Claim Evidence Routing Desk

TypeScript control plane for insurance claims intake, missing evidence packets, denial pressure, and appeal-safe routing across payer operations.

Why this exists

• Claims teams lose time when clinical proof, coding notes, appeal narratives, and payer deadlines live in separate systems.
• Denials often come from routing failures and incomplete packets, not from the absence of business context.
• Revenue cycle, appeals, utilization review, and eligibility desks all need the same packet picture without waiting on another spreadsheet.
• Insurance and InsurTech buyers care whether the claim workflow is auditable and recoverable, not whether the dashboard looks “AI-powered.”

Why this matters (KG Embedded tie-back)

This repo demonstrates the evidence-routing primitive for Insurance / InsurTech buyers: claims tied to missing proof, stale packets, appeal blockers, and owner-safe escalation paths. A B2B SaaS buyer would care because claim routing and denial prevention often need to surface inside customer-facing operator tools without exposing unsafe payer systems or write-heavy backends. Kinetic Gain Embedded extends this into security-first in-product analytics for appeal-aware and evidence-aware reporting across claims and reimbursement operations, see kineticgain.com/embedded.

Routes

• /
• /claim-lane
• /evidence-routing
• /appeal-posture
• /verification
• /docs

API

• /api/dashboard/summary
• /api/claim-lane
• /api/evidence-routing
• /api/appeal-posture
• /api/verification
• /api/sample

Screenshots

Local Development

cd claim-evidence-routing-desk
npm install
npm run dev

Open:

• http://127.0.0.1:5522/
• http://127.0.0.1:5522/claim-lane
• http://127.0.0.1:5522/evidence-routing
• http://127.0.0.1:5522/appeal-posture
• http://127.0.0.1:5522/verification

Validation

• npm run build
• npm run test
• npm run demo
• npm run smoke
• npm run render:assets

Production status

Aspect	Status
CI	Node 20 + 22 matrix — lint · typecheck · coverage · build · demo · smoke · npm audit (workflow)
Test coverage	src/services/ coverage gate maintained via vitest
License	AGPL-3.0-or-later
Dependencies	Dependabot weekly (npm + GitHub Actions); npm audit --audit-level=high in CI
Data handling	Synthetic, non-PHI claim packets only. No live member, payer, or reimbursement records.
Deploy	Static prerender → https://claims.kineticgain.com/ (GitHub Pages, pages workflow)

Docs

• Kinetic Gain Embedded tie-back
• Changelog

Part of the Kinetic Gain Suite

Operator surface in the Kinetic Gain Suite — a portfolio of buyer-readable control planes spanning security posture, compliance evidence, data-platform governance, FinOps, and operator workflows. Apex: kineticgain.com.

Related surfaces

• prior-authorization-evidence-router — healthcare approval evidence routing
• regulatory-reporting-mart — reporting and deadline operations
• third-party-risk-evidence-ledger — vendor evidence and review posture