CQF Clinical Reasoning on FHIR for Java
HIPAA compliant SaaS platform for Claims Processing, CMS 057-F CMS Regulatory FHIR APIs, EDI integration platform for healthcare payers. Process X12 transactions (270/275/277/278/837), FHIR R4 APIs, and CMS-0057-F compliance. Deploy on Azure, AWS (EKS), GCP (GKE), Digital Ocean (DOKS), Kubernetes.
AI governance audit system for healthcare decision models. Evaluates fairness (DPD/EOD), calibration, and robustness with NIST AI RMF-aligned reporting.
FHIR-native prior authorization agent - turns a 5-day PA workflow into a 30-second automated clinical letter.
Simulated prior auth readiness handoff agent built with LangGraph, mock cases, deterministic rules, workflow traces, and HITL review.
Evaluation framework for healthcare AI agents - benchmarking billing, triage, documentation, prior auth, and clinical reasoning workflows
Autonomous Prior Authorization Agent built on Google ADK and Gemini 2.5 Flash. Implements Da Vinci CRD + DTR + PAS against a live FHIR R4 store. Full pipeline.
AI agent for Texas Medicaid prior authorization workflows — retrieval-backed policy guidance built by a nurse who's lived the pain.
ML Model for Predicting Auto-Approvals of Prior Authorization Requests
AI-powered prior authorization for healthcare. Agents Assemble Hackathon 2026.
Model Context Protocol server for Claude. Live payer intelligence, denial detection, and claim risk scoring across healthcare specialties.
AI-powered prior authorization document generator. Built by physicians, for physicians.
EpochPA Intake System is a lightweight FastAPI-based MVP for streamlining prior authorization submissions, eligibility checks, and intake tracking for healthcare providers. Built for speed, scalability, and simplicity in mind. MVP version — not final production code.
CrewAI + RAG: Most broken workflow in healthcare
Citation-driven prior authorization appeals MCP server for healthcare AI agents
Five Claude Code skills for healthcare billing teams. Pre-submission claim risk, denial decoding, appeal drafting, payer intel, NCCI conflict resolution.
Evidence-traced prior-authorization packet drafter using on-device MedGemma 4B. Turns a clinic note + imaging order + payer policy into a submission-ready PA draft with exact provenance tracing. Zero PHI exposure.
Build and manage scalable content-driven SaaS applications using TypeScript, Node.js, React, Fastify, PostgreSQL, and Docker.
Add a description, image, and links to the prior-authorization topic page so that developers can more easily learn about it.
To associate your repository with the prior-authorization topic, visit your repo's landing page and select "manage topics."