For Physicians
Your medical license
earns money between patients.
ClinicalSwipe is the physician attestation marketplace. AI generates clinical documents at scale. You review, approve, and sign them with your NPI. Each review is designed for 3–5 minutes and pays a flat $12 to $100 by document class — the same fee whether you sign or decline.
The review workflow.
You are reviewing AI-generated content — you are not creating it from scratch. Each step is timed, NPI-bound, and cryptographically recorded.
Document arrives in your queue
AI has generated a clinical document: a prior authorization letter, a letter of medical necessity, a care plan draft, a SOAP note. The document is tagged "requires physician attestation" and cannot leave the system without your signature.
See the queue (sandbox) →You review
The document is presented with the underlying patient data that informed the AI generation, the AI's reasoning chain, and flags for any content the system has lower confidence in. You are reviewing AI-generated content — not creating it from scratch.
Open the reviewer app →You decide
Approve as-is. Approve with edits. Reject with reason. Each action is recorded with your NPI, the timestamp, and the document hash.
Sign a document yourself →Attestation is cryptographic
Your NPI, the timestamp, and the document hash are combined into a signed, tamper-evident attestation record. The document is now signed and can exit the system.
Verify a record yourself →You are paid per review
A flat fee per review — $12 to $100 by document class, the same whether you sign or decline. You see the fee before you accept a case; the platform fee is flat per completed review and disclosed up front. No minimum volume, no monthly fees. Payment rails are set up before the first production case; the marketplace is pre-go-live today.
The published rates →Opens the reviewer workflow on your phone. Currently a sandbox preview with sample cases — you see exactly what you would sign, and every signed record is independently verifiable.
What does attestation pay?
Earnings by document type. Figures are illustrative averages, not contractual guarantees. Volume depends on network demand in your specialty.
| Document Type | Review Time | Per Document |
|---|---|---|
| Letter of Medical Necessity (standard) | 3–4 min | $25–40 |
| Prior Authorization Letter | 4–5 min | $40–60 |
| Complex Prior Auth (specialty device) | 6–8 min | $75–100 |
| Care Plan Review | 5–7 min | $50–75 |
| SOAP Note attestation | 2–3 min | $12–25 |
| Full clinical document review | 8–12 min | $75–100 |
What volume looks like today
The marketplace is pre-go-live: the sandbox carries calibration cases, and production volume will depend on demand in your specialty. We publish no monthly projection because there is no volume to project from yet.
What is fixed: the fee is per review, not per hour; it is the same for a signature and for an honest decline; and you see it before you accept.
Your NPI profile already exists.
Every licensed physician in the United States has a page at harnesshealth.ai/dr/[NPI], rendered live from the CMS NPPES registry. The page exists whether or not you have claimed it.
Claiming your profile takes 90 seconds:
- 1.Enter your NPI — it is checked against the CMS registry
- 2.A signing key is created and stays in your browser; it is bound to your NPI
- 3.Open the reviewer app — sandbox cases today, your queue when production opens
What you are — and are not — responsible for.
A direct answer to the liability question every physician asks. Educational information, not legal advice — confirm specifics with your own malpractice carrier.
Even when the model is better at the task, someone licensed still has to own the decision and answer for the patient. A medical license is a legal tether to a specific patient, jurisdiction, and outcome — and no software terms of service transfers that back to the vendor. That responsibility is not going away. The only question is whether you carry it unpaid and undocumented, or get paid to attest and keep a defensible record of exactly what you signed.
Your professional judgment that the AI-generated content is clinically appropriate, accurate, and safe to act upon, based on the underlying patient data provided.
- Personally generating the document from scratch
- Providing a treatment relationship (unless separately established)
- Attesting beyond your specialty (system routes to appropriate reviewers)
Authority consumption tracking
The system is designed to enforce a daily review ceiling for each physician (not yet enforced in the sandbox). This is not administrative — it is a liability protection mechanism. If a reviewer is attesting at a volume that would preclude genuine review (defined as less than 90 seconds per document on average), the system is designed to flag and block further attestation for that session. The result would be a contemporaneous record that you reviewed each document with genuine attention — the strongest evidence there is against a rubber-stamp claim.
Presence does not scale. That is the whole point.
Why the physician is irreducible — stated as biology, not regulation.
Information scales infinitely. A model can read every guideline, every note, every lab. But the clinical effect of care is not only information — it is the body responding to a trusted human on the other side of the decision. The placebo literature is blunt about this: the active ingredients are the body, the patient's mindset, and the social context — and the physician is the social context. A patient's nervous system responds to a doctor it recognizes in ways it does not respond to a chatbot it knows is a chatbot. Cortisol drops. Adherence rises. The ritual completes.
An AI model can generate confident clinical language at infinite volume. What it cannot do is be the accountable human presence the medicine actually requires. That is not a temporary gap that a bigger model closes — it is structural. The hard intercept is designed the way it is because the one thing that must not be automated out of clinical care is the named, licensed person who stands behind the decision.
“Presence does not scale.”— a physician and concierge-medicine founder, on why a human ritual remains the active ingredient in care. The harness is the architecture that keeps that human in the loop at the point of clinically-meaningful output.
Your judgment is the safety gate AI needs.
Claim your NPI profile and connect to the review queue.