One governed engine for healthcare operations.
Claims, providers, enrollment, reconciliation, and member calls — run inside your boundary, and sealed as evidence an auditor can replay.
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Integrates with the systems healthcare already runs on
Writing on governed healthcare AI.
What we have learned building agents that do regulated work and prove it — the law, the architecture, and where this is going.
The audit is the product
When an agent touches a coverage decision, the record is the only thing that survives the lawsuit. We built it as a byproduct of running, not a report assembled after the fact.
6 min read
The clock starts in 2027
CMS-0057-F turns the prior-authorization deadline into law with money attached. Most payers are treating it as a reporting problem. It is an architecture problem.
7 min read
Who holds the call
The first generation of healthcare AI answered the coverage question by letting a model deny at scale. We answer it the opposite way, on purpose.
5 min read
Verify it yourself
Don't take the green check on faith.
Every governed run seals to an Ed25519-signed record. Press Verify this record and the same cryptographic check our public verifier runs executes in your browser — no network, no call back to us, no trust required.
The receipt is proof, not data. It carries the shape of the decision — what was decided, under which controls, that a human held it — never the member behind it. The proof leaves your boundary; the record never does. No PHI in the receipt.
Ed25519 over canonical JSON · re-checkable offline · synthetic sandbox prior-auth · no PHI
The body carries the decision's shape, not the member. No name, no DOB, no clinical record — proof, not data.
See a governed run, end to end.
The work runs inside the boundary, a human holds every adverse call, and each step lands as a record you can verify yourself. Watch it happen on a synthetic estate — no sales call to start.