Workflows for healthcare administration
Build the future ofdenials.
Describe your workflow in plain text. Gwen turns it into a working healthcare process — grounded in your policies, checked by your team, ready to ship. No engineering team required.
What Gwen is
Built for the people running healthcare's future.
Write your workflow in plain text. Gwen maps it to real healthcare steps — prior auth, claims, appeals — governed by your guidelines and human checkpoints.
01
Built for the people who run healthcare.
Clinicians, coders, informaticists, and ops leaders work directly in Gwen. No tickets to IT. No waiting on a roadmap. The people closest to the work build the fix.
02
Your guidelines. Your workflows.
Gwen runs on the rules your team already trusts — your medical necessity criteria, your plan's companion guides, your policies. The art of medicine stays with your clinicians.
03
Pre-built and ready to run.
Verified apps, 94 skills, benchmarked cognitive services, and versioned reference data — already shipped and evaluated. Pick one, run it on your data, see results today.
04
Glassbox by default.
Every recommendation traces back to the source. Every workflow leaves a full audit trail. Every step keeps a human in the loop where one is needed. Audit-ready out of the box.
Your team already works here
Every role has a digital twin on Gwen.
For each persona across payer and provider departments, the stack is already built — the app, the cognitive services behind it, the reference datasets, the skills. Stop rebuilding what healthcare has already built.
Payer · Risk Adjustment
Risk adjustment coder
HCC retro app · HCC/ICD services · V28 + ICD-10 reference data
See the ready-made stack →
Provider · Mid-Revenue Cycle
Medical coder
ICD coding app · evidence mapping · MEAT skills
See the ready-made stack →
Provider · Revenue Cycle
Denial analyst
Denial triage app · CARC/RARC ontology · appeal skills
See the ready-made stack →
Payer · Utilization Management
Prior-auth coordinator
Criteria screener app · chart summary service · policy skills
See the ready-made stack →
Payer · Claims Adjudication
Claims examiner
Claims scrubber app · NCCI edits · clean-claim skills
See the ready-made stack →
Provider · Documentation
CDI specialist
CDI dashboard app · chart audit service · query skills
See the ready-made stack →
The catalog
Pick an app. Run it today.
Verified apps you can run on your data in minutes, not months. Use them as-is, or open one in the Studio and make it yours.
HCC Retrospective Coder
Upload clinical documents for retrospective HCC coding — extract ICD-10 codes, review with side-by-side PDF viewer, and track coding history.
ICD-10 Medical Coder
Extract ICD-10 codes from clinical documents via OCR with evidence highlighting, coding history dashboard, and batch upload support.
Denial Triage & Review
Upload denial CSVs for automated triage — CARC categorization, appealability scoring, win probability, and AI-powered clinical review with evidence extraction.
Claims Scrubber
Upload CMS-1500 claims for pre-submission scrubbing — 5 rule categories, NCCI bundling checks, LLM-powered analysis, and governance dashboard.
PA Chart Summarizer
Upload clinical charts and get structured PA summaries — diagnoses, medications, procedures, and medical necessity briefs with cited source evidence.
PA Criteria Screener
Screen clinical documents against payer policy criteria. Select from 265 organized policy questionnaires, upload a clinical document, and evaluate every criteria question against the evidence with an interactive approve/deny decision tree.
The foundations
The data and the know-how, already on the shelf.
Reference data
5,300+ versioned records across 5 subject areas.
Coding vintages, payer policy references, and adjustment reason codes — sourced, versioned, and ready for every workflow you run. No more chasing spreadsheets.
Skills
94 healthcare skills, evaluated and reusable.
ICD-10 coding. HCC capture. Denial triage. Prior-auth criteria. Each skill packages the SOP, the domain rules, and the evidence requirements — drop one into any build.
Ready for healthcare
The depth healthcare actually needs.
Not bolted on after the fact. Built in from the first day.
Evidence back to source.
Every finding traces to a span in the original document. Your reviewers see exactly what Gwen saw, and why.
Confidence as risk.
Gwen knows when it's unsure. Low-confidence work routes to a human. High-confidence work earns the speed.
Audit on every call.
Who. What. When. The full trail your compliance team needs, on every workflow, every run.
Refreshed, not drifting.
Coding vintages and policy reference data are versioned and refreshed, so skills don't quietly fall out of date.
Close the loop
A recommendation isn't an outcome.
Healthcare work happens in EHRs, payer portals, clearinghouses, and inboxes. Gwen's desktop and browser agents carry decisions into the systems where work already happens — governed, auditable, human-checked. Intelligence creates value only when it reaches the work.
Developer mode
Have an engineering team?
The same services your operators run, your engineers can call through the API — same versions, same evaluations, same audit trail. Plus the tools to build and publish endpoints of your own.
# call a benchmarked healthcare service
curl https://gwen.penguinai.co/api/external/v1/icd/code \
-H "Authorization: Bearer hvb_live_…" \
-d '{"text": "…clinical note…"}'
22
Apps in the marketplace
16
Cognitive services, benchmarked
94
Skills in the library
5,300+
Reference data records
Final
Build the future. Don't rebuild the past.
Pick a workflow. Run it on your guidelines. See evidence-linked results today.