The moment it solves
A missing scale is not a coding problem. It is a documentation-risk problem.
For interventional pain, Traditional Medicare ESI records in the sampled set failed a strict core documentation check more often than not. That is why this product exists for pain management as well as orthopedics — not a claim that AdminQ generated a return on those claims.
How it works
A complete packet. A human still submits.
- 01
Know the payer rule
DataQorp declares policy. Observed historical behavior is a separate column — never presented as the rule.
- 02
Assemble the packet
Orthopedic surgery and interventional pain share the same pipeline: H&P, imaging, medical necessity, and the gaps that would fail review.
- 03
A human submits
AdminQ does not quietly file authorizations. Completeness is the product; submission remains a person.
Evidence of value
Classed evidence. Not every number is cash.
MEASURED PERFORMANCE
52.1%
Strict core documentation fail in sampled retrievable Traditional Medicare ESI records
Why this matters for pain management and orthopedic procedure readiness. n=190 sampled retrievable records. Not a claim that AdminQ generated a return.
How this was measured
OpAgent Benchmark: Traditional Medicare ESI documentation analysis. Strict core documentation fail rate in sampled retrievable records.
Sample: n=190
A documentation-fail rate is not AdminQ-generated return and not observed recoupment.
Source: OpAgent Benchmark
EXTRAPOLATED RISK
~$33.8k
Extrapolated documentation-risk amount
Out of $66.2k Medicare-paid ESI during the observed window. Not observed recoupment. Not recovered cash.
How this was measured
OpAgent Benchmark: extrapolated documentation-risk amount from the Traditional Medicare ESI documentation analysis.
Sample: n=190 sampled retrievable records
Period: Observed Medicare ESI window
Extrapolated risk, not observed recoupment, not recovered cash, not AdminQ-generated return.
Source: OpAgent Benchmark
Documentation gaps in the ESI analysis
- Baseline objective scale
- Conservative care duration
- Same-scale follow-up
- ≥50% relief before repeat
- Long-course PCP notification
Methodology / caveat
The Traditional Medicare ESI analysis is a why-this-matters block for pain management and procedure readiness. It is not observed recoupment, not recovered cash, and not a return AdminQ generated. The dollar figure is extrapolated risk from Medicare-paid ESI in the observed window.
OpAgent Benchmark · AdminQ · extrapolated risk ≠ recoupment
Where it connects
The rest of OpAgent is already in the room.
- OpAgent Essentials
Where a ready packet can surface as a decision on Today.
- DataQorp
Declared policy, kept visually separate from observed behavior.
- CodeIQ OR
The case the authorization was supposed to cover.
- Pre-Op Optimization
Readiness work that should happen before the packet is even built.