GwenOS · Entities & Digital Twins
One record per person
GwenOS assembles one resolved record for every patient, member, provider, payer, and claim, from every system that holds a fragment.
Talk to usThe problem
Your agent does not know who the patient is.
The same person shows up in the EHR, the claims system, eligibility, prior auth, and the provider directory. Each system gave her a different ID. None of them compared notes. An agent working from one of those systems is working from a fifth of the picture.
One patient — five system records
- EHRPT-44712-A
- ClaimsMEM-009823
- EligibilityELG-2024-3387
- Prior AuthPA-77119-B
- Provider DirectoryPRV-LINK-5521
- GwenOS · resolvedENT-001
The five entities
Five entities, each with one resolved record
- Patient 360
- Clinical history, encounters, labs, and medications in one longitudinal record.
- Member 360
- Eligibility, claims, prior auth history, and care management in one view.
- Provider 360
- One provider across every directory, contract, and network that lists them.
- Payer 360
- Plan rules, policies, and contract terms, resolved per payer.
- Claim 360
- The claim, its lines, its documentation, and everything that has happened to it since submission.
How resolution works
Resolution runs continuously
Records are matched and merged as data arrives, with provenance kept on every field. You can see which system a value came from, and when. Nobody waits for the quarterly batch.
Where the data sits
Nothing moves first.
GwenOS reads data where it already lives, inside your governance perimeter. The record gets assembled without a migration project standing in front of it.
What it does for the work
Every Solution starts from the same record
Intelligent UM opens a case with the member's full history attached. Intelligent RCM sees the claim and the chart together. HCC Risk Adjustment sees every condition the record supports. Nobody rebuilds the patient for each workflow.