§ SECTOR · HEALTHCAREEXPEDIENTE OPERATIVO

Healthcare
sistemas.

We help healthcare teams modernize clinical and operational systems without breaking privacy boundaries, delivery cadence, or the humans who already keep the lights on.

SISTEMAS
04
§ I — PANEL OPERATIVO

La vista de control.

HIPAA-grade data flows. Internal platforms that ship safely.

We help healthcare teams modernize clinical and operational systems without breaking privacy boundaries, delivery cadence, or the humans who already keep the lights on.

CLIENTES SELECCIONADOS
Polaris Health · Paragon RX · Two regional payers
MANDATO HABITUAL
Typical engagements involve integrating fragmented data flows, shrinking service sprawl, and giving platform teams one safer path to production for regulated workloads.
04
SISTEMAS
04
RESTRICCIONES
03
SEÑALES
03
CLIENTES
§ II — PRODUCTOS

Lo que podemos construir.

01

DenialIQ

USUARIOS · RCM leaders and billing operations teams
REEMPLAZA

Manual denial review, generic denial logs, and payer-specific rework handled from memory.

CAPACIDADES
+835 remittance ingestion with root-cause denial categorization
+Appeal draft generation with payer-specific evidence packaging
+Pre-submission denial scoring for outbound claims
PRIMERA VERSIÓN

Initial release supports the highest-volume payers for one specialty with denial upload, categorization, and appeal drafting.

PRECIO

$3k-$12k/mo by claim volume

02

ShieldCompliance

USUARIOS · Healthcare compliance and platform teams
REEMPLAZA

Annual HIPAA assessments, BAA spreadsheets, and spot-check audit log reviews.

CAPACIDADES
+BAA lifecycle tracking with expiration and amendment alerts
+Audit-log anomaly detection for sensitive PHI access patterns
+Policy review scheduling and compliance posture reporting
PRIMERA VERSIÓN

Version one focuses on BAA management, one EHR audit-log feed, and a weekly compliance report.

PRECIO

$1.5k-$4k/mo

03

CredentialFlow

USUARIOS · Provider operations and credentialing teams
REEMPLAZA

Spreadsheet-based provider onboarding, payer-portal rekeying, and renewal reminders managed by hand.

CAPACIDADES
+Provider document intake and verification against CAQH, NPI, and exclusion lists
+Payer enrollment tracking with alerting on blocked submissions
+Credential expiration monitoring with renewal workflow triggers
PRIMERA VERSIÓN

First release covers document intake, five credential types, and alert-driven renewal tracking before broader payer automation.

PRECIO

$400 per onboarding + $200/provider/year monitoring

§ III — OPORTUNIDADES

Donde se abre valor real.

01
RIESGO · Medium

Prior authorization operations hub

COMPRADOR

Payers, MSOs, and specialty providers

FRICCIÓN

Authorization work is still spread across call centers, fax queues, and payer portals, with no single operational truth.

WEDGE

A workflow layer that normalizes intake, tracks status, and keeps humans in the loop only on clinical edge cases.

MODELO
Per-site SaaS plus implementation
HORIZONTE
45-75 days to first deployment
02
RIESGO · Low-Medium

PHI-safe release platform

COMPRADOR

Healthcare platform and DevOps teams

FRICCIÓN

Teams cannot ship quickly because every regulated workload needs custom review, one-off controls, and tribal knowledge.

WEDGE

A default deployment path for PHI workloads with policy checks, access boundaries, and rollback built in.

MODELO
$4k-$15k/mo platform retainer
HORIZONTE
30-60 days to pilot
03
RIESGO · Medium

Patient journey gap detector

COMPRADOR

Care operations and payer transformation teams

FRICCIÓN

Clinical and operational systems disagree on the same patient journey, so staff bridge gaps manually after the fact.

WEDGE

A signal layer that watches event handoffs, flags missing transitions, and surfaces recovery queues before care stalls.

MODELO
Annual analytics subscription
HORIZONTE
60-90 days to proof of value
§ IV — ASOCIACIONES

Cuerpos que marcan el oficio.

01
AMA
02
HIMSS
03
HL7 International
04
HFMA
§ V — BLUEPRINT

La ruta del sistema.

01

Superficie

HIPAA / HITRUST environments

02

Presión

Protected health data boundaries must be explicit in code, infrastructure, and access review.

03

Vigilancia

Teams are shipping around the EHR instead of through a stable integration layer, so every change creates a new exception path.

04

Prueba

A smaller operational surface area with clearer ownership, access controls, and deployment paths.

01
HIPAA / HITRUST environments
02
FHIR & HL7 integration
03
Clinical-trial data pipelines
04
Care-coordination platforms
§ VI — PRESIÓN

Fuerzas que deforman el build.

RESTRICCIÓN 01
66%

Protected health data boundaries must be explicit in code, infrastructure, and access review.

RESTRICCIÓN 02
78%

Interfaces to legacy EHR and payer systems are usually the critical path, not the UI.

RESTRICCIÓN 03
89%

Clinical workflows tolerate downtime poorly, so rollback and observability are first-order concerns.

RESTRICCIÓN 04
100%

Procurement, security, and compliance stakeholders often need equal weight with engineering.

§ VII — SEÑALES

Lo que suele romperse.

SEÑAL 01

Teams are shipping around the EHR instead of through a stable integration layer, so every change creates a new exception path.

SEÑAL 02

Platform teams own dozens of services but still cannot give product teams a safe default way to deploy regulated workloads.

SEÑAL 03

Clinical and operational staff are forced to bridge data gaps manually because systems disagree on the same patient journey.

§ VIII — RESULTADOS

Lo que queda después del proyecto.

ESTADO FINAL 01

A smaller operational surface area with clearer ownership, access controls, and deployment paths.

ESTADO FINAL 02

Integration boundaries that respect PHI handling while still letting product teams ship useful features.

ESTADO FINAL 03

Audit-friendly delivery practices that reduce Friday-night fear instead of institutionalizing it.

§ IX — MANDATO

Cómo entramos y salimos.

MANDATO HABITUAL

Typical engagements involve integrating fragmented data flows, shrinking service sprawl, and giving platform teams one safer path to production for regulated workloads.

DEFINICIÓN DE HECHO

We bias toward simpler architectures with stronger operational controls so care teams and platform teams are not forced into heroics every release.

SIGUIENTE PASO

Si este entorno operativo se parece al tuyo, podemos definir la primera tranche de trabajo, los controles y el ritmo de entrega.

Season