๐ฅ Priya Sharma
67F ยท Cigna Healthcare
$1,890
Transthoracic EchocardiogramCE-150โก Overturn Certain
Case 005 ยท Experimental Treatment
๐ฅ Angela Marie Thompson
49F ยท BCBS Illinois
$42,500
Proton Beam Radiation TherapyEX-401โก Strong Case for External Review
All data is synthetic. No real patient health information (PHI) is used.
DenialDefender ยท Team Sophon ยท AMD Developer Hackathon 2026