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AIgenTXS / Health + Life Sciences

Keep the evidence close to the decision.

AIgenTXS is designed to give care and research operations a reviewable chain from request to evidence to the qualified person who decides. Missing context stays visible; a confident model answer cannot fill it in.

Health + Life SciencesArchitecture study
Continuity of evidenceRequest / source record / qualified review
Eligibility, prior authorization, and clinical operations.Illustrative industry design / AIgenTXS architecture

Why this workflow needs a record

A missing record is a reason to pause.

Eligibility, prior authorization, and clinical operations require different forms of authority. A useful agent makes those distinctions visible, carries source material through each handoff, and exposes evidence gaps before a reviewer is asked to decide.

Inside the workflow

Different decisions.
The same discipline.

Choose a scenario to inspect the proposed action, governing rule, evidence, and person responsible.

The proposed action

Prepare a lumbar MRI request for clinician review.

Illustrative workflow. No live action.

Policy
Check the sample plan criteria and required documentation before referral.
Evidence
Clinical notes, imaging order, plan version, and source timestamps.
Reviewer
Qualified reviewing clinician.
Effect record
Track the human determination separately from the agent’s recommendation.

An interactive policy example

Change the context.
See what must change next.

Adjust one sample input, declare the evidence, and record a simulated approval. A boundary failure remains a failure even when approval is checked.

Illustrative record freshness window30 days

AIgenTXS / policy exampleLocal only
Evidence missing

Held for supporting evidence.

Still needed: imaging order attached.

Named reviewerReviewing clinician
Execution grantNone
External effectNo action taken

Illustrative inputs and one simplified policy rule. Calculated in this browser; no upload, stored decision record, provider call, or external action. This is not a deployed industry workflow.

What stays attached

Evidence. Authority.
An inspectable outcome.

The evidence

  • The source and age of each supporting record
  • The applicable plan or protocol version
  • Missing documentation and unresolved conflicts

The authority

Clinical judgment remains with qualified professionals. Administrative checks do not diagnose, prescribe, or determine care.

The effect

A future configured workflow would keep the authorized determination and its administrative result linked without treating a model response as clinical proof.

Start with one workflow

Bring the action.
Map the boundary.

Tell us what your team needs to govern, which evidence matters, and who owns the decision.

Current scopeIllustrative industry design using fictional administrative inputs. No patient data, clinical decision, eligibility determination, or treatment action is processed.

AIgenTXS’s mandate-to-effect architecture is implemented and tested in-repository with synthetic fixtures. Product runtime deployment, customer use, and independent attestation are separate milestones.

Read the architecture and evidence status

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