Claims triage app - v0 by VercelClaims triage app - v0 by Vercel
Workflow Automation for End-to-End Claims Triage — Prototype PRD
1. Product Overview
This app automates claims triage for healthcare payers. It enhances efficiency in managing claims, reducing processing time and errors. Designed for mid-sized healthcare payers like Summit Health Plan.
2. Users
Primary User: Claims Analyst
Secondary User: Claims Manager
3. Core Workflow
User uploads claim documents.
System analyzes claims data using AI.
User reviews triaged claims.
Approved claims are routed for payment processing.
4. Key Features
AI-Powered Claims Analysis — Automatically assesses claims for completeness and accuracy.
Real-Time Dashboard — Displays current triage status and claims metrics.
Document Upload — Supports various file formats for claim submissions.
Notification System — Alerts users of pending approvals and updates.
Search Functionality — Allows users to quickly find specific claims.
5. Sample Data
Claim ID: 10234, Patient: John Doe, Amount: $1500, Status: Pending
Claim ID: 10235, Patient: Jane Smith, Amount: $750, Status: Approved
Single-page Next.js app, Shadcn UI, Tailwind CSS, dark mode.
Dashboard layout with sidebar navigation.
Realistic mock data throughout, no empty states.
Core workflow only — no auth, no settings.
Use common lucide-react icons (Home, Settings, BarChart3, Users, FileText, Search, Bell, ChevronRight).
Show full message
3d ago
Now let me build all the components. I'll start with the shared data, sidebar, and all pages in parallel:
Now let me build the analytics stub page and the final page.tsx that wires everything together:
Now let me fix the duplicate import in upload-page.tsx and write the main page:
The full Claims Triage prototype is complete. Here's what was built:
Dashboard — KPI cards (total/pending/approved/denied), AI confidence score, total claim value, processing time, area trend charts, pie chart by type, and a recent claims feed
Claims Triage Table — Sortable/filterable table with all 10 mock claims showing status badges, AI score progress bars, flag counts, and priority indicators; clicking a row drills into the detail view
Claim Detail & AI Analysis Panel — Full claim metadata, a circular AI confidence gauge, a 6-point automated check list, flagged issues panel, claim timeline, and Approve / Deny / Route for Review action buttons
Document Upload — Drag-and-drop zone with simulated upload+analysis progress, file queue, recent uploads list, and supported format guide
Analytics — Approval rate, turnaround, auto-triage rate, line charts, denial reason breakdown, and analyst workload stacked bar chart
Patients — Card-grid view grouping claims by patient with click-through to their latest claim detail