How DenialOS works

Source intake
  ↓
Case / claim context
  ↓
Evidence and policy context
  ↓
Human-reviewed action preparation
  ↓
Payer interaction / recovery work
  ↓
Observed outcome
  ↓
Analytics and operational learning

For EHR sources, the integration spine adds:

FHIR response
  ↓
Source envelope
  ↓
Validation
  ↓
Canonical record
  ↓
Persistence + provenance
  ↓
Checkpoint / reconciliation
  ↓
Denial workflow

The source record remains distinguishable from derived facts, model inference, recommendations, and unknowns.

Human control

AI capabilities are registered, scoped by organization/client, subject to capability controls, and—by default—require explicit human review. Autonomy decisions can deny execution, require human authority, or place a capability into kill-switched state.

Evidence-first behavior

The platform is designed so missing evidence can remain unknown. It does not turn uncertainty into an invented payer decision or clinical fact.