pyr0ball opened issue Circuit-Forge/harrier#1

pyr0ball
Sat, 14 Mar 2026 16:14:49 -0700

1#Design: insurance workflow taxonomy — prior auth, EOB, appeals#

Map the full insurance adversarial workflow that Harrier must navigate.

Coverage areas

Prior authorization: submission, follow-up, peer-to-peer request, denial appeal

EOB reconciliation: line-item parsing, mystery codes, provider billing disputes

Claim disputes: internal appeal, external review (IRO), state DOI complaint

Surprise billing: No Surprises Act dispute process

Reference

Circuit-Forge/roadmap#6