Skip to content
#

claims-processing

Here are 17 public repositories matching this topic...

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.

  • Updated May 21, 2026
  • Python

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.

  • Updated Jul 13, 2026
  • Python

Multi-modal damage-claim evidence-review agent: two-call Claude vision pipeline (claim-blind perception + claim-aware verdict), deterministic coupling rules, and structured Pydantic output over car/laptop/package claims. Built for the June 2026 HackerRank Orchestrate hackathon (165th of 1,773).

  • Updated Jul 7, 2026
  • Python

Mines 837/835-shaped hospital claims for preventable denials and prices revenue leakage by CARC code, payer, and department. 99.5% precision and 100% recall measured against labeled synthetic ground truth, 126K claims/sec on 1 vCPU, with a full Power BI semantic model included.

  • Updated Jul 16, 2026
  • Python

Improve this page

Add a description, image, and links to the claims-processing topic page so that developers can more easily learn about it.

Curate this topic

Add this topic to your repo

To associate your repository with the claims-processing topic, visit your repo's landing page and select "manage topics."

Learn more