Healthcare (regulated) · UK

An NHS community-pharmacy claims platform, audit-ready by design

Turn messy service data into clean, claimable, compliant records.

The challenge

Community pharmacies had to identify and count claimable NHS service activity accurately — get it wrong and you lose revenue or fail an audit.

What we did

We built the multi-tenant platform from scratch — file-upload ingestion, an eligibility and de-duplication engine, role-based access for every actor in the process, and secure login — then run it as a long-term product team.

The AI work

We ran a rigorous evaluation of machine learning vs deterministic rules for eligibility detection and de-duplication, and shipped the approach that was provably more accurate and auditable for a regulated setting — with a roadmap toward predictive risk scoring and clinical-decision support.

Outcome

Pharmacies reconcile claimable services each period with confidence the numbers will stand up to audit.

  • Node / NestJS
  • SQL
  • React
  • Secure cloud
  • ML evaluation

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