{"service":"scrimed-agentos-evaluation-workspace","route":"/evaluation","apiRoute":"/api/agent-os/evaluation","status":"interactive-synthetic-evaluation-ready","boundary":"SCRIMED AgentOS Evaluation Workspace accepts synthetic document packets and workflow-scope descriptions only. It does not ingest live PHI, parse production medical records, submit payer transactions, contact patients, or execute clinical care.","scenarios":[{"slug":"prior-auth-packet-readiness","name":"Prior Authorization Packet Readiness","buyer":"Payer operations, RCM, and access leaders","taskType":"prior-authorization-packet-plan","documentFamily":"prior-authorizations","workflowTarget":"Prior authorization support","objective":"Create a reviewable synthetic prior authorization packet plan with policy evidence, missing support, reviewer checkpoints, and blocked payer-facing actions.","syntheticDocumentSummary":"Synthetic prior authorization packet for a non-production orthopedic imaging request. Includes mock payer policy fields, requested service category, evidence checklist, authorization status placeholder, and missing documentation notes.","trustCardSlug":"prior-authorization-support","expectedBuyerValue":"Shows how SCRIMED can surface authorization friction, missing evidence, policy attribution, and review ownership before a protected pilot.","outcomeSignals":["time saved","denial risk surfaced","revenue leakage identified","trust completeness"]},{"slug":"documentation-review-readiness","name":"Ambient Documentation Review Readiness","buyer":"Clinical documentation, ambulatory operations, and quality leaders","taskType":"documentation-review-plan","documentFamily":"forms","workflowTarget":"Ambient documentation review","objective":"Create a draft-only synthetic documentation review plan with source trace, missing-context prompts, clinician approval checkpoint, and final-signature block.","syntheticDocumentSummary":"Synthetic encounter documentation packet with mock section headings, draft note outline, source-trace placeholders, incomplete context fields, and clinician-review checklist.","trustCardSlug":"documentation-quality-review","expectedBuyerValue":"Shows how SCRIMED can improve documentation review quality while preserving authorship, traceability, and clinician control.","outcomeSignals":["documentation quality improved","override rate","trust completeness","review friction"]},{"slug":"access-monitoring-readiness","name":"ACCESS-Aligned Monitoring Readiness","buyer":"Population health, telehealth, and chronic-care transformation leaders","taskType":"access-monitoring-plan","documentFamily":"tables","workflowTarget":"ACCESS-aligned monitoring assessment","objective":"Create a synthetic chronic-care monitoring readiness plan that maps telehealth, wearable, outcome-reporting, evidence, and review requirements without reimbursement claims.","syntheticDocumentSummary":"Synthetic chronic-care operations packet with mock monitoring cadence table, telehealth workflow fields, wearable signal availability, escalation thresholds, and outcome-reporting placeholders.","trustCardSlug":"access-monitoring-readiness","expectedBuyerValue":"Shows how SCRIMED can translate chronic-care operations into evidence-backed readiness, monitoring, and outcome-reporting design.","outcomeSignals":["access bottlenecks surfaced","time saved","escalation rate","trust completeness"]},{"slug":"enterprise-workflow-assessment","name":"Enterprise Workflow Assessment","buyer":"Executives, transformation teams, and AI governance owners","taskType":"enterprise-workflow-assessment","documentFamily":"contracts","workflowTarget":"Enterprise healthcare workflow assessment","objective":"Create a synthetic enterprise workflow assessment plan with governance requirements, integration targets, evidence gaps, reviewer ownership, and production-readiness gates.","syntheticDocumentSummary":"Synthetic enterprise workflow packet with mock operating requirements, department queue notes, governance constraints, integration targets, and executive decision criteria.","trustCardSlug":"prior-authorization-support","expectedBuyerValue":"Shows how SCRIMED converts fragmented enterprise workflow context into a governed operating-system evaluation plan.","outcomeSignals":["workflow friction reduced","governance gaps surfaced","time saved","trust completeness"]}],"taskTemplates":[{"slug":"enterprise-workflow-assessment","name":"Enterprise Workflow Assessment","route":"/workflows","owner":"Planner Agent","executionMode":["enterprise-assessment","synthetic-pilot"],"plannerSteps":["classify workflow","map value signal","attach governance requirements","select evidence needs"],"routerRules":["route by workflow target","enforce RBAC role","select sandbox","attach TrustQA"],"specialistAgents":["Interoperability Agent","Governance Agent","TrustQA Verification Agent"],"humanApprovals":["Executive sponsor review","Governance review"],"trustChecks":["Boundary verification","Evidence attribution","Human approval checkpoint"],"deniedCapabilities":["live connector execution","patient outreach","payer submission"]},{"slug":"prior-authorization-packet-plan","name":"Prior Authorization Packet Plan","route":"/agents/prior-authorization-agent","owner":"Prior Authorization Agent","executionMode":["synthetic-pilot","enterprise-assessment"],"plannerSteps":["identify payer policy source","map missing evidence","draft review packet","attach reviewer checkpoint"],"routerRules":["route to PayerIQ","require RCM reviewer","block payer submission","attach policy trust card"],"specialistAgents":["Prior Authorization Agent","Revenue Cycle Agent","TrustQA Verification Agent"],"humanApprovals":["Payer or RCM review","Governance review"],"trustChecks":["Evidence attribution","Boundary verification","Human approval checkpoint"],"deniedCapabilities":["coverage guarantee","medical necessity determination","autonomous payer submission"]},{"slug":"documentation-review-plan","name":"Documentation Review Plan","route":"/agents/documentation-agent","owner":"DocuTwin","executionMode":["synthetic-pilot","enterprise-assessment"],"plannerSteps":["parse encounter context","create draft-only outline","attach source trace","require clinician review"],"routerRules":["route to DocuTwin","block final note","require clinician reviewer","attach documentation trust card"],"specialistAgents":["Documentation Agent","Clinical Intelligence Agent","TrustQA Verification Agent"],"humanApprovals":["Clinical review","Governance review"],"trustChecks":["Boundary verification","Evidence attribution","Human approval checkpoint"],"deniedCapabilities":["final note signature","EHR filing","autonomous diagnosis insertion"]},{"slug":"access-monitoring-plan","name":"ACCESS-Aligned Monitoring Plan","route":"/atlas","owner":"Sanar AI","executionMode":["enterprise-assessment","synthetic-pilot"],"plannerSteps":["map chronic-care track","identify wearable/telehealth signal","define outcome reporting","attach clinician-guided review"],"routerRules":["route to Sanar AI","require clinical reviewer","require evidence timestamp","block reimbursement claim"],"specialistAgents":["Clinical Intelligence Agent","Interoperability Agent","Governance Agent"],"humanApprovals":["Clinical review","Executive sponsor review","Governance review"],"trustChecks":["Evidence attribution","Boundary verification","Human approval checkpoint"],"deniedCapabilities":["reimbursement guarantee","autonomous patient monitoring","clinical outcome claim"]}],"documentFamilies":["forms","tables","contracts","referrals","claims","prior-authorizations"],"trustCards":[{"slug":"prior-authorization-support","recommendation":"Prepare a reviewable prior authorization packet with policy citation and missing-evidence checklist.","workflow":"Prior authorization support","confidence":0.78,"sourceIds":["cms-interoperability-prior-auth-2024","buyer-policy-repository"],"sourceAttribution":"CMS policy awareness plus buyer policy repository when configured.","guidelineVersion":"Policy-specific; tenant validation required.","validationStatus":"synthetic-only","lastUpdated":"2026-06-02T00:00:00.000Z","humanReview":"RCM or payer operations reviewer approval required before any payer-facing action."},{"slug":"documentation-quality-review","recommendation":"Generate draft-only documentation review prompts with source trace and clinician review requirement.","workflow":"Ambient documentation review","confidence":0.74,"sourceIds":["clinical-guideline-repository","buyer-policy-repository"],"sourceAttribution":"Tenant-approved clinical and documentation policies when configured.","guidelineVersion":"Tenant-approved guideline version required.","validationStatus":"needs-review","lastUpdated":"2026-06-02T00:00:00.000Z","humanReview":"Licensed clinician review required before note finalization or EHR filing."},{"slug":"access-monitoring-readiness","recommendation":"Assess chronic-care, telehealth, wearable, and outcome-reporting readiness without reimbursement claims.","workflow":"ACCESS-aligned monitoring assessment","confidence":0.68,"sourceIds":["cms-access-model","hl7-fhir-standard","buyer-policy-repository"],"sourceAttribution":"CMS model awareness, interoperability standards, and buyer policy repository.","guidelineVersion":"CMS public model page plus tenant policy version.","validationStatus":"needs-review","lastUpdated":"2026-06-02T00:00:00.000Z","humanReview":"Clinical, compliance, finance, and executive review required before reimbursement program use."}],"observabilityMetrics":[{"metric":"Denial reduction","route":"/observability#denials","measurement":"Compare denied or at-risk prior authorization and claims queues before and after pilot workflow review.","pilotUse":"Synthetic and buyer-approved baseline measurement only.","productionGate":"Requires payer workflow controls, audit persistence, reviewer disposition, and approved financial methodology."},{"metric":"Time saved","route":"/observability#time-saved","measurement":"Track manual minutes avoided across intake, review, missing-evidence detection, and packet drafting.","pilotUse":"Measured as an operational workflow metric, not a clinical outcome claim.","productionGate":"Requires buyer baseline, reviewer calibration, and workflow-volume normalization."},{"metric":"Revenue impact","route":"/observability#revenue-impact","measurement":"Surface potential leakage from documentation gaps, denial risk, and unworked queues.","pilotUse":"Opportunity sizing only until buyer finance validates.","productionGate":"Requires finance-approved methodology and no unsupported reimbursement claims."},{"metric":"Escalation rate","route":"/observability#escalations","measurement":"Track how often outputs require clinical, RCM, governance, or security escalation.","pilotUse":"Measures workflow ambiguity and safety friction.","productionGate":"Requires threshold policy and accountable escalation owners."},{"metric":"Override rate","route":"/observability#overrides","measurement":"Track human modifications, rejections, and accepted recommendations by workflow and agent.","pilotUse":"Used to tune workflow scope and trust thresholds.","productionGate":"Requires reviewer identity, disposition taxonomy, and model/workflow drift monitoring."},{"metric":"Trust metrics","route":"/observability#trust","measurement":"Measure citation completeness, confidence distribution, source freshness, and TrustQA release blocks.","pilotUse":"Evaluates readiness of evidence-backed reasoning.","productionGate":"Requires source governance, source retirement policy, and monitored trust-card freshness."}],"updated":"2026-06-02"}