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EZCap Automated Medical Claims Adjudicator

Freelancer

مشاركة:
placeUS home_workعن بُعد assignmentبعقد publicوظيفة مجمّعة · US

eventنُشرت في 28 أغسطس 2026 · verifiedتحققنا في 30 أغسطس 2026 من أنها ما زالت متاحة

US$ 250 – US$ 750 / لكل مشروع

عن الوظيفة

Do not bid if u don’t know EZCap I need a developer who can turn my EzCap concept into a working engine that receives medical claims and adjudicates them end-to-end. The focus is squarely on claims processing: once an 837-P or 837-I file (or an API payload with the same data) lands in the system, the application should parse it, run every prescribed validation rule automatically, and return a clear pass/fail status for each service line. Key behaviour I expect • Automated validation checks – CPT/ICD compatibility, duplicate detection, member plan match and any other edits we load into the rule set must execute without manual intervention. • A full audit trail – every rule fired, every field touched, time-stamped and stored so we can satisfy internal compliance reviews or external audits at any point. The adjudicator has to be modular; I want to be able to swap in extra edits later (for instance, fraud-scoring) without rewriting core logic. Output can be raw JSON, an 835-style file, or a database update—whichever you prefer, as long as it is documented. Deliverables • Source code and unit tests for the claims-processing module • Configurable rule library with sample medical edits loaded • Persistent audit-trail store and a simple viewer or export function • Deployment instructions (Docker or similar) so I can spin it up in my own environment Send a brief outline of the tech stack you intend to use and how you will handle large batch files, and we can get started.

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