{ "schema": "https://solvinghealth.com/schemas/agent-manifest-v1", "name": "SolvingHealth", "url": "https://solvinghealth.com", "updated": "2026-09-21", "summary": "The physician intelligence network: a routing layer for healthcare AI, and the technology layer and operating company under every site in the network: SurgeonValue, ClinicalSwipe, Altru, co-op.care and the rest. Free pipes, paid brain: the connectors (FHIR, HIPAA tooling, identity, PROMs) are open source under Apache 2.0; the paid part is a licensed physician who signs or declines what a model produced. The rail: drafted by a model, checked by a deterministic gate, signed by a named licensed physician, sealed into a SHA-256 receipt on the hashcare public ledger. Status: pre-go-live pilot; no BAA executed, no production case reviewed, synthetic data only. SolvingHealth is the company; HarnessHealth (harnesshealth.ai) is the accountability layer; hashcare (hashcare.com) is the proof ledger.", "publisher": { "name": "SolvingHealth LLC", "url": "https://solvinghealth.com" }, "audience": [ "orthopedic-surgeon", "healthcare-ai-company", "hospital", "payer", "physician", "developer", "family-caregiver" ], "jobs_to_be_done": [ "Find the AI front office that puts the surgeon's own name on the work and bills under her own NPI", "Get a named, specialty-matched physician to sign \u2014 or decline \u2014 an AI-generated clinical output before it reaches a patient or payer", "Document the mandatory MSK episode (TEAM, ASM, CJR-X) with registry-grade outcomes instead of another dashboard", "Add physician attestation, receipts and FHIR output to a clinical AI product without a compliance consultancy", "Verify, years later and without trusting the operator, that a specific clinical decision was signed by a specific physician", "Work out what help already exists for a parent or spouse \u2014 public programs first, each from its official page \u2014 and which few steps need a clinician's signature" ], "brands": [ { "name": "SurgeonValue", "url": "https://surgeonvalue.com", "role": "surgeon-side front office (11 agents)", "agent_manifest": "https://surgeonvalue.com/.well-known/agent.json" }, { "name": "ClinicalSwipe", "url": "https://clinicalswipe.com", "role": "physician attestation marketplace; runs the open family caregiver navigator API", "agent_manifest": "https://clinicalswipe.com/.well-known/agent.json" }, { "name": "Altru", "url": "https://altru.care", "role": "the clinical entity behind the family-facing work" }, { "name": "co-op.care", "url": "https://co-op.care", "role": "worker-owned home care + physician-signed LMN" }, { "name": "HarnessHealth", "url": "https://harnesshealth.ai", "role": "accountability layer / runtime", "agent_manifest": "https://harnesshealth.ai/.well-known/agent.json" }, { "name": "hashcare", "url": "https://hashcare.com", "role": "public proof ledger", "agent_manifest": "https://hashcare.com/.well-known/agent.json" }, { "name": "JointClass", "url": "https://jointclass.com", "role": "patient education (pre/post-op)", "agent_manifest": "https://jointclass.com/.well-known/agent.json" }, { "name": "JointCoach", "url": "https://jointcoach.com", "role": "home recovery measurement, Medicare RTM", "agent_manifest": "https://jointcoach.com/.well-known/agent.json" }, { "name": "MSKvalue", "url": "https://www.mskvalue.com", "role": "hospital-side episode instrument (TEAM/ASM/CJR-X)" } ], "actions": [ { "id": "public_data_api", "label": "Query federal health data \u2014 NPI registry, FDA 510(k) clearances, device recalls, MAUDE adverse events, drug labels, ClinicalTrials.gov, CMS hospitals. No key. Every response carries its upstream source URL and retrieval time.", "endpoint": "https://solvinghealth.com/api/v1", "method": "GET", "docs": "https://solvinghealth.com/.well-known/openapi.yaml", "auth": "none", "uploads_data": false, "phi_allowed": false, "safe_to_hand_to_user": true }, { "id": "caregiver_questionnaire", "label": "Get the family caregiver navigator's questions as a FHIR R4 Questionnaire (?format=json returns plain questions plus the full resource catalog, each resource with its official source URL and checked date). Served by ClinicalSwipe, the one rules source; solvinghealth.com links to it and does not proxy it.", "endpoint": "https://clinicalswipe.com/api/caregiver/questionnaire", "method": "GET", "docs": "https://clinicalswipe.com/llms.txt", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "caregiver_plan", "label": "Build a family caregiver's plan from their answers: public programs first, then what to ask the family doctor, then neighbor help. Every step names its source page and the date it was checked; signs: true marks only the steps a program requires a clinician to sign or certify. General information from official program pages, not medical, legal or financial advice; each program decides its own eligibility. Answers are never stored or logged.", "url": "https://clinicalswipe.com/survey", "endpoint": "https://clinicalswipe.com/api/caregiver/plan", "method": "POST", "docs": "https://clinicalswipe.com/llms.txt", "auth": "none", "uploads_data": true, "stores_data": false, "phi_allowed": false, "safe_to_hand_to_user": true, "body_schema": { "type": "object", "description": "Plain answers keyed by the questionnaire's question ids, using the answer codes it lists (fetch the questionnaire; do not hard-code them), or a FHIR R4 QuestionnaireResponse. Send no names or identifiers.", "examples": [ { "coverage": "medicare", "doctor": "yes", "state": "CO", "situation": [ "memory" ] } ] }, "returns": { "type": "object", "description": "Plan JSON: steps, each with its source and checked date, and clinician {who, does, why, signs} where a clinician is involved. A FHIR R4 CarePlan for a QuestionnaireResponse, with ?format=fhir, or with Accept: application/fhir+json." } }, { "id": "mcp_server", "label": "Install the stdio MCP server: 9 read-only tools over the federal-health-data API, plus caregiver_questionnaire and caregiver_plan, which call the family caregiver navigator at clinicalswipe.com (zero dependencies, no key)", "url": "https://solvinghealth.com/sdk/mcp-server.mjs", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "developer_portal", "label": "API reference, SDKs (JavaScript, Python), OpenAPI spec, and the honest limits", "url": "https://solvinghealth.com/developers", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "operating_proof", "label": "Operating proof read live from the public registry (anchors, countersign days, latest root, a receipt to verify)", "url": "https://solvinghealth.com/proof", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "independent_kit", "label": "For a physician leaving an employed or PE practice: the independent-but-networked kit (sourced)", "url": "https://solvinghealth.com/independent", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "wonder_bill", "label": "Free coding check on one de-identified clinical note (model proposes, CMS NCCI engine grades, surgeon signs)", "url": "https://surgeonvalue.com/wonder-bill", "auth": "none", "uploads_data": true, "phi_allowed": false, "safe_to_hand_to_user": true }, { "id": "ehr_attested_loop", "label": "Watch a signed note go in and an attested receipt come back (FHIR sandbox, synthetic, no PHI)", "url": "https://surgeonvalue.com/ehr", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "rtm_rail", "label": "Put the attested RTM billing rail under a patient-facing care agent", "url": "https://surgeonvalue.com/rtm", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "physician_attestation", "label": "Get a specialty-matched physician to sign or decline an AI clinical output", "url": "https://clinicalswipe.com/companies", "endpoint": "https://clinicalswipe.com/api/lmn/submit", "method": "POST", "auth": "requires a partner-issued family_id", "uploads_data": true, "safe_to_hand_to_user": false }, { "id": "verify_receipt", "label": "Verify any signed-decision receipt on the public ledger", "url": "https://hashcare.com/verify", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "see_a_signature", "label": "See a real attested signature end to end", "url": "https://harnesshealth.ai/signature", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "episode_instrument", "label": "Hospital-side readiness for TEAM / ASM / CJR-X", "url": "https://www.mskvalue.com", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "family_care", "label": "Worker-owned companion care with a physician-signed LMN where care already qualifies", "url": "https://co-op.care", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true }, { "id": "mcp_connect", "label": "Connect an authenticated agent (MCP)", "mcp": "https://solvinghealth-mcp-production.up.railway.app/mcp", "docs": "https://solvinghealth.com/mcp", "auth": "connector key", "safe_to_hand_to_user": false }, { "id": "partner_inquiry", "label": "Partnership inquiry (health system, payer, AI company, developer)", "url": "https://solvinghealth.com/#contact", "auth": "email capture", "safe_to_hand_to_user": true } ], "facts": { "surgeonvalue_agents": 11, "surgeonvalue_pricing": "Wonder Bill free; Core $199/mo; Pro $299/mo; $20 per tracked encounter beyond plan", "representative_missed_office_revenue_usd": "~147 in one routine follow-up (99214 + G2211 + 99406) \u2014 representative, never a promise", "lmn_price_usd": 199, "coop_care_wage": "$26/hr W-2 take-home plus equity on care priced at $35/hr", "rtm_codes": [ "98975", "98977", "98980", "98981", "98985" ], "cms_rails": { "TEAM": "live Jan 2026, mandatory 30-day surgical episodes", "ACCESS": "live Jul 2026, chronic MSK track, voluntary", "ASM": "Jan 1 2027, \u00b19% Part B for enrolled low-back and heart-failure specialists", "CJR-X": "final Jul 31 2026; mandatory 90-day hip/knee/ankle episodes from Jan 2028, most IPPS hospitals" }, "receipt": "SHA-256 of request id + physician NPI + determination; contains no PHI; anchored on hashcare; ledger root countersigned into Bitcoin daily via OpenTimestamps", "identity_model": "physician identity is derived from the verified session, never from a client-supplied NPI; specialty scope gate fails closed", "entity": "SolvingHealth LLC, Colorado; founder-owned; technology company, not a clinical practice", "public_data_api": { "base_url": "https://solvinghealth.com/api/v1", "auth": "none", "writes": false, "phi": false, "datasets": [ "NPPES NPI Registry (CMS)", "openFDA device/510k", "openFDA device/recall", "openFDA device/event (MAUDE)", "openFDA drug/label", "ClinicalTrials.gov API v2", "CMS Provider Data Catalog" ], "provenance": "every response carries source, source_url and retrieved_at", "not_implemented": "OIG LEIE exclusion screening returns 501 \u2014 bulk CSV only; screen at https://exclusions.oig.hhs.gov/" }, "caregiver_navigator": { "served_by": "https://clinicalswipe.com (the one rules source; solvinghealth.com lists it and does not proxy or copy it)", "questionnaire": "https://clinicalswipe.com/api/caregiver/questionnaire", "plan": "https://clinicalswipe.com/api/caregiver/plan", "formats": "GET a FHIR R4 Questionnaire; POST plain answers or a FHIR QuestionnaireResponse; receive plan JSON or a FHIR R4 CarePlan", "auth": "none", "stores_data": false, "scope": "general information from official program pages; not medical, legal or financial advice; each program decides its own eligibility", "checked": "2026-09-16" } }, "attestation_model": "AI does the work; a deterministic gate makes it safe; a named, licensed, NPI-verified physician attests because law and payment require accountability. The physician can decline, and the decline is recorded. Nothing is billed, diagnosed, filed, or sent to a patient without that human signature. SolvingHealth never bills and never decides \u2014 the surgeon or physician signs under their own NPI.", "llms_txt": "https://solvinghealth.com/llms.txt", "machine_readable_claims": "Organization + FAQPage JSON-LD in the homepage head" }