Claims-first RAF documentation + MEAT note automation

Audit-safe risk adjustment workflows.

Switchyard deterministically transforms messy payer + clinical inputs into governed condition candidates, MEAT-ready documentation, and submission-ready artifacts—with full lineage.

Security & Compliance See the workflow
Determinism first Governance always-on Condition is atomic Provenance + audit trails

Product

Claims normalization

Ingest payer files, normalize into a canonical model, and build a baseline condition universe—repeatably.

Governed condition candidates

Deterministic rules generate candidate conditions and documentation gaps, filtered by payer/program policy.

MEAT-ready documentation

Draft MEAT-compatible note sections from evidence; clinicians attest and edit truth before finalization.

How it works

01
Ingest
Claims (837/CSV/835) land in secure storage; optional EHR signals enrich at visit-time.
02
Normalize + canonicalize
Map messy inputs into a consistent, multi-tenant canonical model with lineage retained.
03
Detect conditions
Build and score patient conditions over time (recency, corroboration, provenance strength).
04
Apply governance
Enforce payer/program policy: lookbacks, evidence requirements, suppression, and warnings.
05
Draft MEAT
Generate MEAT-ready content with linked evidence; clinicians confirm, edit, and sign.
06
Package & audit
Produce payer-ready artifacts and preserve end-to-end audit lineage for replay and defense.

Security & Compliance

Tenant isolation

Designed for multi-tenant safety with strong separation patterns and auditable access boundaries.

Provenance by default

Every recommendation traces back to evidence sources with timestamps and lineage for audit defense.

Deterministic core

Rules and governance are deterministic-first; AI (if used) is limited to phrasing and summarization.