We build the highest-ROI clinical AI in healthcare today — prior authorization, appeals, coding, and the FHIR infrastructure beneath them — led by US clinical leadership, delivered by senior engineers, and verified by physicians before anything ships.
The CMS-0057 rule put every payer and practice on the clock in 2026: strict decision timelines, public denial-rate reporting, and mandated FHIR APIs. The work that clears it — pulling evidence from the record, mapping it to payer criteria, drafting the letter, verifying it — is exactly what we build.
It's the fastest-payback clinical AI on the market, and it's our thesis made literal: the right evidence, the patient's own data, and a clinician who signs off before it reaches a payer.
| What we build | Why it pays |
|---|---|
| Prior-auth & appeals automation | 40–60% faster processing; payback under 6 months |
| Denial management | Fewer denials, faster overturns, recovered revenue |
| Coding & documentation integrity | Cleaner claims, less rework, defensible audit trail |
| Physician-in-the-loop review | The credentialed sign-off automation still needs |
Fixed-scope where the work is definable, retainer where it's ongoing. Every engagement includes clinician-in-the-loop validation before release.
Connect your product to the clinical world: FHIR R4/R5, HL7 v2, C-CDA, SMART-on-FHIR, and EHR integration across Epic, Cerner, Athenahealth, and more. From read-only access to full bidirectional exchange.
The highest-ROI clinical AI in 2026 isn't a chatbot — it's the evidence-backed paperwork. We build systems that draft it from the record and hand it to a clinician to verify.
Unified clinical data layers and pipelines on AWS, Azure, or GCP — claims, labs, pharmacy, SDoH — engineered for the analytics and AI workloads you actually plan to run on them.
Fractional clinical-informatics leadership: architecture reviews, AI safety and validation design, regulatory-readiness thinking, and the judgment calls that need someone who has practiced medicine.
A disciplined path that ends with validation, not just delivery — and continues with support if you want us to stay.
A working session to define the outcome, the clinical stakes, and a fixed scope with a clear price.
Senior engineers deliver in short cycles, with clinical leadership reviewing decisions as they're made.
Physicians test the system against real clinical scenarios before release. Nothing ships unverified.
Launch, then an optional retainer: monitoring, updates, and continuous clinical validation as you grow.
You can hire a dev shop that will learn medicine on your budget, or a team that started in the clinic. The difference shows up at the point of care.
Our engagements are led by clinical and informatics leadership with CDC and Harvard pedigree, and delivered by senior engineers who ship production FHIR systems. The infrastructure work — apps, pipelines, cloud — is table stakes we handle in-house. The clinical judgment is the product.
Tell us the outcome you need. We'll come back with a scope, a timeline, and a price — usually within a week.