Carevo beats the published MedAsk triage benchmark — see the numbers

The AI-native triage system
for patient care.

reads directly from

Epic Aetna BCBS UnitedHealth Cigna Humana HL7 FHIR Google Places Availity SNOMED CT Epic Aetna BCBS UnitedHealth Cigna Humana HL7 FHIR Google Places Availity SNOMED CT

Platform

One coordinated suite.Role-specific workflows.

Members, nurses, adjusters, care teams, and insurers move faster when intake, emergency safeguards, rule routing, and handoff all stay in one traceable system.

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AI Triage System

Patient-facing intake that screens emergency signals first, asks tailored follow-up questions, and routes through deterministic clinical rules.

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Carevo AuditOS

AI-native compliance infrastructure that monitors routes, consent, safety metrics, traceability, and cost impact in real time.

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Routing Intelligence

Versioned emergency checks, extracted facts, clinical floors, and benchmark gates make each routing decision explainable to operators.

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Network Handoff

Designed for insurer and facility workflows where routing, coverage context, facility fit, and review status need to stay connected.

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Impact

Accelerate your path to care.

42%

Fewer tokens per patient session compared to a naive single-LLM approach — today, without the roadmap gate.

4

Questions maximum to reach a clear care recommendation. Members get an answer before frustration sets in.

100%

Traceable. Every routing decision is linked to the specific clinical rule version that produced it.

03 · Workflow

Every case. Every decision.
Always visible.

Adjusters see the full routing trace — feature vector, rule match, and care level — before any authorization is issued.

Simulated data — demo only

Case	Member	Reference	Next Step	Exposure
Chest pressure — onset 3h Emergency	R. Patel UnitedHealth	Triage #P8821	Awaiting ER triage handoff	High-acuity risk
Conversation t+0s Patient"chest feels really tight, started a few hours ago" t+2s Carevo"That can be serious. Is the tightness there right now, and does it spread to your arm, jaw, or back?" t+31s Patient"yeah still there. kind of aches into my left arm" t+33s Carevo[EMERGENCY HARD-STOP] "Please call 911 now or have someone take you to the nearest ER. Do not drive yourself." What the engine extracted System cardiac Severity high Onset 3h Red flags chest_pressure, arm_radiation Rules fired `net.emergency_tier1` Chest pressure + arm radiation triggers the pre-AI emergency net AHA Decision & provenance 911 / Emergencydeterministic hard-stop (no scoring needed) engine carevo-engine-1.1 rules carevo-rules-2026.07.0 kb carevo-kb-2026.07.0+r1 audit #a3f2…9c1b chain-verified ✓ NEXT STEP: Awaiting ER triage handoff — record shared ahead.
Persistent fever 103°F, 48h Urgent Care	S. Torres Aetna	Triage #P8820	2 in-network UCs within 3 mi	Moderate
Conversation t+0s Patient"fever for two days, not going away" t+2s Carevo"What number does your thermometer say, or do you feel very hot to the touch?" t+24s Patient"103.1 this morning" t+26s Carevo"With a fever like that — any stiff neck, or a rash anywhere?" t+51s Patient"no rash, neck is fine. just exhausted" t+53s Carevo"Are you keeping fluids down okay?" t+70s Patient"yes, drinking fine" What the engine extracted System constitutional Severity significant Duration 48h Fever 103.1°F Red flags none (stiff neck, rash, dehydration each screened & denied) Rules fired `rf.high_fever_adult` Sustained ≥103°F floors at urgent care CDC Decision & provenance Urgent Careconfidence 0.86 engine carevo-engine-1.1 rules carevo-rules-2026.07.0 kb carevo-kb-2026.07.0+r1 audit #a3f2…9c1b chain-verified ✓ NEXT STEP: 2 in-network UCs within 3 mi, open now.
Shortness of breath on exertion Telehealth	D. Brown Cigna	Triage #P8819	Telehealth slot queued — 20 min	Moderate
Conversation t+0s Patient"getting winded walking up stairs lately" t+2s Carevo"Are you short of breath right now, sitting still?" t+22s Patient"no, only when i push myself" t+24s Carevo"Any chest pain or pressure when it happens?" t+47s Patient"no pain, just puffing. been gaining weight tbh" t+49s Carevo"How long has this been building?" t+66s Patient"couple months maybe" What the engine extracted System respiratory Severity mild Onset gradual, ~2 months Red flags none (rest dyspnea denied, chest pain denied) Rules fired none fired — engine scoring routed (no floors triggered) Decision & provenance Telehealthconfidence 0.74 engine carevo-engine-1.1 rules carevo-rules-2026.07.0 kb carevo-kb-2026.07.0+r1 audit #a3f2…9c1b chain-verified ✓ NEXT STEP: telehealth slot queued — 20 min. Clinician can order in-person workup if needed.
Ankle sprain, no imaging yet Home Care	K. Lee BCBS	Triage #P8818	Home care + 48h follow-up	Low
Conversation t+0s Patient"rolled my ankle at practice yesterday, swollen" t+2s Carevo"Can you put weight on it, and does it look deformed or wrongly shaped?" t+28s Patient"i can walk on it, just sore. looks normal, a little puffy" t+30s Carevo"Is the pain stopping you from sleeping or daily stuff?" t+52s Patient"not really" What the engine extracted System msk Severity mild Mechanism inversion injury, 24h Weight-bearing yes Red flags none (deformity denied, non-weight-bearing denied) Rules fired none fired — Ottawa-style screens negative Decision & provenance Home Care (RICE + 48h re-check)confidence 0.81 engine carevo-engine-1.1 rules carevo-rules-2026.07.0 kb carevo-kb-2026.07.0+r1 audit #a3f2…9c1b chain-verified ✓ NEXT STEP: home care + 48h follow-up nudge; escalate if weight-bearing worsens.

04 · Privacy and Control

Private by default.
Shared only by consent.

Carevo is designed around sourced rules, explicit opt-in sharing, and a clean boundary between AI assistance and human accountability.

No account required

Carevo does not ask for names, member IDs, addresses, or medical record numbers to run the intake flow.

Consent before storage

Conversation sharing appears only after the assessment, stays unchecked by default, and returns a deletion code.

Admin-key protected

Shared logs are confidential review records with deletion handling and minimum-access expectations.

Turn symptom uncertainty
into the right next step.

Carevo helps insurers guide members to ER, urgent care, primary care, telehealth, or home care with emergency-first safeguards, deterministic routing, and a full audit trail for every recommendation.

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