C
Carpe LTC
Long-Term Care Fraud Intelligence
Scaffold · v0.1 · building toward the John Hancock demo
The investigator workbench for the LTC grey wave.
Thousands of LTC claims, billions in payouts, three fraud vectors — claimants, providers, and independent caregivers. Carpe LTC is the unified, agent-native console that surfaces the signal and runs the investigation.
PID
Provider Intelligence Database
Minerva-powered facility & agency risk: ownership, licensing, OIG/LEIE exclusions, deficiencies, review sentiment, revenue bands — one explainable 0–100 score.
Caregivers
Independent Caregiver Lookup
The #1 LTC fraud blind spot. Identity resolution with no NPI required — licensing, criminal record where lawful, double-billing detection.
OIA
Claimant Online Monitoring (OIA)
LTC-specific reason codes: lifestyle vs ADL contradiction, driving, cognitive activity, travel — every alert human-verified, litigation-grade.
Network
Network Fraud Graph
Within-carrier relationship surfacing: caregiver impossible-days, provider clustering, shared-identity rings, POA concentration.
AI
Agentic Investigation Runs
Dispatch an autonomous agent crew at a flagged claim — pulls records, runs lookups, corroborates timing, drafts the SIU referral. Human gate before ship.
AI
Temporal Verification Engine
Solving post-dating — the signal nobody in the industry has. EXIF + cross-platform + weather-match → a temporal-confidence score on every alert.
Build status
- ✓ Next.js + Tailwind + Supabase-SSR stack (mirrors case-management)
- ✓ Multi-tenant brand-skin system (Carpe + John Hancock)
- ✓ Mocked-role login scaffold
- ✓ Domain: ltc.carpeintel.com
- ◌ PRD in progress — modules light up as the spec locks