CQF Clinical Reasoning on FHIR for Java
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Updated
Apr 27, 2026 - Java
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.
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.
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.
ML Model for Predicting Auto-Approvals of Prior Authorization Requests
AI-powered prior authorization document generator. Built by physicians, for physicians.
CrewAI + RAG: Most broken workflow in healthcare
Five Claude Code skills for healthcare billing teams. Pre-submission claim risk, denial decoding, appeal drafting, payer intel, NCCI conflict resolution.
Citation-driven prior authorization appeals MCP server for healthcare AI agents
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.
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