docs: initial product stub
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PRIVACY.md
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PRIVACY.md
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# Privacy Policy
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CircuitForge LLC's privacy policy applies to this product and is published at:
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**<https://circuitforge.tech/privacy>**
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Last reviewed: March 2026.
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README.md
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# Harrier — Insurance Navigation
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> *Part of the Circuit Forge LLC "AI for the tasks you hate most" suite.*
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**Status:** Backlog — not yet started. Peregrine must prove the model first.
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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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The harrier is low, fast, and persistent — exactly what fighting a denied claim requires.
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## Why it's hard
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Insurance disputes are engineered to be abandoned:
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- Prior auth processes have no standard timeline or format across insurers
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- EOBs are intentionally opaque — reconciling them against bills requires expertise
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- Appeal deadlines are short (30–60 days internal, 4 months external)
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- The regulatory landscape is complex: state insurance codes, ACA requirements, ERISA for employer plans
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## Core pipeline
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```
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Log claim / denial / prior auth request
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→ AI analyzes EOB + denial reason → Drafts appeal with clinical rationale
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→ Human review + attach supporting docs → Submit appeal
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→ Track deadline + escalation windows → External appeal / commissioner complaint if needed
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```
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## Key differentiators vs. Peregrine
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- Medical + insurance jargon parsing (CPT codes, ICD codes, denial reason codes)
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- Regulatory citation engine: state insurance code, ACA provisions, ERISA
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- External appeal automation: state IDRE (Independent Dispute Resolution Entity) filing
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- EOB reconciliation: match line items against Explanation of Benefits
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## Product code (license key)
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`CFG-HRRR-XXXX-XXXX-XXXX`
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## Tech notes
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- Shared `circuitforge-core` scaffold
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- PDF parsing (pdfplumber) for EOBs and denial letters
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- CPT/ICD code lookup: CMS public datasets
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- State insurance department contact directory (structured YAML)
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- Vision module: scan paper EOBs and denial letters via moondream2 / Claude vision
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