Jacob Nardini

Solutions

The prototypes below are representative, not exhaustive. The underlying solution architecture is designed to extend to a wide variety of use cases, and I’m happy to consider others, including the workflows and business processes listed beneath each demo.

Healthcare

Denials & Appeals Management

Denials today mean hours scouring remittance files, denial letters, and payer fee schedules — the manual paperwork that limits the time your billers can focus on actually maximizing revenue recovery. Low-value denials get written off, appeal deadlines slip, and silent underpayments, claims paid below the contracted rate with nothing on the remit to flag them, go uncaught. This pipeline joins the documentation, re-foots every total, prices each paid line against the contract, and drafts a cited appeal or recovery packet with the deadline already calendared. Billers review and send — their time better spent on judgment, not paperwork.

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Walk-through tutorial

More workflows in revenue cycle management

  • Underpayment recovery — detecting when a paid claim was reimbursed below the contracted rate and recovering the difference. Near-identical scaffold to appeals: compare the remittance against the contract and generate the recovery argument.
  • Prior authorization — assembling and submitting the medical-necessity case to get a service approved before it’s rendered. Front-of-process prevention to back-of-process recovery.
  • Eligibility & benefits verification — confirming coverage, plan details, and patient responsibility before the visit, so claims don’t deny for eligibility reasons downstream.
  • Coding & charge capture — translating the clinical encounter into accurate CPT/ICD codes and ensuring every billable service is captured. The root cause upstream of many denials.

Other business processes

  • Clinical operations & care delivery — scheduling, patient flow, documentation, and care coordination; the actual delivery of medical services.
  • Credentialing & payer enrollment — getting and keeping providers credentialed with payers and facilities so they can bill at all. Document-heavy and recurring.
  • Regulatory & quality compliance — HIPAA, payer audits, and quality reporting (e.g., MIPS / value-based measures), plus the documentation that supports them.
  • Supply chain & procurement — sourcing and managing medical supplies, devices, and pharmaceuticals across sites.

Financial Services

Insurance Submission Intake

For commercial insurers, submissions today mean hours re-keying carrier loss runs, statements of values, and ACORD forms — the manual paperwork that limits the time your underwriters can focus on actually pricing and winning the business. This desk clears and extracts the documentation, re-foots every loss run to its term totals, ties the statement of values out by row and column, and assembles one underwriting-ready account file with the exposure story already written.

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More workflows in the policy lifecycle

  • Risk evaluation — pulling loss-run and SOV data into the rating model and assessing the risk. The analytical step intake feeds; rating itself stays with the human underwriter.
  • Quote & bind — issuing terms, handling subjectivities, and binding coverage once the broker accepts.
  • Policy issuance & checking — producing the policy and endorsements, then checking the issued document against what was bound.
  • Endorsements & mid-term servicing — processing coverage changes, COIs, and adjustments during the policy term.

Other business processes

  • Claims management — FNOL intake, coverage verification, adjudication, and settlement, reading the loss documents and building the claim file from first notice through payment.
  • Mortgage origination — pulling income, asset, appraisal, and title documents from a thick application file and checking them for completeness and consistency ahead of the credit decision.
  • Covenant compliance & borrower health — tracking financial covenants and borrower financials across a loan book, catching breaches and deteriorating credit in the statements and compliance certificates borrowers file each period.
  • Regulatory & compliance — KYC and AML reviews, regulatory filings, and audit response.