Healthcare · Generative AI & RAG

Answers from your protocols, with the page attached.

Retrieval over clinical guidelines, payer policy and internal SOPs — with the citation, the version, and an explicit refusal when the library doesn't cover the question.

  • Retrieval pipelines
  • Fine-tuned domain models
  • Multimodal (text · image · voice)
  • Eval + guardrails

What we build

Generative AI & RAG for healthcare, specifically.

  • 01

    Protocol and formulary lookup

    Staff ask in plain language and get the current protocol with its revision date, rather than opening the shared drive and hoping the file name is honest.

  • 02

    Payer policy retrieval

    Coverage criteria differ per payer, plan and year. Retrieval scoped to those dimensions stops one payer's rule being quoted at another.

  • 03

    Patient-education drafting

    Discharge and pre-procedure instructions drafted from approved material at the reading level you specify, in the patient's language, for a clinician to approve.

What we measure

  • Accuracy on a clinician-graded question set
  • Citation correctness, sampled and reviewed weekly
  • Refusal rate on out-of-library questions
  • Time-to-answer for frontline staff

Instrumented in week one and reported weekly. These are the numbers the engagement is judged on — not a forecast of what they'll be.

Constraints

What has to be true in healthcare.

  • 01

    PHI does not go in a prompt by default

    We de-identify at the boundary and re-associate after, so the model sees the clinical question without the identity attached. Where full context is unavoidable, it runs under a BAA or inside your own infrastructure.

  • 02

    The system drafts; a clinician decides

    Nothing reaches a patient without review on any pathway that touches clinical content. That gate is a hard architectural boundary, not a configuration toggle someone can turn off later.

  • 03

    Refusal beats a plausible answer

    Out-of-scope questions get an explicit hand-off to a human with a callback, not a hedged paragraph. We test the refusal path as carefully as the answer path.

How it runs

The Generative AI & RAG engagement, step by step.

  1. 1

    Data inventory

    What docs / databases / APIs / feeds matter? What's PII vs public? What changes daily vs quarterly? We map it before writing code.

  2. 2

    Retrieval architecture

    Hybrid (BM25 + vector) retrieval, chunking strategy, reranking, citations. Tuned for your domain not a generic benchmark.

  3. 3

    Eval suite

    Real-world question set with golden answers. Faithfulness, context precision, latency. So you know when changes ship a regression.

  4. 4

    Guardrails

    Prompt-injection defense, PII scrubbing, refusal patterns, output schemas. Especially critical for customer-facing deployments.

  5. 5

    Production + iterate

    Cost-effective inference (caching, fallback models), monitoring, weekly eval reports. Fine-tune when the data justifies it.

Integrations

Systems we wire into for healthcare.

  • Epic & FHIR APIs
  • Athenahealth
  • HL7 v2 feeds
  • Twilio & WhatsApp Business
  • Zendesk
  • Snowflake
  • S3 with encryption at rest
  • Practice-management and RCM systems

FAQ

RAG for healthcare and clinical documents: your questions.

  • How do you stop it answering from general medical knowledge?

    The prompt and the evaluation both treat an uncited claim as a failure. If retrieval returns nothing relevant the system refuses and offers a human — and that behaviour is a scored line in the eval suite, so a model swap can't quietly erode it.

  • Can it read scanned faxes and PDFs?

    Yes — OCR plus layout-aware extraction, which is most of the work in practice. We report extraction accuracy per document type up front, because a fax from 1998 and a structured PDF are not the same problem.

  • Should I use RAG or fine-tuning?

    RAG for facts that change. Fine-tuning for style, format, or domain reasoning. Most production systems use both — and we'll tell you which mix is right after a 1-week discovery.

  • Can I use my own LLM (open-weights)?

    Yes. We work with Llama, Mistral, Qwen, and similar — useful for data residency, cost predictability, and air-gapped environments.

Contact

Talk to us about generative ai & rag for healthcare.

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