7 production AI agents replaced manual claims work in 4 months: a healthcare automation breakdown
alex_verem · x · 2026-11-11
A thread on production AI agent deployment: a PE-backed healthcare platform had two people hand-writing every claims rule (300+ denial codes, payer variations changing 3x a year); a team built 7 production AI agents to handle it in 4 months with zero PHI exposure.
Key lessons: data mapping before model picking — most teams bolt an LLM onto unstructured inputs, watch it hallucinate, and declare AI isn't ready; this team spent Month 1 mapping data and capturing missing signals. They also built a 34-variable enrichment layer that pre-computes, versions, and ranks 34 dynamic variables before any LLM sees a claim, so the agent doesn't hunt for context.
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