Accountable AI for healthcare operations

AI workers that
show their work.

ANDR3W runs the administrative and operational work of hospitals and health systems inside the systems you already use. Every answer is checked before it goes out, and every decision comes with a receipt you can open.

  • Checked before it counts
  • Receipt for every decision
  • Isolated per customer
The ANDR3W brain · OMNI R3CALL
Live illustration · synthetic data
Checked before it countsA receipt for every decisionCites every sourceKnows when a document changedPromises kept until doneSurfaces insights on its ownProven programs, not guesses
Your own isolated environmentYour own key vaultImmutable backups, separate regionModel agnostic, automatic failoverNever trains on your dataBetter every weekVerifiable releases
GlassBox · the nervous system

Watch one request travel through the system.

Hear, understand, remember, think, check, deliver. Every step is timed, every check leaves a receipt, and when a check catches something, the AI fixes its own answer before anyone sees it.

Tracing one request ✓ chain verified · 14 receipts Microsoft Teams · Supply chain analyst revised, then delivered
“Are we being billed the contracted price on the Q3 surgical stapler invoices?”
⟷ Swipe to follow the request
SlackTeamsEmail SlackTeamsEmail recalled · Supply agreement MSA-2291recalled · Invoice INV-88213 ✎ 1 draft fixed by its author
✎ The math check fixed the draft
45 units overbilled, $1,174.50 in total.
45 units overbilled, $1,147.50 in total (45 × $25.50, computed in code).
Hear
  • ✓Acknowledged 37 ms
Understand
  • ✓Who is asking 144 ms
  • ✓What they mean 637 ms
Remember
  • ✓Recall 193 ms
  • ✓Context 48 ms
Think & act
  • ✓Tools 1.5 s
  • ✓Math in code 0.2 s
  • ✓Compose 2.3 s
  • ✎Fix 1: redraft 385 ms
Check
  • ✓2 of 8 judge categories 59 ms
  • ✓Re-check 199 ms
✓ grounding✎ math+6 not needed
Deliver
  • ✓Delivered, read back 82 ms
Where the 6.6 s went · bright = the slowest step 0 s → 6.6 s
Hear
Understand
Remember
Think & act
Check
Deliver
Sample data. Illustrative scenario.
GlassBox · decision receipts

Click any answer. See exactly why.

Most AI asks you to trust it. ANDR3W hands you the receipt: what it understood, what it read, the math it did in code, every check that ran, what each one caught, and why the answer was allowed out.

Sample data · illustrative scenario
Microsoft Teams Supply chain analyst
Are we being billed the contracted price on the Q3 surgical stapler invoices?
ANDR3W
No. Three lines on invoice INV-88213 bill $412.00 per unit against the contracted Tier 2 price of $386.50. That is 45 units overbilled by $25.50 each, $1,147.50 in total. I drafted a credit request to the supplier for your approval.
Grounding: Pass GROUNDING Answers: Pass ANSWERS Continuity: not needed for this answer CONTINUITY Actions: Held for a person ACTIONS Deliverables: not needed for this answer DELIVERABLES Safety: Pass SAFETY Voice: not needed for this answer VOICE Calculation: Caught · fixed CALCULATION 0 / 8 JUDGE CATEGORIES
Sources read
3
Caught and fixed
1
Held for a person
1
Not needed
3
rcpt_9f2c71e0a4 ready
Read 3 sourcesComputed in code5 judges ran1 caught a mistakeFixed by its author1 held for a personDeliveredSealed
  1. 01 · Understood

    Compare the billed unit price on every Q3 stapler invoice line with the contract price for the tier this facility qualifies for. Scope: 41 invoice lines, 1 supply agreement, 1 volume report.

  2. 02 · Read
    • Supply agreement MSA-2291Section 4.2 · tier pricing table · page 14
      “Tier 2 (2,500 to 4,999 units annually): $386.50 per unit”
    • Q3 purchase volume reportFacility summary
      “Trailing twelve month volume: 3,140 units (qualifies for Tier 2)”
    • Invoice INV-88213Lines 7, 19 and 33
      “Unit price $412.00”
  3. 03 · Computed in code, not by the model
    › 412.00 - 386.50 = 25.50 / unit
    › line 07 15 x 25.50 = 382.50
    › line 19 20 x 25.50 = 510.00
    › line 33 10 x 25.50 = 255.00
    = 45 units · $1,147.50 overbilled
  4. 04 · Governance system · specialized judges
    • Pass Grounding. Every figure traces to a line in a source document.
    • Caught · fixed Calculation. Draft said $1,174.50. Recomputed $1,147.50 and sent it back. The author corrected its own answer.
    • Pass Answers. Answers the question asked, for the period asked.
    • Held for a person Actions. Credit request drafted, not sent. Needs someone with purchasing authority.
    • Pass Safety. No sensitive data in the reply.
    ✎ Author's revision
    $1,174.50 in total→$1,147.50 in total
  5. 05 · Sealed
    Revised, then delivered
    One correction by the author before anything reached the analyst.
    ✓ verified on write · and on read
    today's chain
    0 gaps · 0 mismatches
    previous
    4b71c0d2e9a85f36
    this decision
    9f2c71e0a4b8d35c
    next
    awaiting…
The real problem

Why AI breaks the moment it meets real operations.

A smarter model does not fix any of these. They are failures of the layer around the model. That layer is what ANDR3W built.

Truth

Quotes numbers it never computed, cites documents it never read, and serves last month's fact with today's confidence.

Reliability

A timeout or restart and the request simply vanishes. Nothing measures the silence.

Follow-through

"Let me pull that now" turns into nothing. Promised work ages into a broken promise.

Security

Shared retrieval and broad service accounts let the wrong data reach the wrong answer.

Accountability

"The AI said so" is not an audit trail. A month later, nobody can say why it decided what it did.

Accountable by design

Four guarantees, each enforced in the architecture.

Every guarantee rests on the same design: one checkpoint everything must pass through, a rule in the build that blocks any way around it, a live measurement of anything that slips, and an alert if it ever does.

01

Checked before it counts.

A governance system of specialized AI judges reviews every answer for grounding in your records, recomputed math, relevance and safety. When one objects, it sends its reasons back to the AI that wrote the answer, which fixes it. Checks improve the answer. They never replace it with a canned reply.

02

A receipt for every decision.

Each decision writes a small, privacy-safe record of what was checked and what happened, chained so it cannot be quietly changed. Ask "why?" and the answer is read from that record, not invented after the fact.

03

Work you can prove.

Teach a process once and it becomes a proven program that runs the same way every time, at any volume. Every item gets its own receipt, and a run cannot report done on work it did not do.

04

Built for a security review.

Every customer runs in its own isolated cloud environment with its own network, key vault and backups, including immutable copies in a separate region. Your data never trains a model.

The life of a request

Six steps. Nothing skipped. Nothing silent.

  1. 01
    Heard

    Arrives in Slack, Teams or email, and is acknowledged right away.

  2. 02
    Understood

    Resolves who is asking, what they mean and what they are allowed to see.

  3. 03
    Grounded

    Pulls the exact records and passages it needs, with citations.

  4. 04
    Checked

    Judges review the draft in parallel. The author fixes what they catch.

  5. 05
    Delivered

    Every request ends answered, with a question, or with an honest reason.

  6. 06
    Receipted

    The decision is recorded, chained and ready for anyone to open.

Where it works

Built for the operational core of a health system.

Revenue cycle operations

Denial triage, eligibility checks, claim follow-up and payer policy questions.

Every appeal cites the payer rule and the lines it relied on.

Supply chain and procurement

Invoice to PO to contract matching, price variance and item master hygiene.

Every variance shows the contract clause and the math, recomputed.

GPO contract operations

Contract terms, tiers, eligibility, rosters and sourcing responses.

Every flag carries its reason and the record it came from.

Scheduling and coordination

Queues, worklists, follow-ups and the status chasing nobody has time for.

Every promise is tracked until a receipt closes it.

Back office and administration

Intake, routing, document extraction and recurring reports.

Every extracted field points back to the page it came from.

IT and data operations

Ticket triage, job monitoring and cross-system data synchronization.

Every change is logged with who approved it and why.
It compounds

An AI workforce that is better every week than the week before.

Its memory, its skills and its library of proven programs grow every week it runs, and the platform behind it improves continuously.

OMNI R3CALL

Reads what you share, remembers it, cites its sources and knows when a document changed or was replaced. Built to scale to millions of documents, with answers in milliseconds.

Insights

The brain surfaces patterns, risks and opportunities on its own, each with its reasons, its sources and a confidence score.

Execution Engine

Your library of proven programs grows with every process you teach. When a program breaks on new data, it repairs itself and serves the fix only after an independent check approves it.

Evolution Engine and FORGE

Every miss becomes a permanent fix. An AI software factory designs, builds, tests and ships improvements around the clock, each one proven before it reaches you.

Insights · found on its own
Sample
Risk just now

Three supplier agreements auto-renew in the next 45 days with price escalators above 4%.

Why · Renewal clauses found in sections 11.2, 9.4 and 12.1. No termination notice is on file for any of them.

3 contracts1 notice log
Confidence92%
Opportunity just now

Wound care volume is 6% short of the next contract price tier.

Why · Trailing twelve month volume is 4,700 of 5,000 units. Consolidating orders from two facilities crosses the tier.

2 agreements1 volume report
Confidence88%
Change just now

Payer A changed its prior authorization rule for outpatient imaging on August 1.

Why · The new revision adds a repeat-study exemption. Four open worklist items still cite the old rule.

1 policy4 worklist items
Confidence97%
Every insight carries its reasons, sources and confidence.
The work keeps growing

More rules, tighter deadlines, the same teams.

15%

of claims to private payers are denied on first submission

Source: Premier, 2024
39

prior authorizations per physician, every week, about 13 hours of work

Source: AMA survey, 2024
72 hrs

for expedited prior authorization decisions under the CMS rule effective 2026

Source: CMS-0057-F
Security and trust

Designed to be opened up by your security team.

Isolation is physical first, fails closed everywhere else, and is enforced in the build. We are precise about what we hold and what is on our roadmap, because your risk team will check.

Visit the trust center
Your own isolated environment
Your own key vault
Encrypted in transit and at rest
Immutable backups in a separate region
Model agnostic, automatic failover
Never trains on your data
BAA for protected health information
SOC 2 Type II and HITRUST on our roadmap
How it is built

Engineered like infrastructure, held to a standard most software never meets.

Every lesson becomes a rule

When something goes wrong, the pattern is named, every instance is fixed at once, and a rule in the build keeps it from ever coming back.

Proven before it reaches you

Each release runs first on internal agents against real situations it has learned from, and must beat a bare model before it reaches a regulated customer.

Independent approval on every change

No change merges without an independent review pinned to that exact change, and no fix is accepted without a test that fails on the old code.

Verifiable releases

Every release carries signed build provenance, so what is running can be checked independently.

See what ANDR3W would run for your health system. Then open every receipt.

A briefing is a working session, not a pitch. Bring a workflow and the people who own it, and we will show you how it would run, what it would check, and what the receipts would show.