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The pilot

Give us cases you've already decided. We'll show you what a file would need to survive an audit.

A pilot is 120 days, on 100–500 cases a health plan has already decided — retrospective, never live — with success and failure criteria written and signed before any data moves. Nothing about a live case changes during a pilot.

The offer

Pricing is discussed with each plan for the 120-day engagement, credited to year-one licence fees if the plan converts.

Custom terms are available for early customers. Pricing beyond the pilot is also discussed directly, not published as a fixed rate — ask us directly.

The question the pilot answers

"Give us a sample of already-decided cases. We'll show you which decisions can be reconstructed into a complete, independently checkable file — and which cannot."

120-day pilot timeline: Charter signed before cases enter, mapping runs deterministically, review recorded separately, verification happens offline, metrics measured at end before any live rollout
How it runs, in plain words
StageWhat happens
CharterSuccess and failure criteria are written and signed before any case data moves. A named clinical reviewer is identified. The regulatory baseline for the review is named up front.
IngestThe plan's retrospective case export is loaded under a signed confidentiality agreement and agreed data-handling terms. The source export is never changed.
MapblueChart or blueClaims maps each requirement or policy clause to chart evidence that supports it, contradicts it, or is missing — deterministically, with no AI model in the decision path.
ReviewThe named human reviewer accepts, rejects, or picks "none of these" — nothing is preselected. Their decision is recorded as its own separate signed record, never mixed into or overwriting the engine's own finding.
VerifyThe plan's own counsel, compliance team, or an auditor checks the resulting file with the free offline verifier — no account, no network call, no need to trust MOBLUEHQ.
MeasureResults are scored against the metrics that were pre-registered at Charter, not chosen afterward.
Pre-registered metrics

Fixed before any case is reviewed, never adjusted after looking at results:

  • Packet completeness
  • Independent verification rate
  • Reviewer-identity verification
  • Evidence-gap rate
  • Reviewer minutes per case
  • Audit exceptions surfaced
  • A plain conversion decision — a signed yes, or a written reason why not
What a pilot never promises
  • No live case is ever touched — the pilot runs only on cases already decided.
  • No claim that a reconstructed file proves the original coverage decision was correct — it proves what evidence, policy, and named human took part.
  • No promise that a plan converts to a paid licence — the pilot fee is credited toward year-one licence fees on conversion, and is not refunded if a plan decides not to proceed.
  • No clinical-correctness, certification, or HIPAA-compliance claim of any kind.
  • No uptime, speed, or scale figure — none has been measured.
  • Care-team access rules are enforced on all 15 record types the role matrix marks as care-team-scoped. No claim that the clinical platform is ready to go live with real patients — that also requires the clinic's own explicit go-live sign-off, recorded only once the rest of the go-live checklist is done. (blueChart and blueClaims do not depend on care-team scoping.)
Charter template

A pilot charter template — the document that fixes success and failure criteria before any data moves — is available on request while we finish preparing it for general publication. Ask for a copy.

A signed file proves process, not truth. It proves what evidence, policy, software version, and named human took part in a decision, and whether anything has changed since. It never asserts the original coverage decision was correct, and no blueHealthcare product approves, denies, recommends, pays, retracts, or alters anything.