Healthcare AI services with model cards

Every capability documented like a model card — what it does, how the pipeline works, how models compare on the task — with a live tester run against your session.

19 servicesPer-task F1 benchmarksRun against your session
Services 19
Coding & Risk Adjustment

HCC Retrospective Coding

2 endpoints · async jobs

Retrospective HCC coding with MEAT evidence, V24/V28 mapping, and governance checks.

HCCRisk adjustmentRAFMEAT
Coding & Risk Adjustment

ICD Coding

2 endpoints · async jobs

Two-pass ICD-10-CM extraction with evidence citations and governance validation.

ICD-10Medical codingMEATEvidence
Coding & Risk Adjustment

HCC Prospective Coding

2 endpoints · async jobs

Point-of-care HCC coding — only conditions actively addressed in the encounter.

HCCProspectivePoint of careRisk adjustment
Coding & Risk Adjustment

Ortho Coding

4 endpoints · async jobs

Orthopedic CPT + ICD coding, LCD coverage verdicts, and critique-mode chart audit.

OrthoCPTNCCILCD coverage
Documentation Quality

Chart Audit

2 endpoints · async jobs

Independent re-code of the chart, compared line-by-line against submitted codes.

Chart auditComplianceOvercodingUndercoding
Documentation Quality

CDI v2 — Pre-Bill Reconciliation

1 endpoint · async jobs

Pre-bill reconciliation of intended codes against chart evidence — integrity risks, capture, and queries.

CDIPre-billReconciliationICD-10
Quality & Stars

HEDIS Abstraction

2 endpoints · async jobs

Chart abstraction for HEDIS / Stars measure compliance with verbatim evidence and audit.

HEDISStarsQuality measuresGap closure
Utilization Management

Prior Authorization v2

8 endpoints · async jobs

Chart summarization, criteria-tree clinical review, and policy → questionnaire from a 265-policy corpus.

Prior authMedical necessityChart summaryQuestionnaire
Revenue Cycle

Appeals & Denial Triage

3 endpoints

Denial classification with DOPS priority scoring and appealability ratings.

DenialsCARC/RARCDOPSAppeals
Revenue Cycle

Claims Scrubbing v2 + ADR Risk

2 endpoints · async jobs

Batch CMS-1500 scrubbing with first-pass scoring and ADR (records-request) risk.

ClaimsCMS-1500ADR riskNCCI/MUE
Payment Integrity

Payment Integrity

3 endpoints · async jobs

Pre-pay claim review (edits → LLM allegations), policy → edit codification, and COB/MSP primacy.

Payment integrityPre-pay reviewOverpaymentCOB/MSP
Population Health

PHM Clinical Navigator

2 endpoints · async jobs

Risk-tier members, detect care gaps, match care-management programs, and sequence next-best actions.

Population healthRisk tieringCare gapsCare management
Network Management

Provider Network Ops

3 endpoints · async jobs

Risk-adjusted provider scoring, contract leakage modeling, and roster credential verification.

ProviderNetworkContract modelingCredentialing
Document Intelligence

OCR

2 endpoints · async jobs

Document text extraction with per-line geometry, powered by AWS Textract.

OCRTextractPDFBounding boxes
Foundation

LLM

1 endpoint

General-purpose clinical language model inference on AWS Bedrock.

LLMBedrockCompletion
Data & Privacy

Synthetic Data

2 endpoints

Realistic, fully fictitious healthcare data — as JSON, text, or rendered PDFs.

Synthetic dataTest dataPDF generation
Data & Privacy

PII Redaction

1 endpoint

Detect and mask personally identifiable information in healthcare text.

PIIRedactionDe-identificationPrivacy
Orchestration

Workflow Suggestions

2 endpoints

Workflow recommendations from a process description plus your operational CSV.

WorkflowRecommendationsAsync
Orchestration

Async Jobs

3 endpoints

S3-staged async processing for every pipeline that outruns the 60-second gateway.

AsyncS3PollingInfrastructure