What they built

Sietch - Policy Red flag & Bill Auditing with Hospital Lookup and Coverage Checking

Sietch - Policy Red-Flag & Bill Auditor is an AI-powered healthcare insurance assistant built as an MCP (Model Context Protocol) server using NitroStack. The platform simplifies the insurance claim process by helping users understand complex policy documents, estimate claim payouts, locate network hospitals, and analyze hospital bills before submitting a claim. The system consists of four intelligent tools: Policy Analyzer – Reads insurance policy documents, identifies exclusions, waiting periods, sub-limits, co-pay clauses, and other hidden conditions, while explaining them in simple language. Coverage Calculator – Calculates the estimated insurance payout for a specific diagnosis by considering policy rules such as waiting periods, sub-limits, co-pay percentages, and coverage eligibility. Network Hospital Lookup – Finds nearby hospitals that are covered under the user's insurance policy, helping users identify cashless treatment facilities quickly during emergencies. Bill Auditor – Examines hospital bills item by item, estimates what the insurance is likely to cover, highlights non-covered expenses, detects possible overcharges, and provides a plain-language explanation of every charge to help users avoid unnecessary costs. Built with TypeScript, NitroStack, Groq LLM, and Zod schemas, the solution processes documents securely in memory without persistent storage, ensuring user privacy. As an MCP server, it can be integrated into hospitals, insurance companies, customer support systems, or AI assistants, enabling faster, more transparent, and more reliable insurance claim decisions.