docs: update harrier README to government forms (was stale insurance content from pre-rename)
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README.md
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README.md
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# Harrier — Insurance Navigation
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# Harrier — Government Forms & Benefits Navigation
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> *Part of the Circuit Forge LLC "AI for the tasks you hate most" suite.*
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> *Part of the Circuit Forge LLC "AI for the tasks you hate most" suite.*
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## What it does
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## What it does
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Harrier handles the full insurance fight: prior authorization tracking, claim dispute drafting, EOB (Explanation of Benefits) reconciliation, internal and external appeal letters, and state insurance commissioner complaints.
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Harrier guides you through government forms and benefit applications — translating bureaucratic requirements into plain language, pre-filling what it can, and tracking deadlines so nothing lapses. Covers benefits, FAFSA, immigration paperwork, and permit processes.
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The harrier is low, fast, and persistent — exactly what fighting a denied claim requires.
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The harrier is low, fast, and persistent — exactly what navigating government systems requires.
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## Why it's hard
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## Why it's hard
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Insurance disputes are engineered to be abandoned:
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Government forms are designed for compliance, not usability:
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- Prior auth processes have no standard timeline or format across insurers
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- Applications are long, interdependent, and punish small errors with delays or denials
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- EOBs are intentionally opaque — reconciling them against bills requires expertise
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- Eligibility rules vary by state, household composition, income, and program
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- Appeal deadlines are short (30–60 days internal, 4 months external)
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- Deadlines are strict and consequences of missing them are severe
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- The regulatory landscape is complex: state insurance codes, ACA requirements, ERISA for employer plans
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- Immigration forms carry legal risk if misunderstood or incorrectly filed
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## Core pipeline
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## Core pipeline
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```
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```
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Log claim / denial / prior auth request
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Identify the form or benefit needed
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→ AI analyzes EOB + denial reason → Drafts appeal with clinical rationale
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→ AI explains eligibility requirements in plain language → Gather required documents
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→ Human review + attach supporting docs → Submit appeal
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→ Pre-fill draft with AI assistance → Human review + submit
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→ Track deadline + escalation windows → External appeal / commissioner complaint if needed
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→ Track status + follow-up deadlines → Draft appeals if denied
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```
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```
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## Key differentiators vs. Peregrine
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## Coverage areas
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- Medical + insurance jargon parsing (CPT codes, ICD codes, denial reason codes)
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- **Benefits:** SSI, SNAP, Medicaid, housing assistance, TANF
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- Regulatory citation engine: state insurance code, ACA provisions, ERISA
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- **Education:** FAFSA, state grants, dependency edge cases
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- External appeal automation: state IDRE (Independent Dispute Resolution Entity) filing
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- **Immigration:** I-130, I-485, N-400, DACA renewal, travel documents
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- EOB reconciliation: match line items against Explanation of Benefits
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- **Permits & licenses:** by jurisdiction (building, business, professional)
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## Product code (license key)
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## Product code (license key)
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## Tech notes
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## Tech notes
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- Shared `circuitforge-core` scaffold
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- Shared `circuitforge-core` scaffold
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- PDF parsing (pdfplumber) for EOBs and denial letters
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- PDF parsing (pdfplumber) for government form templates
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- CPT/ICD code lookup: CMS public datasets
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- Eligibility rule engine: structured YAML by program + jurisdiction
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- State insurance department contact directory (structured YAML)
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- State agency contact directory
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- Vision module: scan paper EOBs and denial letters via moondream2 / Claude vision
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- Vision module: scan mailed notices via moondream2 / Claude vision
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