payer-intelligence

Here are 7 public repositories matching this topic...

gfoster12 / foster-rx-domain

Production website for fosterrx.com — decision intelligence for Phase II clinical trial execution.

css html github-pages ai fda static-site startup clinical-trials single-page life-sciences drug-development rare-disease healthtech decision-intelligence ai-governance pre-seed biopharma phase-ii payer-intelligence

Updated Aug 2, 2026
HTML

Upstream-Intelligence / .github

Star

Org profile for Upstream Intelligence. Care Intelligence Platform for healthcare practices.

healthcare claims denial-prevention payer-intelligence upstream-intelligence

Updated Jul 5, 2026
Shell

Upstream-Intelligence / upstream-skills

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Nine Claude Code skills for healthcare billing teams. Pre-submission claim risk, denial decoding, denial routing, appeal drafting, payer intel, payer behavior, auth readiness, synthetic claims lab, NCCI conflict resolution.

skills healthcare rcm claude claims revenue-cycle billing-automation ai-agent anthropic prior-authorization medical-billing healthcare-tools claude-code ncci claude-skills denial-management denial-prevention payer-intelligence upstream-intelligence

Updated Jul 5, 2026
Shell

Upstream-Intelligence / awesome-payer-risk

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Curated resources for healthcare payer risk, denial prevention, and revenue cycle management

healthcare rcm awesome-list claims revenue-cycle denial-prevention payer-intelligence payer-risk upstream-intelligence

Updated Jul 5, 2026

api-evangelist / bookend

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Bookend AI is a healthcare automation company building a Gastroenterology Practice Automation Platform that combines Payer Policy Intelligence with intelligent workflow automation. Its Universal Policy Library aggregates and interprets prior authorization, eligibility, benefits, and reimbursement requirements from hundreds of medical and pharmacy…

company artificial-intelligence healthcare workflow-automation health-tech gastroenterology apis-json prior-authorization revenue-cycle-management payer-intelligence specialty-pharmacy

Updated Aug 4, 2026

Upstream-Intelligence / upstream-community

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Open ML reference implementations for healthcare denial detection. Statistical methodology with public CMS data only. Methodology, not weights.

open-source machine-learning healthcare rcm kmeans claims catboost drift-detection shap revenue-cycle healthcare-ml medical-billing denial-prevention payer-intelligence denial-prediction payer-behavior payer-risk upstream-intelligence

Updated Jul 5, 2026
Python

Upstream-Intelligence / upstream-mcp

Star

Model Context Protocol server for Claude. Live payer intelligence, denial detection, and claim risk scoring across healthcare specialties.

mcp healthcare rcm claude claims revenue-cycle healthcare-data claims-processing ai-agent anthropic prior-authorization medical-billing model-context-protocol denial-management denial-prevention payer-intelligence upstream-intelligence

Updated Jul 15, 2026
TypeScript

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