Docierge Healthcare Cost Estimator
▎ Know what you'll actually pay before the bill arrives. Healthcare Cost Estimator turns confusing claims, EOBs, and benefits documents into a clear, line-by-line out-of-pocket estimate — deductible, copay, coinsurance, and OOP max applied exactly as your plan defines them. Every patient identifier is stripped by a mandatory Presidio PHI scrub before analysis, and every number comes from your actual plan and claim — no invented prices, no black-box math.
#Análisis#Investigación#Estilo de vida
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Healthcare Cost Estimator (privacy-first)
Estimate/compare/explain patient out-of-pocket healthcare costs from provided claim + plan info, with a
mandatory Presidio PHI scrub gate before any analysis.
SKILL.md— the ordered workflow (scrub → look up the specific plan's terms → estimate → explain).scripts/scrub.py— the non-negotiable PHI gate (bundles the Presidio engine).scripts/extract_plan.py— parse an SBC / benefits doc into the plan's in/out-network deductibles, OOP
maximums, and per-service cost-sharing (copay vs coinsurance, deductible-waived).scripts/estimate.py— deterministic, plan-specific cost-sharing math (per-service, network-aware:
deductible → copay/coinsurance → OOP cap).scripts/presidio_anonymize.py— bundled PII engine (see the pii-anonymizer skill).references/sample_sbc.txt,references/sample_scenarios.json,references/sample_raw_claim.txt— examples.
Quick start
pip install -r requirements.txt && python -m spacy download en_core_web_lg
python scripts/scrub.py --in references/sample_raw_claim.txt # PHI removed, codes+amounts kept
python scripts/extract_plan.py --in references/sample_sbc.txt --out plan.json # plan terms from the SBC
python scripts/estimate.py --in references/sample_scenarios.json --compare # in- vs out-of-network
Estimate only — not financial/medical advice. Grounded-analysis technique derived from Aioniq / Jiarui Li work.
