Your operations run on clinical decisions.
Why is the underlying logic so broken?
The Spreadsheet Trap
Operations teams maintain massive, fragile CSVs mapping codes to eligibility. They break with every update and are impossible to version control.
The Hard-Code Trap
Engineers write thousands of `if/else` statements in application code. Logic is scattered, redundant, and costly to audit.
The Black Box Trap
AI "copilots" guess at eligibility but can't explain why. When the audit comes, probabilistic answers are a liability.
Inheritance, Not Enumeration.
CareCascade understands that medical codes are a tree, not a list. We use that structure to simplify your operations by 90%.
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1
Define Once at the Root
Attach a policy (e.g., "Eligible for RPM") to a parent node like Hypertensive Diseases.
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2
Inherit Downward
The engine automatically applies that rule to all 400+ descendant codes (I10-I15).
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3
Override Exceptions
Need to exclude specific edge cases? Add an exception at the node level. The engine handles the conflict.
"result": {
"eligible": true,
"program": "RPM_STANDARD"
},
"trace": {
"input_code": "I11.9",
"resolution_path": [
"I00-I99", "I10-I15", "I11.9"
],
"applied_rule": {
"source_node": "I10-I15",
"type": "INHERITED",
"policy_version": "v2026.1.4"
}
}The Explanation Trace.
In healthcare, a black box "Yes" is a liability. CareCascade provides a complete audit trail for every single decision.
Full Lineage
See exactly which parent node triggered the rule.
Override Detection
Know instantly if a standard policy was overridden by an exception.
Version Locked
Every decision is stamped with the policy version ID for auditing.
We build reliability, not magic.
No Hallucinations
We do not use LLMs to guess eligibility. Our engine is strictly rule-based.
No Graph DB Required
You don't need to be a graph engineer. You get a simple REST API.
No "Black Box"
If the system makes a decision, it can prove exactly why.