HarnessHealth — The AI-First Health System
Four Lenses. One System.
The same physician, the same patient, the same AI, the same data — seen through a different lens depending on who you are.
For Surgeons
SurgeonValue
Practice intelligence OS. Wonderbill finds $3-8K/month in undercoded encounters. PROM-driven RTM billing. Social proof from real outcomes.
For Physicians
ClinicalSwipe
Attestation marketplace. AI generates clinical documents at scale. Licensed physicians review and sign. Your medical license is the scarcest resource in medicine.
For Families
co-op.care
Worker-owned companion care. $59/mo membership that pays for itself via HSA. Caregivers earn equity. 77% turnover becomes 15%.
For Builders
SolvingHealth
Free pipes, paid brain. Open-source FHIR connectors and EHR adapters. Proprietary: encounter linking, billing optimization, physician attestation network.
The NPI Marketplace
Every Licensed Physician in America Already Has a Page
2,400,000
harnesshealth.ai/dr/[NPI]
Seeded from the CMS NPPES registry. No signup required. It just exists — whether the physician claims it or not.
Same QR Code. Two Journeys.
Patient scans: "How are you feeling today?" — 7 PROM questions, 90 seconds, enter phone number. Enrolled. Surgeon sees data in Claude before walking into the room.
Surgeon scans: "Is this your practice?" — Confirm identity via NPI lookup, choose plan, connect Claude, connect EHR. Page goes from bare listing to rich profile with real PROM outcomes.
The Claim Flow — 5 Steps to Agentic
1
Find Your Page
harnesshealth.ai/find — search by name, specialty, location. Your NPI page is already there.
2
Confirm Identity
NPI lookup. "Is this your practice?" One click to claim.
3
Choose Your Plan
Free (read-only) / Core $199/mo / Pro $299/mo + $20/encounter.
4
Connect Claude
Install the MCP connector. Claude now has 232 tools across your practice — billing, outcomes, compliance, social.
5
Go Agentic
harness.js on your website. QR sticker on the check-in desk. Twilio SMS PROMs every 2 weeks. Three cards waiting in Claude every morning.
Profile enrichment is automatic. Public NPI data seeds the page. Patient PROMs, claimed specialty, bio, social handles, and outcomes data layer in after claim. The richest listing in the market is earned — not bought.
What's Live — The Complete Product Inventory
Everything built and deployed as of April 12, 2026.
| Feature |
URL / Location |
Status |
| NPI physician profiles — 2.4M pages seeded from CMS NPPES, PROM intake + enrollment |
/dr/[npi] |
Live |
| Surgeon search — zip code, specialty, name filters, ortho default |
/find |
Live |
| QR code generator — print-ready sticker for clinic check-in desk |
/qr/[npi] |
Live |
| PROM collection (web) — KOOS JR 7-question form, score calculation, patient enrollment |
/dr/[npi] |
Live |
| Twilio SMS PROMs — KOOS JR via text, API integration (demo/env vars pending) |
API routes |
Env Vars Needed |
| harness.js — unified footer + Sage chat + PROM intake deployed to 45+ sites |
/harness.js |
Live |
| MCP connector — 232 tools, 10 products, Railway-hosted, installed in Claude Desktop |
mcp.harnesshealth.ai |
Live |
| Chrome extension (Chanio) — page summarizer, Obsidian save, passive health companion |
Chrome Web Store |
Live |
| Patient registration — Google SSO, profile creation |
Supabase Auth |
Live |
| Physician registration — NPI verification, plan selection, profile claim |
/dr/[npi] |
Live |
| Caregiver signup — application, background check, equity structure |
co-op.care/caregiver |
Live |
| Caregiver documentation — Omaha System structured notes, FHIR export |
co-op.care/document |
Live |
| Family dashboard — ComfortCard, care history, HSA savings tracker |
comfortcard.org/family.html |
Live |
| HSA letter funnel — 16 wellness categories, LMN generation pipeline |
hsaletter.com |
Live |
| Claude membership page — connector install, MCP setup, plan management |
/claude |
Live |
| Social OG images — dynamic per-NPI sharing cards for surgeon milestones |
/api/og |
Live |
| Profile persistence API — claimed profiles, PROM history, enrollment records |
/api/profile |
Live |
| Network API — cross-product patient/physician graph |
/api/network |
Live |
| 12 condition PWAs — save to home screen (hippain.help, shoulderpain.help, memoryloss.help, etc.) |
See domain list |
Live |
| EMR integration — Epic, Cerner, athena, eCW, ModMed (architecture complete) |
Pending build |
This Month |
| FDA Class I registration — required for RTM billing (98975-98981) |
$7,653 |
Monday |
Six Workflows. One Network.
Workflow 1 — Surgeon Onboarding
1
Surgeon gets postcard with her own QR code
"Dr. Ohanisian, your patients are already looking for you. Scan this." She scans, sees her NPI page. She wants to make it better.
2
Claims profile at surgeonvalue.com
NPI verification, $299/mo Pro plan, Claude connector installed, EHR connected.
3
Goes agentic in three steps
harness.js on website. QR sticker on check-in desk. Every morning: three cards in Claude — Wonderbill, Outcomes, Share a Win.
Workflow 2 — Patient PROM Collection
1
Patient scans QR at clinic check-in
"How are you feeling today?" — 7 KOOS JR questions, 90 seconds.
2
Enters phone number
Enrolled. Twilio sends KOOS JR via SMS every 2 weeks. Combined web + SMS completion rate exceeds 87%.
3
RTM billing triggers automatically
PROM scores to FHIR. Outlier flagging. $51/patient/month billed to CMS/payer. No extra documentation needed.
Workflow 3 — Social Proof Loop
1
Patient hits a PROM milestone
KOOS JR improves 15+ points. System detects milestone automatically.
2
Surgeon gets "Share a Win" card in Claude
Draft post with real outcome data, patient consent, surgeon attribution. One tap to post to Instagram or LinkedIn.
3
Social post contains QR code
New patients find the surgeon through the shared milestone. Every outcome post is patient acquisition.
Workflow 4 — Caregiver Documentation
1
Caregiver documents each visit
co-op.care/document — Omaha System structured assessment. Voice or text.
2
Omaha-to-FHIR translation
Home care data mapped to FHIR R4. Hospital-grade structured data from kitchen-table care.
3
Hospital sees it
BCH partnership — care continuity data flows upstream. CMS shared savings from reduced hospitalizations.
Workflow 5 — Family Stories to Advance Directive
1
Family records stories with Sage AI
Grandmother tells her story. Voice-first. What matters, what she fears, who she trusts.
2
Legacy Cards shared on social
Beautiful shareable moments from the conversation. Sister sees it. Signs up the whole family for co-op.care.
3
Advance directive writes itself
The CareGoals conversation IS the directive. Reviewed by Josh. Cryptographically signed. FHIR ADI compliant.
Workflow 6 — HSA/FSA Savings
1
Family visits hsaletter.com
16 wellness categories. Gym, massage, nutrition, wearables, home care — everything that qualifies under IRS 213(d) with documentation.
2
LMN generated and reviewed
AI drafts Letter of Medical Necessity. Josh Emdur DO reviews and signs in under 5 minutes. $199/letter.
3
$936/year saved
HSA/FSA eligibility unlocked. The $59/mo co-op.care membership pays for itself in month two.
Revenue
All streams. Every path to money.
| Product | Who Pays | Amount | Type |
|---|
| SurgeonValue Pro |
Surgeon |
$299/month |
Recurring |
| SurgeonValue Core |
Surgeon |
$199/month |
Recurring |
| Encounter fee |
Surgeon |
$20 each |
Per use |
| RTM billing (98975-98981) |
CMS / payer |
$51/patient/month |
Recurring |
| CMS ACCESS model |
CMS |
$522/patient/year |
Recurring |
| CCM / PCM / TCM |
CMS / payer |
$42–320/encounter |
Per use |
| ClinicalSwipe |
Requesting party |
30% of $12–400/review |
Per attestation |
| LMN (hsaletter.com) |
Family / patient |
$199/letter |
Per use |
| co-op.care membership |
Family |
$59/month |
Recurring |
| Companion care |
Family |
$400–$12,000/month |
Recurring |
| SDK / intelligence layer |
Builders / health systems |
$299+/month |
Recurring |
| MSO management fee |
Altru.care PC |
18% of clinical revenue |
Recurring |
At 500 surgeons on Core/Pro: $1.5–1.8M ARR from subscriptions alone. RTM at 50 patients/surgeon = $1.28M additional. ACCESS model Cohort 1 starts July 5, 2026.
What's Next
Monday, April 14
- Form HarnessHealth.ai LLC — Delaware, Blaine 100%, IP holder and governance layer
- FDA Class I device establishment registration — $7,653, required for RTM billing (CPT 98975-98981)
- Ryan legal memo follow-up — HSA/FSA via LMN + AKS circular remuneration analysis
This Week
- Set Supabase and Twilio environment variables in Vercel — SMS PROMs go live
- First surgeon pilot — Derek + Levonti, Wonderbill end-to-end on Epic Stanford
- First LMN revenue — Josh reviews, signs. $199/letter. No license, no caregivers needed.
- QR code sticker print run — ready for Derek's check-in desk
This Month
- EMR integration — Epic (Derek pilot), Cerner, athena adapter (architecture complete)
- Compounding pharmacy partnership — GLP-1 protocol + ComfortCard integration
- USFWC membership — co-op.care cooperative certification
- Harvard partnership — Agentic AI Healthcare course 4/28–5/14
- CareGoals Legacy Cards — shareable story moments. The viral loop for co-op.care.
- YC S26 application — already drafted
July 5, 2026
- CMS ACCESS Model Cohort 1 launch — Application ID ACCESS00590, MSK + eCKM dual-track, $522/patient/year
Team
Blaine Warkentine MD MBA
Architect
20 years orthopedic technology. Grew BrainLAB ortho vertical to $250M. HarnessHealth.ai LLC. SolvingHealth engine.
Josh Emdur DO
Medical Director
50-state licensed. BCH hospitalist since 2008. Altru.care PC. Reviews every LMN, signs every clinical document. The harness is only as strong as the physician.
Levonti Ohanisian MD
SurgeonValue Lead
First surgeon pilot. Stanford / Epic integration. MCP connector installed and confirmed. NPI: 1104445147.
Jacob
FHIR Infrastructure Lead
CMS ACCESS application code. FHIR R4 adapters. EMR integration architecture.
Every URL in One Place
Core Platforms
NPI Marketplace
Condition PWAs (Save to Home Screen)
co-op.care
The One Sentence
A health system built on AI that enters through your pain, stays for your family, and pays for itself — governed by a real physician, owned by the people it serves, accessible to anyone with a browser.
One founder. One AI. 45 sites. 232 tools. 2.4 million physician pages. Zero employees. The harness is on.
HarnessHealth ·
SurgeonValue ·
ClinicalSwipe ·
co-op.care ·
SolvingHealth
Physician-governed AI. 2.4 million NPIs. One network.