EXCELSIOR HEALTH INTELLIGENCE
excelsior_brain · FHIR R4
+ Refer
API Debate Engine ★ Providers 📅 Appointments Providers
301,000
Patients
452,005
Conditions
0
HIGH
SEVERITY
0 API CALLS
Sovereign Kernel · $0 Compute
SYSTEMS NOMINAL
0
4
:
4
4
PM
301KTOTAL CENSUS
Patients
14,8924.9%
Critical
25,4108.4%
Elevated
6,0222.0%
Unreviewed
254K84.7%
Stable
3,612SBP>180
Emergency
7,2302.4%
Drug Flags
● LIVE
3,612 patients SBP >180 — hypertensive emergency protocol active
7,230 drug interaction flags unreviewed — warfarin cohort highest risk
6,022 charts pending attending sign-off — oldest: 72h
0 API calls · $0 compute
—
Patient
Indicators
N2
Vitals
Labs
Critical — immediate attention requiredLoading...
Loading patients...
Elevated — needs attention this session—
Unreviewed — no attending sign-off—
Stable — routine monitoring—
System Messages
▲ HRRP window active — 3 at-risk discharges this week
▲ JNC-9 HTN guidelines updated Mar 2026 — SBP target <120 for CKD
Weekly safety huddle — Fri 8:00 AM, Board Room C
Warfarin protocol updated — see pharmacy bulletin #2026-04
Select a patient to load clinical intelligence
DAYS SALES OUTSTANDING
12-mo trend
42
days
▼ 2.1 vs prior mo
Target <40 · Industry median 47 · Current quintile: 2nd
40
38
MEDICARE
41
MEDICAID
47
COMM
71
SELF-PAY
35
OTHER
1 day reduction → $487K freed
HRRP PENALTY WINDOW
30-day rolling · 6 CMS conditions
$47K
at risk
3 active discharges
CMS cap: 3.0% of base DRG · Current trajectory: 0.8%
HF · Bed 412 · Garcia, R
Day 4/30
$18,400
HF · Bed 309 · Phillips, H
Day 11/30
$12,800
PN · Bed 218 · Chen, M
Day 19/30
$15,800
2
HF
1
PN
0
COPD
0
AMI
0
CABG
0
THA/TKA
Garcia (Day 4) → CDI consult ↻ intervene
CASH VELOCITY
$12.8K/hr
Avg 30d: $11.4K/hr
NET COLLECTION
96.2%
Target >95%
DENIAL RATE
7.4%
Target <5% · ▲ 1.2 mo/mo
CHARGE LAG
2.1d
Target <3d
Top Denial Reason CodesCARC · Last 30 days
CO-97Bundling — included in another service (NCCI)
34%
CO-50Medical necessity not supported
24%
CO-11Diagnosis inconsistent with procedure
17%
CO-4Procedure code inconsistent with modifier
12%
PR-96Non-covered charge — patient responsibility
8%
HRRP Readmission ExposureCMS 30-day window
Heart Failure (HF)2 pts$31,200
Pneumonia (PN)1 pt$15,800
COPD0 pts$0
AMI0 pts$0
Total HRRP Exposure$47,000
Accounts Receivable Aging
$2.1M
0–30 Days
$840K
31–60 Days
$310K
61–90 Days
$127K
90+ Days
Total AR: $3.38M  ·  Net Collection Rate: 94.2%
Benford Law Audit — Claim Distribution✓ NOMINAL
123456789
■ Actual   ■ Expected   ✓ No anomalies detected
UPSTREAM RESILIENCE · CONTINUITY LAYER
all fallback paths active · last drill: today 02:00
RTE PAYERS
9/9
socket-level OK · p95 142ms
CLEARINGHOUSE
UP
837P · 837I · 835 ack ✓
↻ failover: secondary armed
PAYMENT POSTING
DEGRADED
Aetna ERA queue +18min
↻ manual post path: open
EPIC FHIR
68ms
R4 · OAuth · cache 99.4%
↻ local cache: 14 days
PRIOR AUTH
98.1%
auto-approve rate today
↻ fax-back: standby
CHART PARITY
100%
Epic ↔ Prompt sync ✓
↻ DASTAR ledger: armed
PAPER FALLBACK · READY
↻ standby
Daily appt listprinted 06:00 · front desk
Encounter formssmart-template · scannable
Med admin recordper-pt · barcoded
Downtime kitlast refresh: today
RE-ENTRY PATHS
↻ all open
Camera snap → OCRavg 3.2s · 99.1% match
Scanner → PDFbatch · auto-routed
Voice dictationoffline-capable
Phone-in (front desk)→ Diane intake
DOWNTIME DRILL · LAST 30D
0 actual · 4 drilled
Time-to-recover from simulated outage
42s
38s
51s
29s
—
Industry avg: 4–6 hours · CMS-required quarterly
3-Tier Resolution HealthNOMINAL
L0
38 queries
p95: 129ms
L1
75 queries
p95: 121s
L3
5
p95: 14.9s
Cache Hit Rate32.5%
L3 Escalation Rate4.2%
Error Budget & CostOK
Cost Avoided$0.339
API Calls (L3)5 total
$0 Inference Cost✓ SOVEREIGN
ERROR BUDGET BURN
8% consumed
TOKEN BUDGET
3% of daily limit
Knowledge Gap Queue4 gaps
Loading...
Learning Velocity323,826 promoted
Fragments this week2 new entries
Git ↔ PA Filesystem✓ IN SYNC
Last Commit7d7d5d7
PA HASH
788e657a7f02e27c...
GITHUB HASH
788e657a7f02e27c...
Last check: —
SHA-256 Audit Ledger | Log LadyINTACT
Chain Status✓ VERIFIED
HIPAA Compliant✓ TAMPER-EVIDENT
LATEST CHAIN ENTRIES
diane_query · 2026-05-02T20:08:14Z
kernel_run · 2026-05-02T19:51:02Z
patient_load · 2026-05-02T19:50:58Z
fhir_search · 2026-05-02T19:47:22Z
census_load · 2026-05-02T18:33:11Z
Platform ThroughputLIVE
Total Queries118
301K Patients Cached✓ 100%
Kernel Throughput170 pts/sec
WSGI Workers4 active
POPS Routes32 live
Platform Versionv0.40.1