Protect PHI at the Moment of Action — Don’t Scale Headcount. Audit-Ready.

Protect PHI at the Moment of Action — Audit-Ready in 90 Days. Don’t Scale Headcount.

Subtitle (optional)

Approve → Execute → Receipt for U.S. Healthcare
Pre-action policy gates; post-action, portable Receipts your Privacy Office, payers, and partners accept.

Short Summary (the “gist”)

Run QM in production on one high-impact decision (e.g., PHI export, prior auth, claim override, model change). We enforce policy before action and issue a third-party-verifiable Receipt after. Become audit-ready in 90 days—without adding headcount.

Long Description / Overview

Why this exists (and why it’s not a pilot)

Healthcare doesn’t need another lab demo. You need proof at action-time. QM runs in your tenant and makes policy real: we gate high-risk steps for both AI agents and humans, then issue a portable Receipt outsiders can verify—so PHI stays protected, approvals speed up, and audits become exports, not forensics.

ICP Self-Check — Are you a fit?

You’re likely a fit if 2+ are true:

• You own PHI-touching or money-moving steps (Release of Information, prior auth submissions, claims edits/write-offs, model/alert changes, fund disbursements).
• Outsiders must be convinced (Privacy/Compliance, payers, regulators, partners). Logs/screenshots aren’t enough.
• Approval cycles are slow or off-policy steps occasionally slip through.
• You’re adding automation/AI agents and want pre-action gates + post-action Receipts.

The problem (hair-on-fire, healthcare edition)

• Email/Slack “OKs” and vendor-local logs aren’t portable evidence for HIPAA reviews, accounting of disclosures, payer audits, or partner due diligence.
• Minimum-necessary slips and unauthorized disclosures create risk; days-long approvals slow care and revenue.
• You need policy before action and a Receipt after that anyone can verify without touching your systems.

What we do (Approve → Execute → Receipt)

• Encode policy as code (who may act; what PHI/thresholds/criteria; what evidence; who approves).
• Enforce at runtime for AI agents + humans: /evaluate (allow/deny), step-up approvals with timers, dual control where needed.
• Receipt on success: a signed, portable artifact—Action, Inputs, Rules Fired, Approvals, Timestamps, Hash, Export—built for Privacy, Compliance, payers, and partners.

Where to start (pick one decision)

• Release of Information / PHI Export: Consent, purpose-of-use, minimum-necessary checks; produce a Disclosure Receipt.
• Prior Authorization & Medical Necessity: Verify criteria and evidence before submission; emit a Submission Receipt payers can review.
• Claims & Payment Exceptions: Gate claim edits/write-offs > threshold with step-ups; issue a Financial Control Receipt.
• Clinical Decision Support / Model Change: Gate model/order-set/promotions; issue a Change Receipt (version + approvers).

What you get in 90 days (acceptance metrics set Day 1)

1. ≥95% receipt coverage on the scoped workflow
2. Approval lead-time reduction (P50/P90 vs baseline)
3. ≥5 routed exceptions closed with step-ups & timers
4. External acceptance: at least one Privacy/Compliance or payer/partner validates a Receipt

Commercials: Fixed 90-day fee; on success, convert to per-corridor subscription (volume bands by monthly Receipt count). If acceptance isn’t met, don’t expand.

Security & posture (healthcare-grade, low lift)

• In-tenant first (FHIR/HL7 feeds, S3, SQL, event hooks, EHR reports); no write-backs unless you opt-in.
• Adapters: SSO/IDP, EHR tasking, data lineage, LLM/tool gateways, payments/ERP.
• Assurances: neutral control-plane, append-only Receipts, offline verification, BYOK/residency/redaction, BAA-ready posture, mappings to your compliance program.

Highlights (Eventbrite “Highlights” block)

• One high-impact healthcare decision; 90 days; in production
• Pre-action gates for agents & humans; post-action, portable Receipts
• Measured by receipt coverage, approval lead-time, exception handling, external acceptance
• In-tenant, file-first; BYOK/residency/redaction options; BAA-ready

Agenda (45 minutes)

• 0–10 — The problem: why logs ≠ evidence in healthcare; what a Receipt captures
• 10–20 — Two-click demo: BLOCK off-policy → open Receipt for on-policy
• 20–35 — Map your decision step; lock acceptance metrics for the 90-day run
• 35–45 — Security/assurances, commercials, calendar for deployment

Who should attend (tags for discoverability)

• Providers & Health Systems: CISO, CIO/CTO, CDO, CMIO, VP Privacy/Compliance, RevCycle leaders
• Payers: VPs of Clinical Ops, UM/PA, SIU/Fraud, Claims Ops, Compliance
• Health Tech: Founders/CEOs, Heads of Product/Platform/AI, Compliance/Privacy

FAQs

Do we need to grant production access?
No—in-tenant, file-first for the 90-day run; no write-backs unless you opt-in.

What if we already use OPA/OTel/Sigstore?
Great—QM complements them with pre-action gates + portable Receipts and enterprise assurances.

What if we don’t pass the acceptance metrics?
Then don’t buy. You still keep the fit assessment and workflow map.

Call-to-Action (Button copy + follow-up)

Button text: Book 25-min Fit Session
Follow-up note (in confirmation email or page):
Bring one hair-on-fire decision (PHI export, prior auth, claim override, model change). In 25 minutes we’ll pick the gate, define the Receipt fields, and finalize acceptance metrics for your 90-day production run.

Thanks,

Deepak Jha
Founder, CEO of Quantum Mosaic, Inc.
669-400-6038, deepak@q-mosaic-ai.com
https://calendly.com/deepak-q-mosaic-ai/45min