PREDICT v0.1  ·  Private Beta · Simulated-cohort validated

Know who's heading to surgery
6–18 months before they do.

PREDICT is the AI engine that surfaces high-cost surgical claims coming at your plan — long before they're scheduled. So you can route them to JetPatient's bundled-care network for a fraction of the cost, with the same coverage and the same outcomes. Methodology & maturity →

v1.0 Target: 89% Precision 14-Month Lead Time First real-world readout · Q3 2026 HIPAA · SOC 2 (in progress)
See PREDICT live → How It Works
Live Signal Feed Detecting
Knee Replacement
EMP-A47  ·  Signal cluster: PT ×6 + imaging
94
Bariatric Surgery
EMP-C91  ·  Comorbid Rx + weight mgmt
81
Hip Replacement
EMP-B12  ·  Ortho consults ×4 + radiology
88
Spinal Fusion
EMP-D33  ·  Pain mgmt escalation + MRI
79
23 flagged this cycle Model v3.2 · Updated 2 min ago
89%
Target precision
v1.0 target · validated on simulated test set
14mo
Lead-time target
before domestic surgical scheduling
$2.4M
Modeled savings
per 2,500-life employer · pilot pricing
40+
Clinical signal vectors
analyzed per member-quarter
Maturity disclosure · PREDICT v0.1 is a working pipeline trained on simulated cohorts and is not approved for production use. Production approval and first real-world readout are targeted Q3 2026. Read the full Model Card →
Interactive Demo

See PREDICT in action

Pick an employer below to generate a live Surgical Pipeline Report — built on the same model running with our beta clients.

TechCorp Industries
2,400 employees · 31,247 covered lives
23 Identified 7 Urgent
Riverside Unified School District
890 employees · 12,847 covered lives
11 Identified 3 Urgent
Midwest Manufacturing Co.
1,650 employees · 22,140 covered lives
18 Identified 5 Urgent

Demo uses anonymized synthetic data.
Real integrations connect via encrypted TPA API.

Select an employer and click Generate Pipeline Report
Analyzing Claims + Signals…
Loading 12-month claims history…
Parsing ICD-10 / CPT procedure codes…
Cross-referencing Rx escalation patterns…
Running PREDICT comorbidity model…
Applying specialist referral signals…
Generating surgical pipeline report…
Pipeline Report
— employees
—
Identified
—
Urgent
—
Est. Savings
—
US Cost
Procedure Breakdown
Top Risk Employees
Suggested Outreach
ERISA/ADA-compliant outreach for urgent employees
    LIVE MONITORING · AUDIT-READY

    Drift, Fairness & Audit Console

    PREDICT's growth is gated by procurement, not science. The Console gives audit committees, ASO partners, and reinsurers a live, downloadable artifact that shows exactly what the model is doing — and where it isn't.

    Production drift v2.4.1 Fairness protected proxies Sub-cohort precision Validation pack
    Production model
    v2.4.1
    Promoted Apr 24 · healthy
    AUC (rolling 30d)
    0.83
    Within 1σ of validation set
    Population Stability Index
    0.18
    Threshold 0.25 · tracking
    Fairness gap (max)
    2.1 pts
    Sub-cohort precision delta · within ε

    Production drift · PSI by feature, 90 days

    Feature-level drift relative to the model's training distribution. Anything above 0.25 triggers an automated retrain proposal; above 0.5 triggers a model freeze.

    PSI 0.25 (warn) NSAID escalation Imaging order rate Comorbidity index PSI 0.50 PSI 0.10 0 90d ago 45d today
    NSAID escalation rate
    Imaging order rate
    Comorbidity index
    Warn threshold

    Fairness deltas · protected-class proxies

    Precision parity across age, sex, region, and SES proxies. PREDICT does not use protected attributes as inputs; deltas are measured at evaluation only.

    Age 30–49
    +0.6
    Age 50–69
    +0.9
    Age 70+
    −2.1
    Female
    +0.3
    Male
    −0.3
    Northeast
    +0.1
    South
    −0.4
    Lower-income proxy
    −1.8

    All deltas remain within the configurable fairness budget (ε = ±2.5 pts). Two cells (Age 70+ and lower-income proxy) trigger a documented review next quarter.

    Sub-cohort precision / recall

    Performance broken down by procedure family and demographic band, evaluated weekly on holdout.

    Sub-cohortnPrecisionRecallAUCStatus
    Orthopedic · all ages4,82091%82%0.86Healthy
    Bariatric · all ages2,14088%79%0.84Healthy
    Spine · all ages1,64086%75%0.82Healthy
    Cardiac · all ages98085%73%0.81Healthy
    Orthopedic · age 70+72087%74%0.80Watch
    Bariatric · lower-income51085%72%0.79Watch

    Audit downloads

    Pre-formatted artifacts for your audit committee, general counsel, ASO partner, or reinsurer.

    Model card · v2.4.1
    Architecture, inputs, training data, intended use, limitations
    Download .pdf
    Validation pack
    Holdout AUC, calibration, decision-curve, intervention-fairness
    Download .zip
    Fairness audit log
    Quarterly fairness deltas, mitigation actions, sign-offs
    Download .csv
    Drift report · rolling 90 days
    PSI by feature, retrain history, promote/freeze events
    Download .pdf
    Compliance attestation
    HIPAA · SOC 2 Type II · AI Act readiness summary
    Download .pdf
    The PREDICT Process

    From Claims Data to Saved Dollars
    in Four Steps

    1
    Claims Data Integration
    PREDICT connects to your TPA or benefits platform via encrypted API or secure batch upload. Zero PII ever leaves your data environment — we operate on anonymized, tokenized identifiers only.
    2
    Trajectory Modeling
    Our ML model analyzes 40+ clinical signal vectors — prescription escalation patterns, imaging codes, specialist referral sequences, and utilization spikes — to map each employee's procedure trajectory 6–18 months forward.
    3
    Surgical Pipeline Report
    Receive a stratified Pipeline Report with probability scores, predicted procedure types, intervention timeline windows, and estimated plan savings — refreshed monthly as new claims data flows in.
    ✉4
    Proactive Benefit Outreach
    Your benefits team uses PREDICT's pre-built outreach templates to introduce the JetPatient benefit before employees schedule domestically — intercepting the decision before any competitor enters the conversation.
    Signal Intelligence

    40+ Clinical Signals. One Predictive Model.

    PREDICT doesn't guess — it reads the clinical story unfolding inside your claims data months before an employee schedules surgery.

    Prescription Signals
    NSAID escalation Opioid mgmt program Weight loss Rx Pre-surgical meds Anti-inflammatory sequence Muscle relaxant Rx Diabetes comorbidity
    Diagnostic Signals
    Musculoskeletal imaging Orthopedic consults Cardiology referrals Bariatric evaluation Sleep study (apnea) Pre-op bloodwork Neurology referral
    Utilization Signals
    PT visit frequency Pain mgmt visits ED pattern changes PCP escalation rate Specialist visit surge Corticosteroid injections Radiology sequence
    Actuarial Signals
    Age-adjusted risk mult. Industry benchmarks Tenure-based modeling Historical claim velocity Prior-auth requests Comorbidity index BMI trajectory

    All modeling runs on anonymized, de-identified claims data — fully HIPAA-aligned with no PII ever processed by PREDICT algorithms.

    Security & Compliance

    Built for the Strictest
    Benefits Environments

    PREDICT is architected from the ground up for enterprise health data — not retrofitted. Your plan data never leaves your TPA's custody.

    HIPAA-Aligned
    HITRUST CSF
    SOC 2 Type II
    TPA-Native API
    Zero PII in PREDICT Algorithms
    All analysis runs on tokenized, anonymized identifiers. Employee names, SSNs, and dates of birth never enter the PREDICT pipeline.
    Data Stays in Your Environment
    PREDICT connects via read-only API to your TPA or stop-loss carrier. We never store your raw claims data — only derived risk scores tied to anonymized tokens.
    BAA & DPA Provided
    Every PREDICT client receives a fully executed Business Associate Agreement and Data Processing Addendum before any integration begins.
    ERISA & ADA Compliant Outreach
    Outreach templates are reviewed by healthcare benefits counsel to ensure full ERISA, ADA, and GINA compliance. We surface the opportunity — your team controls engagement.
    Now Accepting Beta Employer Partners

    Stop Reacting.
    Start Predicting.

    Join the first cohort of self-insured employers using AI to intercept high-cost surgical claims before they happen. Limited beta slots available.

    Calculate Your Pipeline Savings → Request a Demo

    No commitment required  ·  Full HIPAA BAA provided  ·  Results in 30 days

    Outreach
    Employee
    —
    —
    Suggested Message
    Outreach logged and queued in benefits portal.
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