Trust & Oversight

AI does the work. People stay accountable.

PrismIQ runs autonomous agents across your revenue cycle — but every consequential action is reviewable, attributable, and bounded by human approval. Here is exactly who reviews the output, how your data is handled, and where the liability sits.

Oversight

Where the human stays in the loop

835 / ERA intake & parsing
PrismIQ acts · AI co-pilot

Ingests clearinghouse 835 feeds, translates complex CARC/RARC codes, and categorizes denials by recovery confidence.

Human approves · Staff control

Biller reviews the flagged high-priority claim queue and selects claims for action.

Payer policy matching
PrismIQ acts · AI co-pilot

RAG engine cross-references clinical charts against live payer policy manuals to identify missing documentation.

Human approves · Staff control

Clinical biller confirms extracted chart notes align with payer criteria.

Denial appeal generation
PrismIQ acts · AI co-pilot

Auto-drafts fully cited, policy-backed Level 1 & Level 2 appeal packages in under 60 seconds.

Human approves · Staff control

Billing specialist reviews, makes final edits, and approves the appeal package.

Pre-submission risk check
PrismIQ acts · AI co-pilot

Scans pre-billed surgical claims for documentation gaps, unbundling risks, and missing medical-necessity rules.

Human approves · Staff control

Authorization manager reviews flagged high-risk claims before batch release.

Retro-authorization assembly
PrismIQ acts · AI co-pilot

Gathers clinical intraoperative notes and hemodynamics data for mid-procedure code escalations.

Human approves · Staff control

Practice manager verifies the clinical packet before submitting the retro-auth request.

Claim submission & export
PrismIQ acts · AI co-pilot

Formats approved appeal packets into payer-ready PDF/Word documents or direct portal exports.

Human approves · Staff control

Staff submits the appeal directly via the payer portal or practice-management queue.

Data Handling

Your data is not our training data

Zero model training on customer PHI

PrismIQ operates under strict zero-retention and zero-training guarantees. Protected Health Information (PHI) and practice data are never used to train, fine-tune, or evaluate foundation models, proprietary LLMs, or third-party AI services.

Tenant isolation & security

All patient data and EDI 835 feeds are logically isolated in customer-dedicated infrastructure using enterprise-grade encryption — AES-256 at rest and TLS 1.3 in transit. Data processed during appeal generation resides strictly within ephemeral memory environments and is purged immediately upon task completion, according to HIPAA guidelines and custom data-retention schedules. All sub-processors are vetted under strict Business Associate Agreements (BAAs).

Traceability

Every decision is logged and attributable

Immutable audit logging

PrismIQ maintains a complete, tamper-evident audit trail for every action taken across your claims. Every generated appeal, policy match, and pre-submission risk score is logged with an immutable timestamp, user ID, system model version, and exact input-prompt metadata.

Policy citation lineage

Never guess how a recommendation was formed. Every output includes deterministic lineage tracing back to the specific payer policy clause, clinical guideline, and underlying EHR chart note used. Audit logs are retained for 7 years in compliance with HIPAA requirements and can be exported on demand via customer administrative portals for internal compliance reviews.

Compliance

Compliance posture

HIPAA Compliant

PHI is encrypted at rest and in transit. Access is scoped, logged, and least-privilege.

SOC 2 Type I complete, Type II in progress

Type I report available on request under NDA. Type II observation period underway.

BAA executed with all customers

A Business Associate Agreement is signed with every customer before any PHI is shared.

To Be Completed

Model governance & error-correction process

How model behavior is reviewed, how errors are detected and corrected, and how changes are validated before release.

Onboarding

What onboarding looks like

Step 01
Connect

Connect your EHR / practice-management system and clearinghouse via API and FHIR. No rip-and-replace.

Step 02
Learn

PrismIQ learns from your historical denials — mapping your payers, your specialties, and your recurring root causes.

Step 03
Go live

Agents go live across the revenue cycle with human approval gates in place from day one.

Connected to your EHR/PM system and running in under 30 days.

To Be Completed

Placeholder for what happens to in-flight claims during cutover — how claims already in progress are handled, whether PrismIQ runs in parallel before taking over, and how continuity of cash flow is guaranteed. Switching risk is the dominant objection for a system that touches the customer's entire cash flow.

Bring your compliance officer. We'll answer every question.

Send a de-identified remittance sample. We'll come back with the recurring root causes, what they cost you, and which ones are preventable upstream. About a week. No call required.