{
  "schema": "https://solvinghealth.com/schemas/agent-manifest-v1",
  "name": "SolvingHealth",
  "url": "https://solvinghealth.com",
  "updated": "2026-09-30",
  "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. Open pipes, signed answers: the connectors (FHIR, HIPAA tooling, identity, PROMs) are open source under Apache 2.0; the signed 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",
    "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 — or decline — 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 — public programs first, each from its official page — 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": "SurgicalTrack",
      "url": "https://surgicaltrack.com",
      "role": "where recovery typically is on a given day after surgery, and when to call the surgeon (reference, nothing saved or sent)",
      "agent_manifest": "https://surgicaltrack.com/.well-known/agent.json"
    },
    {
      "name": "MSKvalue",
      "url": "https://www.mskvalue.com",
      "role": "hospital-side episode instrument (TEAM/ASM/CJR-X)"
    }
  ],
  "actions": [
    {
      "id": "find_your_door",
      "label": "Find your door: pick one of about ten situations (a parent fell, memory slipping, joint or back pain, surgery coming, near the end of life, a surgeon's coding, building health AI) and get the one site in the network to start with and the one after. Rules only, no AI; nothing picked or typed is sent or stored. A person can be sent straight to one situation with /doors#<id>.",
      "url": "https://solvinghealth.com/doors",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "flower_registry",
      "label": "The estate flower registry: every site in the network with its job, audience, care flag, actions and the pollen kinds it sends and accepts, plus the /doors situation map. Rebuilt from each site's live agent.json.",
      "url": "https://solvinghealth.com/.well-known/flowers.json",
      "docs": "https://solvinghealth.com/schemas/flowers-v1",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": false
    },
    {
      "id": "grow_a_flower",
      "label": "Grow a flower: make your own site a complete stop in the network (the Flower Standard, the pollen contract, a self-check, and how to be listed in the registry)",
      "url": "https://solvinghealth.com/build#flower",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "flower_check",
      "label": "flower-check: a zero-dependency Node script that checks a domain's agent.json, pollen, llms.txt and sitemap against the Flower Standard (node flower-check.mjs yourdomain.com)",
      "url": "https://solvinghealth.com/sdk/flower-check.mjs",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "pollen_contract",
      "label": "The pollen contract v1: every result kind a site may hand onward or take in, with senders, receivers and fields",
      "url": "https://solvinghealth.com/schemas/pollen-kinds-v1.json",
      "auth": "none",
      "uploads_data": false,
      "safe_to_hand_to_user": true
    },
    {
      "id": "public_data_api",
      "label": "Query federal health data — 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": "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-489007249571.us-central1.run.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",
      "uploads_data": true,
      "safe_to_hand_to_user": true
    }
  ],
  "facts": {
    "surgeonvalue_agents": 11,
    "representative_missed_office_revenue_usd": "~147 in one routine follow-up (99214 + G2211 + 99406) — representative, never a promise",
    "coop_care_wage": "Caregivers are W-2 co-owners with equity (no figures published while nothing is for sale)",
    "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, ±9% 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, 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 — 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 — the surgeon or physician signs under their own NPI.",
  "pollen": {
    "sends": [],
    "accepts": []
  },
  "flower_registry": "https://solvinghealth.com/.well-known/flowers.json",
  "llms_txt": "https://solvinghealth.com/llms.txt",
  "machine_readable_claims": "Organization + FAQPage JSON-LD in the homepage head"
}