← All work · ~/work/ledgerline.tsx

★ featuredNDAUS healthcare SaaS · hospital systems· 2025 → now

Ledgerline — revenue intelligence for healthcare

One workspace for hospital case managers and medical directors: payor authorizations, peer-to-peer reviews, clinical oversight and a unified patient census.

Patient 360: census with a patient detail panel
problem
Authorizations, denials and peer-to-peer reviews were tracked across payor portals, spreadsheets and calls — every missed step leaked hospital revenue.
built
Full-stack with a frontend focus (865 of 1,635 commits in the web app): Patient 360, the authorization lifecycle, the P2P queue, oversight dashboards, the action matrix and the admin UI; UI/UX design; NestJS and Go gateway support. An AI pipeline that writes and maintains the in-app Help Center: 57 user guides with 475 screenshots, each screenshot confirmed by an LLM judge. Animated sales and investor decks rendered from one React source as both MP4 and PDF. FHIR R4 R&D: 10 bilingual reports and a working Aidbox proof of concept.
result
Web + adminapps shipped end to end57user guides written and kept fresh by AIFHIR R4interoperability R&D
ReactTypeScriptRedux ToolkitAnt DesignMotionNestJSGoPostgreSQLRemotion

Brand name changed under NDA — the work and the numbers are real.