Tag: Healthcare
All the articles with the tag "Healthcare".
-
(ATCM) New Project Foundation
A retrospective review of the Auth-to-Claim Reconciliation Engine prototype, outlining the deterministic matching foundation, exception-classification approach, and next steps toward incorporating AI agents to explain and investigate reconciliation failures.
-
Auth-to-Claim Match (ATCM) Engineering Summaries
A healthcare modernization project evolved into a working agentic demonstration that combined deterministic reconciliation, investigative search, and AI-assisted reasoning to automate prior authorization–to–claim reconciliation while documenting the architectural decisions and learning process through an engineering build journal.