Managed by MedIQ. Audited end-to-end.
We don't ask tenants to pick models or hold AI keys. MedIQ centrally vets each model for HIPAA eligibility and accuracy, then assigns the right one to each task. You get the capability — we own the cost, the compliance, and the upgrade path.
Three reasons MedIQ governs every model centrally.
Centralized model governance isn't a limitation — in healthcare RCM, it's the only defensible posture. Here's how we operate it, and why it matters.
Governed AI, in seven properties.
Each AI task — scrubber risk pass, appeal letter, coding suggestion — runs on the model MedIQ has approved for that task.
We only enable models whose provider terms support our BAA posture. Non-eligible models cannot be assigned.
Per-tenant slider — Conservative, Balanced, Aggressive. Auto-apply only fires above your threshold.
Every AI-applied change is a reversible patch with the original preserved. One click to undo, log preserved.
Every AI decision writes input hash, decision, rationale, and confidence — never PHI.
PHI stripped before any model call. Logs record the structured payload, not patient identifiers.
No model keys to provision, rotate, or invoice. No metered surprise. No per-inference billing.
We monitor accuracy and latency across the model fleet and adjust assignments. You don't need to do anything.
From suggestion to safe, reversible patch.
The same pipeline runs on every claim. Suggestions that don't meet your tenant's confidence threshold flow to a biller for review; everything else applies cleanly and writes itself into the audit log.
- 1Deterministic findingsRules execute first; AI never overrides a rule.
- 2AI suggests patchesGoverned model proposes a reversible change with a confidence score and rationale.
- 3Threshold checkIf confidence ≥ tenant threshold, the patch is queued for auto-apply.
- 4Apply + auditPatch applied; original value preserved; audit row written with input hash + decision.
- 5Biller review (optional)Anything under threshold lands in the work queue with the proposed diff.
- 6ReversalOne-click undo restores the original and logs the reversal.
The questions auditors actually ask.
Want the governance brief?
We can send the model review checklist, audit-log schema, and accuracy-monitoring approach.