Engineers In Network.
Engineers arrive with the platform, the tools and the method to move your operation a generation ahead — governed, agentic AI on the systems you run today, mainframe included. No modernization required.
MN criteria met · held for clinician sign-off
Original determination replayed as of date of service
835 matched to 837 · draft held for examiner
Answer read from the record, verbatim
Backdated termination landed as a correction
Identity resolved once · reused everywhere downstream
The operation you keep.
AI-native in months, not eighteen.
We come in, assess the operation, and stand up your first governed workflow — the published plan of record, gated by your own sign-off. The operation follows on a clock counted in quarters, not in program years.
Workflow onelive, governed, on your systemsProduct development, collapsed.
What took quarters ships in days in the studio, because the integration, the identity resolution and the audit trail are substrate rather than a rebuild per workflow. The second workflow costs a fraction of the first.
quarters → daysin the studioThe contact-center operating model.
Routine volume is answered by AI, from the record. A floor of roughly 2,000 representatives becomes roughly 200 VIP-escalation specialists, reserved for the calls that genuinely need a human — and handle time comes down as a consequence of the design, not as a target pinned to a wallboard.
the operating model we install · worked example, not a quoted result2,000 → 200representatives → VIP-escalation specialists
All of it governed and recorded — which is why compliance signs the yes.
Enterprise AI runs inside a control plane, or it runs on trust.
Observability tells you what the AI did. A control plane governs what it can do. Most enterprises have only the first — traces, dashboards, audit logs, every one of them reporting after the act. The control plane is the layer with authority: it decides what data enters the environment, what an agent may do inside it, and what is permitted to leave. Member data does not cross the boundary. That is enforced in the substrate every workflow is built on, not written into a policy document and hoped for.
Which is why this deploys without a modernization program in front of it. Your security and compliance teams are not asked to approve an intention — they validate controls that already exist, in your boundary, and validation ends.
Observability makes behavior visible. A control plane makes policy operational.
- Beforecan stop it
What isn't granted doesn't exist
Tools are a typed registry, not a prompt. An action absent from the registry is not a policy violation — it is not a reachable state. Nothing negotiates at runtime over what the agent is permitted to touch.
agent-harness - Duringcan stop it
Checked while working, not after
The PHI boundary is enforced at construction: an un-gated model client cannot be built. Every completion passes the gate, and it fails closed — if it cannot establish a payload is safe, the call does not happen. A refusal, not a best-effort redaction.
phi-gate - Before releasecan stop it
Nothing ships unverified
A determination classified as adverse carries a mandatory review gate the engine refuses to clear without a named human. Egress is policy, not convention: what leaves the boundary carries the shape of a decision, never the member behind it.
consent · canonical - Afterdetects only
The alarm, not the lock
Hash-chained, write-once evidence over canonical JSON. It detects; it does not prevent — and a plane that presents monitoring as a control is the one your security team will reject. It is here because the record has to outlive the engagement.
audit-evidence No agent verifies its own output. A check is a different model lineage or a deterministic tool, and a named human owns the disposition — the segregation of duties your auditors already require of people, applied to software.
What the rules are about to require.
No trend pieces. Each of these came out of one specific fight — a clock that started in four places, an overturned appeal nobody could reproduce, a core system that was never going to be replaced. Written for the people who own the determination, not the roadmap.
CMS-0057-F Is Here. Your Payer Operations Aren't Ready.
FHIR APIs by January 2027, 7-day standard PA decisions now
Healthcare AI Budgets Are Moving to Governed Workflow Proof
Why trusted evidence and measured workflow outcomes are beating autonomy theater
Healthcare AI Is Moving Into the Care-Payment Boundary
Why trusted workflow surfaces matter more than another ambient note demo
Three minutes, zero slides.
The demo runs on the real backend with synthetic members. Ask Nova — she hands you a member card and puts you on the line with Eva.