Predictika · Cardiac rhythm management: pacemakers, ICDs, CRT-D, leads and MRI-conditional systems

An AI sales agent's cardiac rhythm management quote, checked before it goes out

An AI sales agent prepares a cardiac rhythm management system quote for a fictional hospital: the device, its leads, the indication, MRI access, GPO tier pricing, consignment stock and any extra discount. Before the quote goes out, the agent sends it to Predictika, which checks it against a declarative model of the device, lead, MRI and contract rules, compares the net price the agent states with the one it computes, and reports every problem it finds in one pass.

Scope: Pacemaker, ICD and CRT-D system quotes with leads, in the style of Boston Scientific products: indication, ports, MRI conditionality, GPO tier pricing and contract authority. See everything this validator covers

This validator models cardiac rhythm management system quotes in the style of Boston Scientific products: a device with its leads, MRI conditionality, GPO tier pricing and contract authority limits. It handles any quote made of these devices, leads and rules, not just the scenarios shown below.

  • Devices and indications — Accolade and Essentio pacemakers, Perciva and Resonate ICDs and the Resonate X4 CRT-D, each matched to the indication it can be quoted for.
  • Leads and ports — IS-1 pacing, DF4 defibrillation and IS4 quadripolar LV leads, checked against the ports on each device: right ventricle, atrium and left ventricle.
  • MRI conditionality — Whether the whole system, device and every lead, is MRI-conditional, blocked when MRI access is needed and flagged for physician acknowledgement when it is not.
  • Contract terms and authority — GPO tier pricing, consignment eligibility by volume, the rep discount authority, the maximum extra discount, and value analysis committee review for high-priced systems.
  • Pricing and the stated price — Line-item list prices, tier and extra discounts, annual value, and a check that the net price the agent states matches the price the validator computes.

Any cardiac rhythm management system quote that touches these rules is in scope — not only the scenarios pictured here. Not covered: other manufacturers or product lines, real prices or contracts, programmers and accessories, and regulatory and reimbursement rules. This is a quote check, not clinical guidance.

The AI sales agentBuilds the system quote from the conversation and says it is ready.
Predictika validatorChecks every rule at once and returns the verdict, each finding, and the computed figures.

7 scenarios in 3 groups · each group runs from the agent’s first attempt to the outcome · click one to switch

What the agent proposes

The AI sales agent says

Illustrative agent statement. The validator receives the structured request below.

Proposing agent: AI sales agent (scripted)

Before sending, the agent must call Recorded run

Predictika validator


      

        
        
        
      

      
Waiting for the call.

      
    

  

  
  

    
Where rules-based CPQ gets it wrong
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Our assessment of what a typical rules-based CPQ (product rules, price rules and validation rules, as in Salesforce CPQ) does with the same cases. It is a judgment about effort and reliability, not a claim that nothing can be built.

    
What the validator caughtTypical rules-based CPQPredictika
Device-lead compatibilityOnly with care
Every device, connector and port combination needs its own compatibility rule, and the catalog grows with each new lead or device.		Ports and connector types are catalog data, and one rule covers every combination.
Whole-system MRI conditionalityOnly with workarounds
The result depends on the device and every lead together, which a product rule usually cannot see across lines.		It is computed across the device and all selected leads at once.
Indication and device typeEasy
A simple lookup of which device types fit which indication.		The same lookup is part of the model.
Consignment and discount authorityOnly with care
Volume thresholds and approval tiers are commonly built as price or approval rules, which have to be kept in step with each other.		Volume, extra discount and authority limits are checked together.
The price the agent statesOnly with workarounds
Comparing a stated price with a computed one means a separate rule per quote layout, and price rules rarely run on stated figures.		The stated net price is a field in the request and is checked against the computed price.
Every problem returned in one answerOnly with workarounds
Rules tend to fire as the quote is saved, so a rep often fixes one error and meets the next.		All findings come back together, whatever order the choices arrived in.

  

  

    
What this validator catches: findings from its test cases
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Every rule is checked on every call, in any order the choices arrive; one problem never hides another. Blocking findings stop the quote; approval findings need a person to sign off; everything else is computed.

    
1A pacemaker is indicated for bradycardia, an ICD for primary prevention of sudden cardiac death, and a CRT-D for heart failure or primary prevention
2Pacemakers take an IS-1 pacing lead; ICDs and CRT-D devices take a DF4 defibrillation lead
3A dual-chamber or CRT-D device needs an IS-1 atrial lead
4A single-chamber device has no atrial port, so an atrial lead cannot be quoted
5A CRT-D system needs a quadripolar LV lead
6Only a CRT-D device has an LV port
7When the patient needs MRI access the device and every lead must be MRI-conditional
8A system that is not fully MRI-conditional needs the implanting physician to acknowledge
9Consignment stock needs 50 or more implants per year
10More than 8 percent extra discount beyond the GPO tier price is not allowed
11More than 3 percent extra discount is above the rep authority and needs approval
12A system net price above USD 30,000 needs value analysis committee review
13The net price the agent states differs from the computed price by more than USD 1

  

  

    
Scenarios and results
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The recorded result of the validator for each scenario on this page: the request the AI agent sent, the verdict, and every finding, in the order they appear above.

    
1. Contract terms: Two contract limits are exceeded

    
The agent's request. Accolade MRI DR pacemaker with two Ingevity+ leads, GPO Tier C, 20 implants a year on consignment stock, with a 10 percent extra discount. Net price $6,225 per implant. Ready to send.

    
Verdict: Blocked.

    
    
      
  • Consignment eligibility. Consignment stock needs 50 or more implants per year; account does 20.
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  • Extra discount limit. 10 percent extra discount exceeds the 8 percent maximum beyond GPO tier pricing.
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2. Contract terms: The agent resubmits after fixing the errors

    
The agent's request. Accolade MRI DR pacemaker with two Ingevity+ leads, GPO Tier C, 60 implants a year on consignment stock, with a 3 percent extra discount. Net price $6,806 per implant. Ready to send.

    
Verdict: Allowed.

    
    
      
  • Price summary. Estimated system net $6,806 per implant (list $8,300 less 15 percent GPO Tier C plus 3 percent extra); annual value $408,360 at 60 implants.
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3. Leads and ports: The price is right; the lead set is not

    
The agent's request. Accolade MRI DR pacemaker with one Ingevity+ pacing lead for a Bradycardia implant at Harborview Cardiac Institute, GPO Tier A, 50 implants a year. Net price $5,180 per implant. Ready to send.

    
Verdict: Blocked.

    
    
      
  • Atrial lead. Dual-chamber Accolade MRI DR pacemaker needs an IS-1 atrial lead.
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4. Leads and ports: The agent resubmits after fixing the errors

    
The agent's request. Accolade MRI DR pacemaker with two Ingevity+ pacing leads (right ventricle and right atrium) for a Bradycardia implant at Harborview Cardiac Institute, GPO Tier A, 50 implants a year. Net price $5,810 per implant. Ready to send.

    
Verdict: Allowed.

    
    
      
  • Price summary. Estimated system net $5,810 per implant (list $8,300 less 30 percent GPO Tier A plus 0 percent extra); annual value $290,500 at 50 implants.
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5. MRI access: The price is right; the system is not MRI-conditional

    
The agent's request. Essentio DR pacemaker with two Ingevity+ pacing leads for a Bradycardia implant at Harborview Cardiac Institute, GPO Tier B, 50 implants a year, MRI access needed for the patient. Net price $5,460 per implant. Ready to send.

    
Verdict: Blocked.

    
    
      
  • MRI access. The patient needs MRI access but the device or a lead is not MRI-conditional; the whole system must be ImageReady.
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6. MRI access: The agent resubmits after fixing the errors

    
The agent's request. Accolade MRI DR pacemaker with two Ingevity+ pacing leads for a Bradycardia implant at Harborview Cardiac Institute, GPO Tier B, 50 implants a year, MRI access needed for the patient. Net price $6,474 per implant. Ready to send.

    
Verdict: Allowed.

    
    
      
  • Price summary. Estimated system net $6,474 per implant (list $8,300 less 22 percent GPO Tier B plus 0 percent extra); annual value $323,700 at 50 implants.
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7. Authority limits: Valid, but over the review threshold

    
The agent's request. Resonate X4 CRT-D with a Reliance 4-Front DF4 lead, an Ingevity+ atrial lead and an Acuity X4 LV lead, for heart failure CRT, GPO Tier C, 60 implants a year. Net price $34,085 per implant. Value analysis review is on file. Ready to send.

    
Verdict: Needs approval.

    
    
      
  • Value analysis review. System net $34,085 is above $30,000; value analysis committee review required.
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  • Price summary. Estimated system net $34,085 per implant (list $40,100 less 15 percent GPO Tier C plus 0 percent extra); annual value $2,045,100 at 60 implants.
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Narration transcript
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The text of the narrated walkthrough, step by step.

    
    
      
  1. Welcome to a demo of Predictika's Validator. An AI sales agent prepares a cardiac rhythm management system quote for a fictional hospital: the device, its leads, the indication, and more. Before the quote goes out, the agent sends it to Predictika, which checks it against a declarative model of the device, lead, MRI and contract rules, compares the net price the agent states with the one it computes, and reports every problem it finds in one pass.
    2. 
      
  2. I will start with the first request by the agent.
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  3. The agent says. Accolade MRI DR pacemaker with two Ingevity+ leads, GPO Tier C, 20 implants a year on consignment stock, with a 10 percent extra discount. Net price $6,225 per implant. The rest of the request is on screen.
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  4. Before it goes out, the agent calls the validator.
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  5. Blocked, with two findings, all in one answer. Consignment stock needs 50 or more implants per year; account does 20. 10 percent extra discount exceeds the 8 percent maximum beyond GPO tier pricing.
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  6. The validator returned two blocking findings in one answer. A check that reads one field at a time would pass most of this; it shows only when the choices in the quote are checked against each other.
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  7. What this shows: for whole-system MRI conditionality, a rules-based CPQ can do this only with workarounds.
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  8. Now the agent resubmits.
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  9. The corrected request. It changes the implants per year to 60, the extra discount requested to 3 percent and the net price stated on the quote, per implant to $6,806.
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  10. It calls the validator again.
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  11. This time the validator clears it.
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  12. The validator also returns the line-item quote. It starts with Accolade MRI DR pacemaker and Right ventricular lead: Ingevity+ pacing lead; the other line is on screen.
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  13. Both earlier findings are cleared, and the validator's total, $6,806, matches the quote.
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  14. Two problems caught in one call, fixed in one pass, and a clean $6,806 quote. That is the value of Predictika's validator: catching mistakes before they reach the customer. Now you can try the other scenarios yourself.
    15.