Observability and continuous validation
SCRIMED measures workflow outcomes, trust, review friction, and enterprise impact.
AgentOS and Atlas track denial reduction, time saved, revenue impact, escalation rates, override rates, trust metrics, and review-state quality instead of relying on generic benchmark scores.
Continuous Validation Engine
Workflow outcomes become the quality system.
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Denial reduction
Compare denied or at-risk prior authorization and claims queues before and after pilot workflow review.
Synthetic and buyer-approved baseline measurement only.
- Requires payer workflow controls, audit persistence, reviewer disposition, and approved financial methodology.
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Time saved
Track manual minutes avoided across intake, review, missing-evidence detection, and packet drafting.
Measured as an operational workflow metric, not a clinical outcome claim.
- Requires buyer baseline, reviewer calibration, and workflow-volume normalization.
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Revenue impact
Surface potential leakage from documentation gaps, denial risk, and unworked queues.
Opportunity sizing only until buyer finance validates.
- Requires finance-approved methodology and no unsupported reimbursement claims.
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Escalation rate
Track how often outputs require clinical, RCM, governance, or security escalation.
Measures workflow ambiguity and safety friction.
- Requires threshold policy and accountable escalation owners.
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Override rate
Track human modifications, rejections, and accepted recommendations by workflow and agent.
Used to tune workflow scope and trust thresholds.
- Requires reviewer identity, disposition taxonomy, and model/workflow drift monitoring.
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Trust metrics
Measure citation completeness, confidence distribution, source freshness, and TrustQA release blocks.
Evaluates readiness of evidence-backed reasoning.
- Requires source governance, source retirement policy, and monitored trust-card freshness.
Dashboard signals
Operations, safety, value, and trust signals flow into one review surface.
Track plan creation, routed tasks, sandbox runs, held outputs, and completed reviews.
Escalate if workflow queues exceed buyer SLA or review aging threshold.
Measure how often humans reject, modify, or override agent outputs.
Escalate to TrustQA when override rate rises above pilot threshold.
Track safety, evidence, policy, RBAC, and ambiguity escalations.
Escalate to governance when recurring issue category appears.
Measure confidence distribution, citation completeness, validation freshness, and release blocks.
Block promotion when trust-card completeness falls below threshold.
Track time saved, denial-risk signals, revenue leakage surfaced, access bottlenecks, and documentation quality signals.
Escalate to executive review before any ROI claim leaves pilot context.