PriorAuth

README excerpt

# PriorAuth Advocate

**An AI co-pilot that fights US health-insurance prior-authorization denials end-to-end.**

Built for the **Google I/O Hackathon · May 23, 2026 · San Francisco** on the Gemini 3.5 Flash managed-agents stack.

> Counterforce + Maxwell coach the patient through the call.
> **We make the call.**
> And n8n keeps fighting for 60 days after.

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## The problem

- **60 million** Americans get a prior-authorization denial every month (KFF Jan 2026)
- **70%** give up. The average appeal is 6 hours of paperwork + 3 phone calls.
- **< 1%** of denials are appealed. Of those that are, **82%** win.
- The gap is paperwork — not medicine, not policy, not eligibility. **Just paperwork.**

That's the wedge.

## The architecture

> **Gemini thinks. ElevenLabs speaks. n8n remembers.**

Six sub-agents on **Google Vertex AI managed-agent infrastructure**, fanning out in parallel under a planner agent that enforces strict Zod contracts. One ElevenLabs voice runtime. One n8n durable workflow. Three escalation outputs (Gmail status email, IRO packet, State DOI complaint).

```
Patient → Dashboard → Managed Agents (planner)
                            ↓ fan-out
        ┌──────────────────┼──────────────────┐
        ▼                  ▼                  ▼
  ① Intake          ② Policy        ③ Clinical Evidence
   Gemini Vision     Gemini RAG       Cloud Healthcare API
                                       (FHIR R4 · LIVE)
        └──────────────────┼──────────────────┘