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Vertical AI · Startup idea
AI medical scribes won the wedge. The next product is the platform — coding, billing, prior-auth, and patient follow-up in one agent layer above the EMR.
Why now
Abridge and Suki proved providers will pay for the scribe. The market is now ready for the layer above — the agent that also files the claim, drafts the prior-auth, and follows up with the patient.
The idea you could build today
Connect to Epic or Athena via the FHIR API. Listen to the visit, write the note, generate the ICD-10 / CPT codes, draft the prior-auth letter, schedule the patient follow-up. Ship as a chat surface for the physician on the iPad.
Build stack
The three repos already trying
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Framework migration
+109%
14-day velocity Δ
100 contributors
Engineering hiring burst
+55%
14-day velocity Δ
97 contributors
Framework migration
+35%
14-day velocity Δ
60 contributors
Matched against the current-period startup signal panel (healthcare, ai-ml). Rankings shift weekly as the underlying GitHub activity moves. Read the methodology.
The seed-round pattern hiding in the trendline
Healthcare OSS repos that integrate FHIR + an LLM in the same release cycle hit the seed-stage tell. The contributor growth around the FHIR adapter is the lead.
Scribes only. The opportunity is the workflow above — claim filing, prior-auth, follow-up — which still runs on Excel and faxes at most practices.
Use the signal, not just the idea
The repos above re-rank automatically as commit velocity, contributor growth, and new-repo creation move. Want the data feed for this idea wired into your own stack? The MCP server exposes every signal as a tool any agent host can query.
Updated 2026-05-18. The framing is editorial; the “three repos already trying” slot is generated from the live signal panel. Anonymity rule: we name public GitHub orgs, never individual founders or stealth teams.