Medical Claim SaaS Platform
Helping people appeal wrongful health insurance denials
A SaaS platform that reads a scanned denial letter, matches it against a statutory deadline and eligibility engine, drafts a formal appeal letter, and sends it through whichever channel the payer actually requires, whether that's mail, fax, or portal.
What made it hard
Every decision that determines someone's legal eligibility had to be deterministic and auditable, never an LLM's best guess. The parts that are LLM-assisted, reading the denial letter and drafting the appeal, had to be structurally walled off from the protected health information underneath a case. This was built and largely launched solo, which meant carrying product, architecture, an independent security review, and on-call all the way through a regulated-industry launch.
What made it worthwhile
Health insurance denial rates have been climbing industry-wide, and most people who get denied never appeal at all. That's not because they don't have a case. It's because the process is opaque and the deadlines are unforgiving. This turns a multi-week paperwork problem most people give up on into something that actually gets filed correctly and on time.
| Repositories | 3 (API, web, infrastructure) |
| Code | ~185,000 lines (117K Python, 55K TypeScript, 13K Terraform) |
| Pull requests | 442 (425 merged) across ~1,850 commits |
| Tests | 2,994 backend test functions, 268 frontend test files |
| Coverage gate | 90% CI-enforced floor on the LLM inference client |
| Infrastructure | AWS ECS Fargate, PostgreSQL, S3, CloudFront, Terraform-managed |