CQF Clinical Reasoning on FHIR for Java
Χ-Bench: Can AI Agents Automate End-to-End, Long-Horizon, Policy-Rich Healthcare Workflows?
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.
Production-grade Healthcare Prior Authorization framework featuring AI-driven OCR pipelines, HIPAA-compliant architecture, and secure JWT authentication.
Provider-side oncology prior-authorization copilot · 7-agent LangGraph DAG · AWS Bedrock + Claude Sonnet 4.6 · CMS-0057-F native
FHIR-native prior authorization agent - turns a 5-day PA workflow into a 30-second automated clinical letter.
Healthcare prior authorization automation with LLM structured extraction, validation, form filling, and evaluation workflow.
Digital Health operator surface for prior-authorization evidence routing, payer rules, and approval-safe escalation.
Healthcare workflow automation case study for prior authorization readiness using Python, JSON-style contracts, and rule-based validation.
Simulated prior auth readiness handoff agent built with LangGraph, mock cases, deterministic rules, workflow traces, and HITL review.
Smile Digital Health (smile-cdr) — commercial FHIR-native clinical data repository and creators of HAPI FHIR
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.
Evaluation framework for healthcare AI agents - benchmarking billing, triage, documentation, prior auth, and clinical reasoning workflows
Olive AI — healthcare automation platform (wound down 2024)
MongoDB Atlas + Voyage AI demo: hybrid vector/lexical search and template-driven rationale for healthcare prior authorization
AI-powered prior authorization document generator. Built by physicians, for physicians.
ML Model for Predicting Auto-Approvals of Prior Authorization Requests
Multi-agent AI platform that automates healthcare prior-authorization decisions. RAG-grounded, harness-engineered, observability-first.
AI agent for Texas Medicaid prior authorization workflows — retrieval-backed policy guidance built by a nurse who's lived the pain.
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."