Agent skills for healthcare and life sciences: genomics, imaging, claims, drug discovery, and more. Works with Amazon Quick, Kiro, Amazon AgentCore, AWS Strands SDK, Claude Code, Codex, and any Agent Skills-compatible platform.

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.

Microsoft Insurance Claims Automation, powered by AI, handles claim processing through an intelligent agent with cognitive skills to handle image, ID, and documents with the goal to reduce claims processing time and manual effort in end-to-end claims processing for better customer experience.

A library for stance detection, claim extraction, and more

healthcare-claims-pipeline

website Drainer

Public lite version of a personal multi-disciplinary ontology spanning forensic accounting, integrated data science, and valuation. Licensed under CC BY-NC-SA 4.0

Python ETL pipeline automating healthcare claims auto-adjudication reporting — ingestion, validation, metrics, Excel reports, and email delivery across 5 business segments.

OperaAI Claims Intelligence - A research-grade, open-source reference implementation of an agentic workflow system for regulated insurance operations. Built on multi-persona queue routing, Human-in-the-Loop AI Copilot, and deterministic compliance boundaries.

A fact-checking system that verifies user claims with evidence-backed explanations using web searches and AI, delivering clear, transparent verdicts through a simple interface.

This is an API that takes messy old claims data,checks it for errors,and spits out a summary. This project was made using C#/ASP.NET Core Minimal APIs.

Multi-modal insurance claims review agent built for HackerRank Orchestrate Hackathon June 2026

End-to-end healthcare claims analytics: Synthea → DuckDB → dbt (sources/staging/intermediate/marts) → Streamlit + Plotly ops UI. Surfaces $2.6M outstanding across 14K claims with a ranked priority queue, claim-level drill-down, and explainable "why flagged" rules. Modern data stack portfolio build.

Your personalised claims assistant

Automate insurance claims processing end-to-end. Track, validate, and settle claims 70% faster with built-in portfolio impact analysis.

Automatic claims parsing and submission with GPT4

About PT ABB Insurance Brokers (formerly PT Artha Bina Bhayangkara)

X12 EDI Claims Pipeline — 270/271 eligibility, 837P professional claims, 835 remittance advice with revenue cycle analytics. Built with Synthea FHIR R4 synthetic data.

Reference architecture for governed agentic AI on AWS. Purpose-bound Cedar authorization at column level, Iceberg snapshot-pinned queries for replayable audit trails, and confidence-gated document extraction with Bedrock Data Automation and AgentCore, demonstrated on insurance claims processing with an EU AI Act mapping.

Health insurance claims processing platform leveraging Augustium smart contracts for automated, transparent, and fraud-resistant claim handling. Features blockchain-based verification, ML fraud detection, and multi-signature approvals.