AI for Healthcare Operations. HIPAA-Ready and Auditable
Agentic AI for the administrative and revenue-cycle work of payers, providers, and health-tech platforms, built to clear compliance review.
The opportunity
Healthcare has some of the highest-leverage AI opportunities in the economy, and the highest bar for privacy and safety. Most healthcare AI pilots die in compliance review. They demo well, then fail the PHI-handling, access-control, and governance requirements a production rollout demands. Fintechy focuses on the administrative and revenue-cycle work where agentic AI has clear leverage and a defensible safety story: summarization, prior authorization, claims and denials, intake, and records operations. We design with HIPAA-ready architecture and the audit infrastructure a privacy officer needs to approve a rollout.
Written for the privacy officer
The person who decides whether healthcare AI reaches production is usually the privacy officer, not the person who championed it. We design for them first. PHI is minimized before a model sees it and tokenized where it need not be in the clear. Access is field-level and role-based, and every action is logged for incident review. Our work is administrative, not clinical: we do not do diagnosis, treatment recommendations, or imaging interpretation, and any workflow that touches clinical judgment escalates to a clinician. Summarization is source-grounded, so a human verifies every output against the record.
Use cases we build
Clinical summarization
Summarizes records, visit notes, and histories with source-grounded citations, so a human verifies every line against the record.
Prior authorization
Drafts prior-auth requests with medical-necessity reasoning surfaced for review and payer-specific formatting.
Claims, coding, and denials
Reviews claims, suggests codes, and works denials from a prioritized queue.
Patient intake and triage
Gathers intake and symptoms and routes through defined clinical-escalation paths. It gathers and routes; it does not diagnose.
Medical records operations
Release-of-information, audit, and records-request workflows with a full activity log.
Contact center copilots
Grounds agent responses in plan documents and policies, with a source cited on every answer.
Integration reality
We integrate with Epic and Cerner and the payer and revenue-cycle systems around them, on infrastructure that meets your residency and access requirements. We build against the systems you actually run, not a reference configuration.
How we deliver
Diagnose
Map the workflows, the PHI flows, and the compliance constraints, and find where AI has real leverage.
Architect
Design for your operational and regulatory reality: controls, escalation, and logging built in from the start.
Build
Ship production-grade systems with PHI handling and audit infrastructure in place on day one.
Scale
Run, monitor, and govern the systems in live operations.
Prior-auth drafts are ready before a coordinator opens the case. Denials arrive in a prioritized queue instead of a flat worklist. A clinician reads a summary against cited source lines rather than re-reading the whole chart. The administrative hours move from rote handling to the cases that need a person. Specific results are shared under NDA with an engagement owner who will stand behind them.
FAQ
Fintechy builds HIPAA-ready architecture. HIPAA compliance is a property of your program as a covered entity, not of a consultancy. We design the systems and controls that support it, and are explicit about which obligations are yours and which are ours.
Our work is administrative and revenue-cycle, not clinical decision-making. We do not do diagnosis, treatment recommendations, or imaging interpretation, and any workflow touching clinical judgment escalates to a clinician. Summarization is source-grounded so a human verifies it.
Yes, along with the surrounding payer and revenue-cycle systems.
That is a contract question answered by legal in the engagement. Our infrastructure vendors offer BAAs; whether Fintechy signs one with you is scoped in the deal.
Let's design your healthcare AI program
A working session tailored to your stack, your PHI flows, and your priorities.