End-to-end healthcare data intelligence — from patient consent through clinical enrichment, claims adjudication, reconciliation, and marketplace monetization. Every layer is Zero Trust enforced.
Auditable verification → EHR data pull → FHIR R4 normalization → prior authorization → clinical data intelligence → disbursement trigger. 6-step enrichment pipeline.
Payments API integration, ACH routing, KYC/AML/sanctions screening, patient dividends, provider advances, clinical trial stipends.
X12 835 EDI parsing, FHIR R4 ExplanationOfBenefit normalization, ICD-10/CPT/HCPCS validation, HEDIS (Healthcare Effectiveness Data and Information Set) quality metrics, claims intelligence, billing gateway.
4 scheduled jobs — payment retry (15m), claims retry (60m), financial ledger (daily), escalation alerts (30m). Queue management, Slack/Teams integration.
Realistic X12 835 EDI samples (Aetna, BCBS TX, Medicare, UHC), FHIR R4 test payloads, zero-trust audit verification scripts.
Monetization layer. Onboarding bot, 4-stakeholder approval, data entitlements by company type, billing ($XXX,XXX/yr), tile dashboard, de-identified data delivery.
Follow a patient's data from consent to monetization. Each step is a live layer of the platform.
End-to-end patient journey — identity verification, granular consent, data monetization dashboard, clinical trial matching, and earnings tracking.
Full company onboarding journey — login, conversational intake bot, 4-stakeholder approval, invoicing, and data tile access with real-time credit tracking.
Morning briefing, care team board, clinical trial visibility, AI co-pilot (future). Provider-specific views with multi-site switching.
Health Insurance Portability and Accountability Act — PHI encryption at rest and in transit, BAA-ready
Health Level Seven / Fast Healthcare Interoperability Resources — parsers and mappers built
Electronic Data Interchange — full claims payment/remittance parser implemented
Confidentiality of Substance Use Disorder Patient Records — SUD data blocked in entitlement matrix
Genetic Information Nondiscrimination Act — genetic data blocked from marketplace delivery
58/58 controls verified — HMAC-signed inter-service auth, immutable audit trail
National Institute of Standards and Technology — Identity Assurance Level 2 via Clear PKCE flow
Trusted Exchange Framework and Common Agreement — FHIR/QHIN-compatible patterns, awaiting QHIN certification
California Consumer Privacy Act, Texas HB 300, Washington — consent toggles and deletion patterns built, formal review pending
Healthcare Effectiveness Data and Information Set — quality metric engine built, NCQA validation pending
Office of Inspector General, System for Award Management, Treasury sanctions — screening code built, live API testing pending
Know Your Customer, Anti-Money Laundering, Financial Crimes Enforcement Network — code built, live sandbox pending
| # | Item | Priority | Status | Effort |
|---|---|---|---|---|
| 1 | Unified Platform Dashboard Single entry point for all 7 layers, KPIs, live portal links |
Now | Done | 30-60 min |
| 2 | Patient Portal — Wire Door 2 Add login screen to Patient Dashboard, connect consent → dashboard redirect |
Now | Done | 1-2 hrs |
| 3 | Patient Portal — Phase A: My Data Dashboard Consent toggles, data value visualization, provenance trail, auditable logging |
Now | Done | Complete |
| 4 | Revenue Attribution Engine Door 3 queries write attribution events to localStorage with 80/20 split. Door 2 consumes events into transactions, provenance, audit log, and monthly earnings. Per-query pricing by delivery type. |
Later | Done | Complete |
| 5 | Patient Portal — Phase B: Clinical Trial Matching CRO matching engine, patient trial cards, accept/decline, recruitment flow |
Next | Done | Complete |
| 6 | Patient Portal — Phase C: Earnings Dashboard Payout history, monthly breakdown, revocation impact, payout engine integration |
Next | Done | Complete |
| 7 | Demo Data Generator Scenario seeder with 5 presets, localStorage hydration into Door 2 & Door 3. Located in Demo/Demo_Data_Generator.html |
Next | Done | Complete |
| 8 | Branding — 100% Consistency Dark theme, Inter font, Moonlitic logo, consistent palette across all files |
Now | Done | Complete |
| 9 | Clinician Portal — Add Login HIPAA login gate with NPI/MFA, SMART on FHIR/Epic SSO options, demo mode, localStorage hydration from Demo Generator (Door 4) |
Later | Done | Complete |
| 10 | Test Harness + CI/CD Unit tests for critical engines, automated pipeline, integration validation |
Later | Not Built | 2-3 hrs |
| 11 | Production Integration Testing Identity, EHR, and Payments API — live sandbox testing against coded integrations |
Later | Not Built | 2-4 hrs |
| 12 | Zoho One Integration — AR/AP/CRM Zoho Books for AR (CRO invoicing) & AP (patient payouts), Zoho CRM for buyer relationships, 80/20 brokerage split reconciliation. Maps to Folder 03 Payments Engine. |
Later | Not Built | Production |
| 13 | Investor Demo Walkthrough Script Step-by-step pitch teleprompter with SAY/DO/KEY POINT prompts, timer, progress tracking. Located in Demo/Demo_Walkthrough_Script.html |
Next | Done | Complete |