payer

A Simple audio recorder and player written in swift using default swift classes.

Wibmo Pay Payment Gateway for collecting payments from customers

Moxe Health — independent third-party profile of a public API surface, by API Evangelist. Moxe Health is a United States healthcare data interoperability company, headquartered in Madison, Wisconsin, that operates the Clinical Data Clearinghouse for secure clinical data exchange between health plans (payers) and health systems (providers).

Project Delphi full : Prayer Times Algeria (in arabic)

Reusable SDK for building healthcare prior authorization workflows and payer integrations.

Randomization program with javascript.

D365 CRM platform delivering provider credentialing via Cactus integration and member document routing via Power Automate. Part of a broader Member 360 vision halted by acquisition. Projected $50K–$100K in annual print cost savings.

Small library and CLI that sanity-check **CARIN-style consumer** **`ExplanationOfBenefit`** JSON before it leaves your payer integration layer: resource type and **`patient.reference`** — the minimum graph needed for member-facing apps to attach claims to a person.

Turquoise Health is a healthcare price transparency company (backed by a16z) that runs a platform aggregating and normalizing hospital and payer machine-readable price transparency files, negotiated contract rates, and out-of-network pricing into searchable, benchmarked rate data and analytics.

1upHealth is a FHIR-based health data interoperability platform providing REST APIs for connecting patient records across payers and providers. The platform supports HL7 FHIR R4, SMART on FHIR, OAuth 2.0, and bulk data export, enabling health plans to acquire, manage, exchange, and analyze clinical and claims data in a HIPAA-compliant cloud…

Small library and CLI that sanity-check **Coverage** JSON used in **Da Vinci PDex**-style member attribution flows before files leave the payer boundary: resource type and **`beneficiary.reference`** linking coverage to a member.

Terraform template for AWS EKS/Fargate setup

CMS Price Transparency Rule compliance delivered via HealthSparq integration. Personalized cost estimates powered by real-time claims data across web and mobile.

Governance patterns for autonomous AI agents in health-insurance / payer operations: UM, prior auth, claims/appeals. Aligned to the NAIC Model Bulletin framework. Reference IP; makes no medical-necessity determination.

HIPAA-compliant member portal migration delivered in 8 months. Features Universal Person ID enabling multi-plan self-service across Medicare, Medicaid & Commercial lines.

Clover Health — independent third-party profile of a public API surface, by API Evangelist. Clover Health is a Medicare Advantage health insurer that runs a public developer program built on healthcare interoperability standards. Its public FHIR R4 API exposes a Formulary service (covered drugs, tiers, and utilization management) and a Provider Dir

Cohere Health — independent third-party profile of a public API surface, by API Evangelist. Cohere Health is a United States clinical-intelligence and utilization-management company that digitizes prior authorization for health plans. Its Unify platform applies clinical AI and evidence-based policy to streamline authorization intake, review, and de

Member-level payer claims lakehouse on CMS synthetic Medicare data: contract-gated yearly arrivals, versioned bronze, dbt silver on DuckDB, ICD-10 validation by fiscal year, exact member-months. Azure and Spark milestones planned.

Serif Health — independent third-party profile of a public API surface, by API Evangelist. Serif Health turns federal hospital and payer price-transparency disclosures (machine-readable files) into normalized, decision-ready negotiated-rate data. Its REST APIs let teams query negotiated reimbursement rates and rate distributions by CPT/DRG code, pa

Smile Digital Health — independent third-party profile of a public API surface, by API Evangelist. Smile Digital Health (formerly Smile CDR) is a Toronto-based health interoperability software company and the commercial steward of the open source HAPI FHIR project (the world's most widely deployed Java implementation of the HL7 FHIR standard).