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claims-denials

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Agentic denial-triage for medical billing teams. Reads EOBs and remittance advice with GPT-5.6, routes each denial to the correct resolution path — appeal, corrected claim, patient bill, or write-off — and drafts the artifact for human review. Built with Codex for OpenAI Build Week 2026.

  • Updated Jul 21, 2026
  • TypeScript

Flags healthcare claims likely to deny before submission, cutting simulated rework cost 38.5% on held-out future claims. Leakage-safe DuckDB SQL feature layer, calibrated sklearn models compared on a time split, cost-based decision threshold, batch CLI scoring 45k claims/sec. Synthetic data only, no PHI.

  • Updated Aug 11, 2026
  • Python

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