blueChart manual

For clinics and hospitals: checks a treatment that has been ordered or done against the patient's insurance coverage requirements and maps each requirement to the exact chart evidence that supports, contradicts, or never addresses it — then hands your own staff a signed evidence packet for the insurance submission, not a verdict.

What this product is and is not

Is: Utilization-management evidence mapper.

Is not: blueChart never approves, denies, recommends, or alters coverage. It is not a prior-authorization decision engine.

Who uses it

Clinics and hospitals. Nurses, physicians, and billing or utilization-management staff who check a treatment that has been ordered or done against the patient's insurance coverage requirements and need a signed evidence packet for the insurance submission.

Getting started — the local demo

From the product's own repository:

make demo
make verify-demo

This runs entirely offline against synthetic fixtures and exits non-zero on any mismatch. It does not connect to any production data source.

Screen-by-screen walkthrough

Evidence map — every coverage requirement in its typed lane Reviewer packet — the signed export your staff open Offline verify — the standalone script checking the signature

blueChart Case evidence packet screen: three coverage requirements mapped to chart evidence, one Supported, one Contradicted (numeric), one Searched-Absent, with a claim-boundary note that a signed receipt does not prove an underlying claim is true. — Synthetic demo data
Evidence map — every coverage requirement mapped to its evidence and typed as Supported, Contradicted, or Searched-Absent.

What a receipt proves

A signed receipt proves what blueChart ran and recorded; it does not prove an underlying real-world claim is true. Anyone can check the signature offline with the standalone verifier shipped alongside the product, without installing blueChart itself.

Known gaps, stated plainly

No signed pilot yet.
No live PHI has been processed.

FAQ

Does blueChart make the decision for me?

No. blueChart never approves, denies, recommends, or alters coverage. It is not a prior-authorization decision engine.

Does blueChart replace the system I already use?

No — it is an overlay. Your existing record system or billing system stays exactly where it is.