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Platform

One substrate. Every payer workflow.

A grounded gateway sits between your data and every agent. Nothing reaches a member, a partner or a regulator without a citation.

  • Citation-first
  • Tenant isolated
  • HIPAA / SOC 2
  • FHIR + X12
  • Audit by default

What the substrate guarantees

Provable answers. Isolated data. Zero silent decisions.

100%
Actions carry a citation
0
PHI in shared model training
48+
Payer workflows on one codebase
Channels
  • Member voice & chat
  • Broker / agent portalComing soon
  • Plan operations console
Workflow agents
  • Enrollment & recert
  • Contract & rate
  • Medicaid campaigns
  • SDoH & care gaps
Reasoning gateway
  • Grounding & citation
  • Policy & PHI guardrails
  • Model routing
  • Full audit trail
Data substrate
  • Member 360 graph
  • Documents & OCR store
  • Eligibility & claims feeds
  • Regulatory corpus
Every request travels down through the gateway and returns with its sources attached. No agent reaches your data without a policy check and an audit entry.

Non-negotiables

Six guarantees your compliance team can test.

Grounding

Answers cite the source document, policy version and record ID — or the agent declines.

Isolation

Single-tenant deployment in your VPC or ours. No shared model training on PHI.

Governance

Role-based access, PHI redaction, prompt logging and exportable audit packages.

Human in the loop

Confidence thresholds route anything ambiguous to a named reviewer.

Interoperability

FHIR R4, X12 834/837/270-271, flat file and SFTP. No rip-and-replace.

Configuration

New workflows are configured, not forked. One codebase, every tenant.

Security engineer reviewing tenant isolation dashboards in a secure data centre
Deployed inside your tenant — PHI never trains a shared model.
Managed profile deployment
Deployment

Managed profile

We run it. SOC 2 controls, HIPAA BAA, 24/7 monitoring, quarterly model review with your compliance team.

  • Fastest path to production
  • Shared operations runbook
  • Continuous model evaluation
In-tenant profile deployment
Deployment

In-tenant profile

You run it inside your own cloud account. We ship the images, the pipelines and the evaluation harness.

  • Your keys, your network
  • Data never egresses
  • Your change control process

Technology

The same six technologies power every solution.

Document Intelligence

Insurance cards, IDs, appeals, network credentialing files, 30-page state packets and 80-page contracts read to structured fields with a citation on every value.

How it works

Voice & Conversational AI

Inbound and outbound agents that hold a real conversation about coverage, then warm-transfer to a human the moment the member asks — with the full transcript written to the record.

How it works

Propensity & Recommendation

A transparent 0–100 score built from eligibility, engagement, social risk and urgency signals that routes each member to the right channel at the right hour.

How it works

Eligibility & Compliance

Real-time eligibility checks, regulatory change monitoring and pre-submission risk scoring so nothing reaches a state or CMS that would not survive review.

How it works

Analytics & NLP Assistant

An assistant grounded in your enrollment, claims and contract data that answers operational questions with the query, the source and the numbers behind them.

How it works

Workflow Orchestration

The control plane that sequences agents and humans into a workflow you can watch, pause, replay and explain to an auditor.

How it works

Bring us a workflow. We will show you the audit trail.

Ninety minutes with your operations and compliance leads. You leave with a mapped workflow, a measured baseline and a deployment path.

Request a DemoSee the architecture