Selected work / AI Claims Adjudication
AI-powered claims adjudication
Users upload a medical bill and bank details; the app checks eligibility, sends reimbursement by ACH, and confirms it by email.
The problem
A medical bill has to move through eligibility and reimbursement.
What I built
One flow from upload to eligibility, ACH, and email confirmation.
A key constraint
Bank details and claim status stay part of the same handoff.
Known outcomes
- Cut claims processing time from ~2 weeks to seconds.
- Reduced manual claims operations to a single operator.