A payer-ready postpartum network and navigation layer.
A UI-only payer preview showing how credentialed provider supply, referral routing, documentation readiness, outcomes tracking, superbill bridges, and future billing infrastructure can support postpartum access.
Cognito-protected route boundary
Cognito/Auth.js authentication and coarse role routing are active here. The page still uses sample data only; real PHI or operational records require app-owned RBAC, MFA where appropriate, audit logging, secure storage, and review.
For payers and health plans
UI-only partner preview.
This payer page uses simulated provider, referral, outcome, documentation, and superbill records only. No real claims, eligibility checks, benefits checks, payer reports, or PHI access are active. Production reporting requires HIPAA-aware security, RBAC, audit logs, consent/privacy review, BAAs/vendor review, de-identification and aggregation rules, and legal/compliance review.
Payer reporting should be aggregate and de-identified unless a specific legal basis and consent or authorization permits otherwise.
Future payer collaboration areas
Payer workflow preview
Step 1
Credentialed network
Provider profiles include simulated tiers, licenses, certifications, liability status, referral eligibility, and billing readiness.
Step 2
Referral routing
Clinician referrals and parent intakes can be routed by category, location, language, modality, urgency, and network readiness.
Step 3
Documentation and superbill bridge
Case files can preview service documentation and superbill readiness before any real billing engine is built.
Step 4
Future reimbursement pathway
Medi-Cal doula workflows, payer contracts, claims, payment status, and provider payouts remain future infrastructure only.
Health-plan value preview
Network adequacy support
Show category-level supply and provider readiness for postpartum support areas that are hard for families to navigate.
Credentialed provider network
Preview listed, verified, clinical-partner, preferred-network, and payer-ready tiers before production credentialing exists.
Documentation readiness
Connect case files, service documentation, provider attestation, admin review, and superbill readiness in one future workflow.
Billing/reimbursement readiness
Model superbills, billable services, reimbursement programs, Medi-Cal doula planning, and future claims paths without activating them.
Outcome tracking
Preview time-to-contact, time-to-match, first-visit completion, closed-loop updates, satisfaction, and care-gap signals.
Care-gap closure preview
Frame access and referral-completion signals for quality improvement without creating claims analytics or clinical registry behavior.
Sample payer value indicators
Metrics shown here are simulated and sample-only. They demonstrate future reporting patterns, not real partner analytics, claims analytics, or production outcomes.
Covered launch categories
10 of 10
Approved primary provider supply in sample data
Payer-ready providers
2
Simulated network-tier readiness only
Closed-loop updates
1 of 3
Care gaps closed preview
3 sample gaps closed
Reporting boundary
No real PHI is displayed. No partner reporting export, real aggregate analytics pipeline, claims analytics, payer report, employer report, or contracting workflow is active.
Future payer infrastructure path
01
Network
Credential and tier provider supply.
02
Refer
Route parent and clinician referrals.
03
Document
Capture service-completion readiness.
04
Superbill
Bridge cash-pay service documentation to patient-facing superbill preview.
05
Bill later
Claims, contracts, and Medi-Cal workflows wait for security and compliance gates.
06
Report
Use aggregate, de-identified outcome summaries only after governance review.