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 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)

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, payer, provider, and geography, search for in-network providers, and pull custom datasets…

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.

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 decisioning, and its API suite implements the HL7 Da Vinci Burden Reduction guides — Coverage…

Randomization program with javascript.

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.

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 Directory service (practitioners, organizations, locations, healthcare services, and insurance…

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

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

Terraform template for AWS EKS/Fargate setup

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.

1upHealth is a US healthcare data interoperability company, founded in 2017 and headquartered in Boston, Massachusetts, that operates an HL7 FHIR-first health data platform for claims and clinical data acquisition, exchange, and compute.

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).

MHK (formerly MedHOK), part of Hearst Health, is a healthcare technology company providing a unified SaaS platform for health plans and payers. Its CareProminence suite spans utilization management, care management, complaints/appeals and grievances, pharmacy management, population health and quality management, and interoperability (the MHK…

Devoted Health is a technology-enabled Medicare Advantage payer founded in 2017 and headquartered in Waltham, Massachusetts, backed by General Catalyst and Obvious Ventures. It publishes CMS-required interoperability APIs built on HL7 FHIR R4: a member-facing Patient Access API exposing claims (ExplanationOfBenefit), encounters, conditions, and…

Wellframe is a digital health management and member engagement company, now part of HealthEdge, serving health plans and payers. Its platform combines care management, member engagement, and advocacy tooling to help health plans build trusted relationships with members through a mobile app and a clinician-facing dashboard.

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…