Nadia Haddad
Needs a human
52 F · MRN TCPT-0048188 · Maxillary sinus SCC, pT4a N0, post maxillectomy
Aetna Open Access PPO (Commercial) · W301877254
Ordered by R. Lee, MD · Sep 23, 2026 · CPT 77525 · C31.0 Malignant neoplasm of maxillary sinus
ACE read every document in the G2 chart and pulled only what Aetna policy AET-PBRT-DEMO asks for. Each record below says why it is in the packet, what was extracted from it and which criteria it satisfies. Everything else stays in the chart and is listed at the bottom.
40 documents in G2. Build the packet to see which records ACE pulls and why.
Static sample case — packet building is scripted only for the demo cases