Case Studies
HealthcareHours· Prosthetics & Orthotics Supplier

Insurance Contracting Intelligence Platform

AI-powered network adequacy gap analysis for a prosthetics and orthotics supplier — data-driven evidence to negotiate in-network contracts with insurance payers.

Demo

Insurance Contracting Intelligence Platform screenshot

Results

5+ APIs
Data Sources
CMS, NPPES, FHIR, CDC, and US Census aggregated into a unified gap analysis
React + FastAPI + Qdrant
Stack
Interactive GIS frontend, async API backend, and vector-powered report generation
AI-generated PDFs
Output
Professional proposals with market analysis, gap severity scoring, and negotiation strategies

The Challenge

A prosthetics and orthotics supplier struggled to get in-network with insurance payers, lacking the data-driven evidence needed to demonstrate coverage gaps in their service areas.

What Arkitekt Built

  • Interactive GIS mapping for county-level service area selection with real-time gap visualization
  • Multi-source data aggregation from CMS, NPPES, FHIR APIs, CDC, and US Census
  • RAG-powered AI report generation using regulatory context (42 CFR 422.116) and clinical outcomes research
  • Professional PDF proposals with market analysis, gap severity scoring, and negotiation strategies