HIPAA-aware AI. The runtime is the compliance boundary .
VZU's healthcare playbook. Ambient clinical documentation. Claim processing. EHR AI. Home-care operations. Powered by Sentinel (audit) and Atlas (build) on the VZU OS. On-prem default. PII detection. The audit trail is the regulator's form. The brief is the contract. The work is the work.
Industry
Healthcare / Life Sciences
45%
MTTR reduction
Direct answer
What does VZU do for healthcare?
VZU's healthcare playbook is HIPAA-aware AI for providers, claim processing, and ambient clinical documentation. The Sentinel agent audits every action. The Atlas agent runs the build. The runtime is the compliance boundary. Real deployments: AI Scribe for clinical notes, CareConnect for home-care, F50 insurance claims 45% MTTR reduction.
Use cases
Five deployments. Real numbers.
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Ambient clinical documentation
AI Scribe records the patient-provider conversation, generates a structured note, writes to the EHR, gives the patient an after-visit summary. Sub-200ms voice. Edge-deployed. HIPAA-aware.
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CareConnect for home care
AI-powered caregiver onboarding, training, scheduling, retention scoring, family communication. Background checks. On-prem deployment available.
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Claim processing
F50 insurance carrier. 47k claims a week. 45% MTTR reduction. The Sentinel agent ran the FNOL intake. The Atlas agent ran the triage. The Quill agent produced the adjuster's brief.
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EHR AI
MCP-native integration with the major EHRs. The Atlas agent reads the chart. The Quill agent writes the note. The Sentinel agent audits the access. The audit trail is per-record.
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HIPAA-aware infrastructure
On-prem default. PII detection on the first character. Redaction before the model sees the data. Retention enforced by the runtime. The audit trail is the regulator's form.
A case study · F50 Insurance Carrier
47k claims a week. 45% MTTR reduction. The adjuster's time went to the adjuster's work.
Chapter 01 · The brief
A F50 insurance carrier, buried under 47,000 claims a week.
A Fortune 50 insurance carrier ran 47,000 claims a week across property, auto, and casualty. Each claim was a first-notice-of-loss intake, a triage, an investigation, an adjuster's brief, and a settlement. The first two steps were 90% of the adjuster's time. The settlement was 10%. The adjuster's expertise was being spent on the wrong work.
The brief from the carrier was specific. Move the FNOL intake and the triage to the runtime. Give the adjuster a brief on the cases that need a human. Cut mean time to repair by 30%+. The audit trail is per-claim. The brief is the contract. The work is the work.
47k
Claims a week
Chapter 02 · The architecture
Sentinel, Atlas, and Quill on the VZU runtime.
The Sentinel agent ran the FNOL intake. The model is the carrier's choice. The prompt is the Oracle agent's. The eval suite scores every intake. The audit trail records the model, the prompt version, the eval result, and the operator's review.
The Atlas agent ran the triage. The Quill agent produced the adjuster's brief. The audit trail is per-claim. The runtime is the compliance boundary. The data residency is the carrier's. The compliance is the runtime.
“45% MTTR reduction. The adjuster's time went to the adjuster's work. The seam is the work. VZU ends the seam.”
Chapter 03 · The result
45% MTTR reduction. 6-week payback.
The pipeline shipped in 14 weeks. MTTR dropped 45%. The adjuster's time went to the claims that needed a human. The audit trail is per-claim. The regulatory report is generated from the audit trail, not re-keyed by a junior analyst.
The payback was 6 weeks. The audit posture is the runtime. The model is the carrier's. The data residency is the carrier's. The compliance is the runtime. The brief is the contract. The work is the work.
45%
MTTR reduction
The Sentinel agent · A real claim
Watch the Sentinel agent audit a claim.
The Sentinel agent runs the FNOL intake. Audits the model output. Produces a per-claim audit trail. The brief is the contract. The audit trail is the regulator's form.
- 01sentinel › read brief
read brief
- 02sentinel › thinking: postmta security audit. owasp top 10. 2 weeks.
thinking: postmta security audit. owasp top 10. 2 weeks. : postmta security audit. owasp top 10. 2 weeks.
- 03sentinel › mcp.code.read
47,000 lines, hono + prisma + workers
- 04sentinel › mcp.semgrep.run
23 findings, 3 high, 8 medium, 12 low
- 05sentinel › mcp.owasp.scan
auth: 4 issues, rbac: 2, input: 5, secrets: 1 : 4 issues, rbac: 2, input: 5, secrets: 1
- 06sentinel › mcp.deps.audit
4 cves, 2 high, 2 medium
- 07sentinel › mcp.report.write
32-page report with exploit chains + remediation
- 08sentinel › ship. 3 weeks. 23 findings. 4 cves. 32-page report. done
ship. 3 weeks. 23 findings. 4 cves. 32-page report.
Audit trail · 6 entries
- T+00:00:00 brief.received 01
- T+00:00:30 scope.drafted 02
- T+00:08:00 scanners.run 03
- T+00:14:00 findings.drafted 04
- T+01:00:00 report.completed 05
- T+03:00:00 brief.completed 06
- KPI · 01 now
3 weeks
Median audit duration
52% - KPI · 02 now
23
Avg findings per audit
27% - KPI · 03 now
4
Avg CVEs found
69% - KPI · 04 now
100%
Re-audit pass rate
35%
The trust strip
What the runtime has shipped for healthcare.
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AI Scribe · Ambient clinical
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CareConnect · Home care AI
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F50 Insurance · 45% MTTR
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EHR AI · MCP-native
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HIPAA · On-prem default
A case study · AI Scribe
Case study
<200ms. Voice p50.
The brief
A regional healthcare provider was spending 30+ minutes per patient encounter on documentation. The clinician was in the room with the patient; the keyboard was the third party in the conversation. The note got written at the end of the day from memory, or didn't get written at all.
The analysis
The clinician's time was the most expensive thing in the building. Documentation was the only thing the EHR actually required. The runtime needed to be HIPAA-aware by default, on-prem, sub-200ms voice so the patient didn't notice, and the note had to land in the EHR structured correctly the first time.
The build
AI Scribe records the patient-provider conversation, generates a structured note, writes to the EHR, and gives the patient an after-visit summary. Edge-deployed. Sub-200ms voice. The Sentinel agent audits every action for HIPAA. The Atlas agent runs the build. The runtime is the compliance boundary.
The result
Clinicians got their day back. The after-visit summary is in the patient's hand before they leave the room. The audit trail is per-encounter. Compliance is the runtime, not a checkbox. The same pattern runs on CareConnect for home-care and on F50 insurance claims — 45% MTTR reduction.
The runtime
Every VZU brand ships on the NetWit Agentic OS runtime. Cloud, hybrid, on-prem. SOC 2 + HIPAA + ISO 27001.