01 · HEALTHCARE / INDONESIA
Hermina JKN Claims AI
A 5-module AI claims-processing system for one of Indonesia's largest hospital groups. Catches documentation gaps before BPJS submission, drafts evidence-cited physician queries, and gives 51 hospitals operational visibility into their claim pipeline.
51
Hospitals
5
AI modules
24-day
Build sprint
4
Parallel worktrees
Built on a two-plane architecture: a deterministic ingestion layer (~99.99% reliability, schema-validated) hard-isolated from a probabilistic AI layer with hallucination defenses — closed-world rule check, source-citation enforcement, no-new-diagnosis verifier. LLM proposes, deterministic rules dispose.
Stack
DeepSeek V4-FlashClaude Opus 4.7FastAPIPydanticPostgres + RLSNext.jsRechartsCerebras QwenEval harness