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CareRoute Appeal

How accurate is it?

A confidence number only helps if it is honest. So we ran 56 made-up denial letters through the same steps the app uses, and checked each answer against the right one. No real patient data was used. The charts below use all 56.

Source: jev-latest. Scored on 2026-10-31. This is a small set written by one team, so treat these numbers as rough.

The honest test

We tuned our questions on 42 letters, so scores on those run high. Then we locked the questions and wrote 14 new letters. On those new letters, it got 11 of 14 fully right. At 75% sure, it answered 10 and got 9 right. That is 90%, and the rest stopped to ask.

95%

Right when it answers (38 of 40)

71%

Letters it answers (40 of 56)

29%

Letters where it stops and asks

88%

Right if it never stopped to ask

Does “80% sure” mean 80% right?

Each bar is a group of 224 answers, grouped by how sure the app was. On the line means the confidence is honest. Below the line means it was too sure. Average gap: 4.0%.
See this as a table
Accuracy by confidence group
SureAnswersActually right
40–50%10%
50–60%1173%
60–70%4100%
70–80%967%
80–90%12100%
90–100%187100%

Ask more, get more right

Raise the bar and the app answers fewer letters on its own, but gets more of those right. Move the slider above to see it.
See this as a table
Tradeoff by required confidence
Must beLetters it answersRight when it answers
50%98%89%
55%91%92%
60%80%96%
65%77%95%
70%73%95%
75%71%95%
80%63%100%
85%61%100%
90%54%100%
95%34%100%

Each step on its own

Accuracy for each step of the chain with no threshold
StepRight
Insurance type54 of 56
Denial reasons (all must match)51 of 56
Appeal level56 of 56
Appeal strength56 of 56

What one question does

At 75%, the app stopped on 18 letters. With one true answer, 4 of those became clear, and 4 of those 4 were right. The other 14 went to a person.

The answers here were simulated from the correct labels, so this is the best case.