API #01 // CPB & LCD SHREDDER
POST /v1/shred/csi-masterformat
MCP: shred_csi_masterformat_specs
Payer Clinical Policy Bulletin (CPB), LCD/NCD & Prior-Auth Shredder
Shreds commercial payer Clinical Policy Bulletins (UHC, Anthem, Aetna, Cigna, BCBS), CMS LCD/NCD coverage policies, step-therapy gates, and timely-filing deadlines into structured prior-authorization and appeal checklists.
BASIC
$0 / mo
10 calls/mo
PRO
$49 / mo
200 calls/mo
ULTRA (REC)
$149 / mo
1,000 calls/mo
MEGA
$399 / mo
4,000 calls/mo
// REQUEST & LIVE SDK PREVIEW
{
"project_id": "TXDOI-MRF-CPT-29881-DFW",
"specification_text": "Commercial Payer Clinical Policy Bulletin CPB-0592: CPT 29881 Knee Arthroscopy & CPT 27447 Total Knee Arthroplasty require 6 weeks documented conservative physical therapy, Kellgren-Lawrence Grade >= 3 imaging, and prior authorization. Timely filing: 90 days.",
"state_dot": "TX"
}
HTTP 200 OK • Stateless Pydantic V2
{
"status": "success",
"project_id": "TXDOI-MRF-CPT-29881-DFW",
"divisions_detected": [
"CPB-0592 Surgical Coverage Criteria",
"CMS LCD L35094 Orthopedic Criteria",
"ERISA 29 CFR 2560.503-1 Appeal Timeline"
],
"submittal_register": [
{
"spec_section": "CPB-0592-PA",
"item": "6-Week Conservative Physical Therapy & NSAID Trial Notes",
"deadline": "Prior to Surgical Scheduling"
},
{
"spec_section": "LCD-L35094",
"item": "Weight-Bearing Radiograph / MRI Report (KL Grade >= 3)",
"deadline": "Attach to 837P / 278 Prior Auth"
},
{
"spec_section": "ERISA-503-1",
"item": "Peer-to-Peer Clinical Review & Level-I Appeal Window",
"deadline": "180 Calendar Days from EOB/ERA"
}
],
"liquidated_damages_usd_per_day": 180.0,
"retainage_pct": 14.5
}