CobolIQ™ — US Medicare Federal ESRD Pricer (Zero-Server WebAssembly Engine)

⚙️ Patient & Claim Parameters

Real-time AST Execution

CBSA Geographic Area (Wage Index)

Comorbidity Multiplier

Patient Age 68 years

Height (cm) 178 cm

Weight (kg) 84.5 kg

Dialysis Sessions 13 sessions

Onset Days 45 days (≤120d: +29.3%)

TPNIES Innovative Supply ($/session)

Covered Outlier Charges ($)

Low-Volume Provider (+18.9%)

📊 Medicare Official Payout

WASM Engine Ready

Total Medicare Federal Reimbursement

$0.00

Rate per treatment: $0.00

Base Adjusted Rate $0.00

Combined Multiplier 1.0000x

Body Surface Area (BSA) 1.87 m² (1.000x)

BMI Index 24.0 (1.000x)

TPNIES Add-on $0.00

High-Cost Outlier $0.00

⚡ Live Browser Stress-Test Challenge Zero Server Roundtrip

GROUND-TRUTH FORMULA Payment = [ BaseRate × (0.537 × WageIndex + 0.463) × (AgeFact × 1.033^{(BSA-1.87)/0.1} × BMI × Onset × Comorbid × Fac) + TPNIES ] × Sessions + Outlier