Review queue — click to open member Ana Lowe · Specified heart arrhythmiasEvidence: BMI 41.2 recorded at last visit Ana Brooks · Chronic kidney disease, stage 3Evidence: Specialist note references condition Ana Brooks · Morbid obesityEvidence: PHQ-9 score 16 Maya Rivera · Heart failureEvidence: BMI 41.2 recorded at last visit Omar Hayes · Specified heart arrhythmiasEvidence: BMI 41.2 recorded at last visit Wren Rivera · Major depression, moderate/severeEvidence: BMI 41.2 recorded at last visit Lena Garza · Chronic obstructive pulmonary diseaseEvidence: BMI 41.2 recorded at last visit Lena Garza · Heart failureEvidence: Echo EF 35% noted Lena Garza · Diabetes with complicationsEvidence: Echo EF 35% noted Lena Rivera · Specified heart arrhythmiasEvidence: Echo EF 35% noted Lena Rivera · Major depression, moderate/severeEvidence: Active prescription on file Carl Walsh · Diabetes with complicationsEvidence: Active prescription on file Isaac Khan · Specified heart arrhythmiasEvidence: Echo EF 35% noted Maya Jensen · Morbid obesityEvidence: Active prescription on file Tomas Garza · Heart failureEvidence: BMI 41.2 recorded at last visit Wren Vance · Chronic obstructive pulmonary diseaseEvidence: eGFR 52 on two labs 90+ days apart Luis Khan · Major depression, moderate/severeEvidence: Specialist note references condition Rosa Alvarez · Chronic kidney disease, stage 3Evidence: Specialist note references condition Ruth Quinn · Heart failureEvidence: Echo EF 35% noted Isaac Patel · Specified heart arrhythmiasEvidence: Specialist note references condition
Financial impact scenario Assumptions editable Assumed share of suspected conditions validated on review: 70% Aggregate RAF change: +6.45 across 48 members.
Illustrative only. Real impact depends on payer contracts, model version, normalization, and documentation that genuinely supports each condition. Never document a condition without clinical evidence.