Independence OS
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Twelve products.
One ecosystem.

OwnCuraRookGuardianScribeClinicsCredentialingBishopAmohRCMSupply chainModelsFoundry

The system

One operating system, end to end.

RookoversightBishoppatient appClinicsfront deskCredentialingcoverageScribeencounterRCMclaimsSupply chaininventoryGuardianbrainModelsinternalAmohresearchFoundrydata layerOwnCuralisting platform RookoversightBishoppatient appClinicsfront deskCredentialingcoverageScribeencounterRCMclaimsSupply chaininventoryGuardianbrainModelsinternalAmohresearchFoundrydata layerOwnCuralisting platform
Listing platform

OwnCura

The Marketplace. Where a practice comes onto the stack.

OwnCura · listingsTexas · 3 active
Pediatric practicePasadena, TX · 2 providers · 3,100 patients
$1.2M rev
Family medicineAustin, TX · 3 providers · 5,400 patients
$2.1M rev
PediatricsKaty, TX · 1 provider · 2,200 patients
$0.9M rev
Diligence roomfinancials · payer mix · leases
Oversight

Rook

Executive dashboard. The whole clinic, on one screen.

Rook · this week10 practices · Mon to Fri
412 hstaff time saved
$61kcost avoided
97.8%accuracy vs human review

What each agent did

Clinics1,204 calls answered · 3 escalated
Scribe418 notes · 96% signed unchanged
RCM389 claims · 12 denials worked
Guardian24 care gaps closed

Insight

Denials at BCBS TX are up 40% this month. 8 of the 12 share one CPT. Review the coding rule.needs a decision
Brain

Guardian

The brain. Care that does not fall through the cracks.

Guardian · qualitypanel · 1,240 patients
82%HEDIS W15 well-child
24care gaps open
3HCC suspects

Directives issued

Clinicscall list · 3 overdue W15
Bishopreminder · Maria Reyes · A1c
RCMhold · claim 8839 · dose check
Encounter

Scribe

The encounter. The visit, written for you.

Visit note · Maria Reyestoday · 09:20
ClinicianHow long has the throat been sore?
PatientAbout three days. No fever.

Draft note

SSore throat, three days. Denies fever.
OPharynx erythematous, no exudate. Lungs clear.
AAcute pharyngitis, likely viral.
PSupportive care. Return if fever or worsening.
ICD-10 · J06.9CPT · 99213ready to sign
Front desk

Clinics

The front desk. Every call answered.

Live call · Nag Pediatrics00:47
CallerHi, my daughter has had a cough since last night. Can she be seen today?
AgentYes. Dr. Syal has a sick visit at 9:20 or 11:40 this morning. Which works better?
Caller9:20, please.
AgentBooked for 9:20. I have sent a confirmation to the number you are calling from.
Appointment created09:20 · sick visit
Confirmation textsent
Coverage

Credentialing

Coverage checks. Verified before the visit.

Eligibility · tomorrow's schedule18 of 18 checked
Maria Reyes Aetna · Open PPOactive
Jordan Lee BCBS TX · HMOactive
Ana Torres UHC · Choice Plusplan lapsed
Sam Okafor Medicaid TXactive

Maria Reyes · benefits

Copay$25
Deductible$500 / $1,500
Coinsurance20%
Prior authnot required
Patient app

Bishop

The patient app. A health assistant in every pocket.

Bishop · Maria Reyes

Today's visit: a mild throat infection. Rest and fluids. Dr. Syal wants to see Maria again on the 14th.
PDF
Care plan · Maria Reyes2 pages · from today's visit
Should she stay home tomorrow?
One more day is best. I have set a reminder for the follow-up.
Follow-up · 14 Oct · 10:00added
Message Bishop…
Research

Amoh

The research lab. Solving medical AI research.

Amoh · medical-rl v0.33 environments · 736 rollouts

Pass rate · frontier model, before fine-tuning

Front-desk call61%
Note to codes84%
Denial appeal43%

Reward · denial appeal · 40 steps

fine-tuned base
Trajectory #41step 3 · wrong modifier · reward 0 · added to training
export · Harborverifier · rule + modelopen-source release · Q1
Claims

RCM

Revenue cycle. Get paid for the work you do.

Revenue cyclethis month
CodedScrubbedSubmittedAdjudicatedPaid
$48.2kcollected
96%clean claim rate
7appeals won

Claims

Claim 8842paid
Claim 8839 CO-16appeal drafted
Claim 8851submitted
Inventory

Supply chain

Inventory. The clinic never runs out.

Inventory · Pasadena142 items tracked

Usage · last 14 days

Par levels

DTaP vaccine8 doses · below par · reorder placed
Rapid strep tests62 · ok
Nitrile gloves, M14 boxes · ok
Foundation · Internal

Models

In-house models. Clinical and voice, built by our own team.

Voice model · streaminglatency 180 ms

Transcript

PatientSore throat for about three days now. No fever that I noticed.

Models in use

Speech to textindos-asr · exam room
Clinical languageindos-clin · notes, summary
Codingindos-code · ICD-10, CPT
Foundation · Data

Foundry

The data layer. The shared record under everything.

Foundry · shared recordingest 21 writes/s

Live writes

Scribe notewrite · 24 ms · ok
Clinics appointmentsync · 12 ms · ok
RCM claim 8851index · 18 ms · ok
Credentialing coveragewrite · 9 ms · ok

Sources connected

Clinicslive
Scribelive
RCMlive
Supply chainlive

One system, proven where it should work first.

Every product here runs in our own clinics before it goes anywhere else. If you are a practice or a builder who wants in, write to us at admin@independenceos.ai.