Every claim paid fully, the first time
One genome.
Every side of the claim.
The truth of a claim doesn't change depending on who's asking. The same engine serves the payer, the provider, the rural hospital, the state, and the federal program — that's why each of them can trust it.
Health plans · integrated payers · SIU
Payers
"Deny defensibly — and find what you owe, too."
Treatment-trajectory analysis across whole episodes, findings tiered by confidence with the gray zones shown up front, and underpayments surfaced alongside overpayments. Every dollar you pursue survives rebuttal.
For payers
Health systems · academic medical · RCM
Providers
"The 835 already told us what this claim needs."
Every denial routed to its recovery path — resubmit, appeal, COB, timely-filing — with the packet auto-built and your team approving. Recovery from 8–16 hours to ~5 minutes※46-hospital health system engagement per case. 72% overturn vs. 38% industry※CMS CRUSH RFI response · 2025.
For providers
Critical-access · safety-net
Rural & safety-net
"Where an unfair denial can close a hospital."
Statewide payment infrastructure for under 2.5% of a single state's allocation. Education before recovery — so a two-person business office runs like a large one, and the doors stay open.
For rural
Medicaid agencies · PI units · MFCU
State Medicaid
"We don't flag issues. We fix them."
Detection becomes finished, cited case files: recoupments that survive appeal, EVV-aware pattern evidence, graduated response — educate, recoup, refer — and underpayments surfaced too. Integrity that keeps Medicaid affordable.
For state Medicaid
VA · CMS · DoD
Federal
"Pay first. Verify always. Never deny through automation."
Statutory authority determined from the claim itself — 79% auto-resolved※VA historical analysis · 1.86M claims, edge cases routed to a nurse, benefit of the doubt to the veteran by law. FedRAMP High + VA National ATO, running against VistA, Cerner, and Epic today. No procurement reset.
For federal programs02 How we engage
We get paid
when you do.
You've bought software that watched you work. You've bought reports nobody had the staff to action. This is neither — results as a service: our agents do the work, you approve it, and the risk is shared.
01 · two weeks · fixed
The Read
Bring your 837s + 835s. We return the sequencing read — the recoverable pool by path, every number with its provenance. The "Get your book read" engagement.
02 · contingency
Recover
The agents build the packets; your team approves and files. We fund the work and get paid on dollars that actually return. No recovery, no fee.
03 · per-claim
Prevent
The pre-payment harness scores every claim in 19µs — priced per claim on prevented loss. Earned autonomy: shadow → recommend → automate.
the workforce is ours · the risk is shared · the outcome is yours
One engine underneath
Different doors.
The same defensible number.
Every door runs on the Claims Genomics Model — the care strand and the claims strand, bound. When integrity is real-time, gaming stops paying, the dollar stays in care, and value-based care finally has the record it needs.