ProgramsSpring 2027 Stevens Industry Capstone ProgramProjectsHealthcare AI Insurance Verification Agent

Project Title: Healthcare AI Insurance Verification Agent

Alliance Orthopedics

Details
Project Title Healthcare AI Insurance Verification Agent
Project Topics
Skills & Expertise
Project Synopsis: Challenge/Opportunity
Alliance Orthopedics is a leading health care, specialized orthopedics, that focusing on patient outcomes and satisfaction. 

However, as an out of network facility, we have to call insurance companies to find out what benefits each of our patients have.  Currently, the manual process of making these calls to insurance companies is labor intensive and prone to errors. This situation creates a pressing need to use AI to streamline this process. 

All components of this AI project will be designed, developed, and deployed only to the extent permitted by applicable laws and regulations. Any features or capabilities that are restricted or prohibited by law will be excluded or implemented with appropriate safeguards to ensure full legal and ethical compliance.
Project Synopsis: Activities/Actions Required
  • Build a voice-enabled AI agent to call insurers and collect data on eligibility, deductibles, co-pays, and authorization requirements.
  • Enable human QA (quality assurance) oversight and confidence scoring to flag unclear responses.
  • Include an autonomous phone-tree mapping feature that periodically tests insurer phone lines, detects changes in dial paths or phone numbers, and dynamically updates the AI agent’s call logic to avoid failure points.
 All components of this AI project will be designed, developed, and deployed only to the extent permitted by applicable laws and regulations. Any features or capabilities that are restricted or prohibited by law will be excluded or implemented with appropriate safeguards to ensure full legal and ethical compliance. 
Project Synopsis: Expected Results
A system that will do the following:
  • Make a phone call to an insurance carrier
  • Press the sequence of buttons needed for insurance verification. This sequence is stored somewhere that the system can access. However if the sequence of buttons does not work (this usually happens when the insurance companies change the button sequence), then the system should listen to the prompts to recalculate the sequence of buttons.
  • Ask the insurance carrier about different benefits that the patient has. The sequence of questions to ask will be provided as a resource in a playbook, as the questions can change depending on what services the patient would like to get.
  • Flag any unclear responses
  • Log the answers to the questions

 All components of this AI project will be designed, developed, and deployed only to the extent permitted by applicable laws and regulations. Any features or capabilities that are restricted or prohibited by law will be excluded or implemented with appropriate safeguards to ensure full legal and ethical compliance. 

Project Timeline

Alliance Orthopedics - Healthcare AI Insurance Verification Agent
Due Date
Activities
Deliverables
Status
Action
Tue, 01/20/26
Academic Calendar
We have linked the Academic Calendar for this semester below to help you stay on track. It includes important dates such as university holidays, class schedules, assignment deadlines, and other key academic milestones.

Please review the calendar carefully to stay informed about your team meeting schedule, upcoming deliverables, and how your Capstone work aligns with the broader academic term. Staying organized from the start will help ensure a successful semester.
No Deliverables
No deliverables are required for this action item.
Guiding Questions:
We have linked the Academic Calendar for this semester below to help you stay on track. It includes important dates such as university holidays, class schedules, assignment deadlines, and other key academic milestones.

Please review the calendar carefully to stay informed about your team meeting schedule, upcoming deliverables, and how your Capstone work aligns with the broader academic term. Staying organized from the start will help ensure a successful semester.
Fri, 04/10/26
7:59 PM ET
Spring 2026 Midterm Student Evaluation
Required Evaluation
Evaluation submission is required.
View
Fri, 04/10/26
7:59 PM ET
Spring 2026 Midterm Presentations
Required Action Item
Required Deliverable
Deliverable submission is required.
View Calendar
Fri, 05/22/26
7:59 PM ET
Spring 2026 Final Student Self Reflection
Required Evaluation
Evaluation submission is required.
View
Fri, 05/22/26
7:59 PM ET
Spring 2026 Final Presentations
Required Action Item
Required Deliverable
Deliverable submission is required.
View Calendar

Teams

Team Name  Project Name  Team Members 
No Teams Available