Inspiration
Watching coordinators burn nights chasing RFIs because insurers reject half-baked GL requests.
What it does
Pre-checks cases against payer rules, flags blockers, auto-packages submissions—slashes RFIs and approval time.
How we built it
Rule engine + AI letter generator wired to insurer APIs/portals; low-code config layer for new payers.
Challenges
Every payer’s PDF is a unique snowflake; sleep became optional.
Accomplishments
It actually works—live cases, fewer RFIs, happy coordinators.
What we learned
Insurance rules are fractal; clarity beats complexity.
What’s next for Medisure
More payers, smarter risk models, and finally catching up on sleep.
Built With
- convex
- gemini
- nextjs
- vercel
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