!AI evidence flow

AI overview

The current AI platform routes model work through a single governed provider abstraction. The configured production provider in the repository is Anthropic.

Registered capabilities include:

• appeal drafting
• extraction
• classification
• retrieval ranking
• reasoning
• validation
• contradiction detection
• summarization
• forecasting
• intake triage
• evidence completeness
• appeal quality
• denial strategy
• AR prioritization
• call preparation
• call-note structuring.

Guardrails

AI provider access requires a scoped security context. Capability controls can disable a capability, constrain context size, and require human review.

The runtime refuses PHI processing unless the configured PHI-processing approval flag is enabled.

Provider contracts, retention terms, and BAA status remain external dependencies and are not established merely by code.