One note in.
Four portals out.
Watched live.
Synthure de identifies a clinical note on your device, codes it against the official ICD 10 CM index, writes four role specific portals, and audits every line. The whole backend runs in front of you in the ops console.
The actual backend, end to end.
On device models, an edge pipeline of Claude agents, an optional trained coder service, per run guardrails and an audit chain, and a CI gate on every change. No black boxes.
- openmed pii clinicale5 33m · de identification
- openmed disease + pharma tinymed 65m · NER
The raw note never leaves the device. Only de identified text is sent on.
- constrained ICD linking · reranker over the official index
- four portal writers · claude haiku 4.5
- verifier, constitution critic, orchestrator · claude sonnet 4.6
Streamed back to the browser as server sent events, stage by stage.
- bi encoder retriever + cross encoder reranker
- cross encoder faithfulness scorer
A Hugging Face Space. When it is not wired in, the lexical linker runs instead.
- 12 deterministic checks across 6 layers
- SHA 256 audit chain, replay verifiable
- selective prediction · abstains below 0.60 confidence
The output is gated and sealed before it reaches a portal.
- provenance gate · no number without a backing record
- regression gate · no metric below its committed floor
- guardrail and harness red team graders
CI blocks a merge that would regress the evals.
The same coded record, rewritten for each reader.
An action in one portal ripples through the others. Approve a prior authorization in the clinic and it clears the claim, advances reimbursement, and flips the patient view to covered.
Plain language explanation, costs, and next steps.
Coding, prior authorization, and clinical workflow support.
Claim routing, prior authorization, and reimbursement.
Population health, cost exposure, and compliance.
Codes cannot be invented
Every code is retrieved from the official ICD 10 CM index and revalidated against the CMS tabular before it appears.
Writers are audited
A verifier and a constitution critic check every report against the extracted facts, and a revise pass removes violations.
It abstains when unsure
Below a confidence threshold the pipeline escalates to a human coder instead of auto routing.
Run a note through it.
No account. Paste any clinical note and watch the backend execute, stage by stage, in the ops console.
Launch the ops console