A complex claims pipeline, documented and watched end to end.
The challenge
A complex claims and billing pipeline depended on a handful of experts, and problems were only found after payments went wrong.
Our approach
We documented the full pipeline, integrated with the practice-management and billing system, and added automated checks that flag issues daily.
Everyday impact
Billing issues can be fixed by whoever is on duty, not just one expert.
What we built
Integration with a practice-management and billing platform for claims.
A catalogue of read-only checks across nine business areas, each with a severity, owner and fix guidance.
Results are tracked as new, ongoing or solved, with an AI-written daily summary.
A light/dark dashboard backed by a small API for reviewing issues.
Complete documentation of the claims-submission pipeline so any team member can act.
How it works
Claims move through the billing pipeline.
Checks run daily against the integrated data.
Issues surface with an owner and fix steps.
Runbooks guide whoever is on duty through the fix.
More work
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Tell us what you’re trying to build. We’ll talk through how we’d approach it and what a sensible first step looks like.
