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Prior Authorization Evidence Router\n\n[![CI](https://github.com/mizcausevic-dev/prior-authorization-evidence-router/actions/workflows/ci.yml/badge.svg)](https://github.com/mizcausevic-dev/prior-authorization-evidence-router/actions/workflows/ci.yml)\n[![License: AGPL v3](https://img.shields.io/badge/License-AGPL_v3-blue.svg)](./LICENSE)\n[![Dependabot](https://img.shields.io/badge/dependabot-enabled-025E8C?logo=dependabot\u0026logoColor=white)](./.github/dependabot.yml)\n[![Deploy](https://github.com/mizcausevic-dev/prior-authorization-evidence-router/actions/workflows/pages.yml/badge.svg)](https://github.com/mizcausevic-dev/prior-authorization-evidence-router/actions/workflows/pages.yml)\n\nTypeScript control plane for prior-authorization intake, evidence routing, payer-rule pressure, and approval-safe escalation across healthcare workflows.\n\n## Why this exists\n\n- Prior-auth teams lose time when clinical evidence, payer requirements, and owner handoffs live in separate systems.\n- Denials often come from routing failures and incomplete packets, not from a lack of patient or procedure context.\n- Revenue cycle, utilization review, and clinical operations all need the same approval picture without waiting on another spreadsheet.\n- Digital health buyers care whether the approval workflow is auditable and recoverable, not whether the dashboard looks \"AI-powered.\"\n\n## Why this matters (KG Embedded tie-back)\n\nThis repo demonstrates the evidence-routing primitive for Digital Health / MedTech buyers: intake cases tied to payer rules, evidence gaps, approval blockers, and owner-safe escalation paths. A B2B SaaS buyer would care because healthcare approvals and denials often need to surface inside customer-facing operator tools without exposing PHI-heavy systems or unsafe write paths. Kinetic Gain Embedded extends this into security-first in-product analytics for approval-aware and evidence-aware reporting across care delivery and revenue operations, see [kineticgain.com/embedded](https://kineticgain.com/embedded).\n\n## Routes\n\n- `/`\n- `/evidence-lane`\n- `/payer-rules`\n- `/approval-posture`\n- `/verification`\n- `/docs`\n\n## API\n\n- `/api/dashboard/summary`\n- `/api/evidence-lane`\n- `/api/payer-rules`\n- `/api/approval-posture`\n- `/api/verification`\n- `/api/sample`\n\n## Screenshots\n\n![Overview](./screenshots/01-overview-proof.png)\n![Detail view 1](./screenshots/02-evidence-lane-proof.png)\n![Detail view 2](./screenshots/03-payer-rules-proof.png)\n![Detail view 3](./screenshots/04-approval-posture-proof.png)\n\n## Local Development\n\n```powershell\ncd prior-authorization-evidence-router\nnpm install\nnpm run dev\n```\n\nOpen:\n- [http://127.0.0.1:5438/](http://127.0.0.1:5438/)\n- [http://127.0.0.1:5438/evidence-lane](http://127.0.0.1:5438/evidence-lane)\n- [http://127.0.0.1:5438/payer-rules](http://127.0.0.1:5438/payer-rules)\n- [http://127.0.0.1:5438/approval-posture](http://127.0.0.1:5438/approval-posture)\n- [http://127.0.0.1:5438/verification](http://127.0.0.1:5438/verification)\n\n## Validation\n\n- `npm run build`\n- `npm run test`\n- `npm run demo`\n- `npm run smoke`\n- `npm run render:assets`\n\n## Production status\n\n\u003c!-- Maintained by Claude Code (Platform/SRE lane) after v1.0-prod hardening. --\u003e\n\n| Aspect | Status |\n|--------|--------|\n| CI | Node 20 + 22 matrix — lint · typecheck · coverage · build · demo · smoke · `npm audit` ([workflow](./.github/workflows/ci.yml)) |\n| Test coverage | 100% statements on `src/services/` (gate: ≥ 60%); synthetic, non-PHI fixtures only |\n| License | [AGPL-3.0-or-later](./LICENSE) |\n| Dependencies | Dependabot weekly (npm + GitHub Actions); `npm audit --audit-level=high` in CI |\n| Compliance | **HIPAA-readiness scaffolding only — not HIPAA/SOC 2/BAA compliant.** See [SECURITY.md](./SECURITY.md). Do not deploy with real PHI. |\n| Deploy | Static prerender → **https://priorauth.kineticgain.com/** (GitHub Pages, [pages workflow](./.github/workflows/pages.yml)) |\n\n## Docs\n\n- [Architecture](./docs/architecture.md)\n- [Origin](./docs/ORIGIN.md)\n- [Kinetic Gain Embedded tie-back](./docs/KINETIC_GAIN_EMBEDDED.md)\n- [Changelog](./CHANGELOG.md)\n\n## Part of the Kinetic Gain Suite\n\nOperator surface in the [Kinetic Gain Suite](https://suite.kineticgain.com/) — a portfolio of buyer-readable control planes spanning security posture, compliance evidence, data-platform governance, FinOps, and operator workflows. See the suite index for related surfaces. Apex: [kineticgain.com](https://kineticgain.com/).\n","project_url":"https://awesome.ecosyste.ms/api/v1/projects/github.com%2Fmizcausevic-dev%2Fprior-authorization-evidence-router","html_url":"https://awesome.ecosyste.ms/projects/github.com%2Fmizcausevic-dev%2Fprior-authorization-evidence-router","lists_url":"https://awesome.ecosyste.ms/api/v1/projects/github.com%2Fmizcausevic-dev%2Fprior-authorization-evidence-router/lists"}