Network consistency,
with evidence.
Provider Performance & Protection scores every provider interaction against your clinical guidelines, surfacing network-level consistency, individual performance patterns, and the objective evidence that protects your network when it matters.
Performance problems surface in the wrong place.
Without systematic review, provider performance gaps surface through incidents, complaints, or payer audits: after the fact, without documentation. High performers lack objective evidence of their quality. Coaching decisions are based on the 2–5% of visits a QA team could review. The rest goes unreviewed.
What it does
Provider Performance & Protection processes every recorded visit through CogniSwitch's clinical knowledge layer, scoring each provider interaction against guideline adherence, documentation standards, and clinical protocol compliance. Every score is sourced to the specific transcript line that generated it.
Each recorded provider interaction is processed against your clinical guidelines, not a sample. Coverage is 100%.
Every score traces to the specific transcript line that generated it, not a black-box output.
Aggregate to see network consistency patterns, or drill to individual provider performance over time.
What manual QA actually sees.
19 providers are invisible to manual QA. That's where the liability lives.
Where it moves the business
- Network-level consistency: identify variation in how clinical protocols are applied across your provider network.
- Early coaching signal: surface performance patterns before they accumulate into quality problems.
- Clinical governance story for employer and broker conversations: objective network quality evidence, not self-reported.
- Objective evidence for provider reviews, termination decisions, and liability responses.
- Documented performance history that holds in regulatory inquiries and legal proceedings.
- Reduced liability exposure when incidents occur: documentation exists before the question is asked.
Paired with Visit-Level Quality Assurance
Provider Performance & Protection identifies performance patterns at the individual provider level. Visit-Level Quality Assurance provides the full audit structure at the visit level: guideline adherence, documentation completeness, risk language. Together they give VPs of Clinical Quality and CMOs a complete quality picture.
First Stop Health
Transitioned from manual, statistically insignificant sampling to a governance model that analyzes every provider interaction across a national network.
“We aren't projecting these numbers. This is in production today, powering our clinical governance at scale.”
Validated across 1,000+ providers in the First Stop Health network: 99% expert-aligned accuracy across 250,000+ annual visits.
Built for this task, not bolted onto an EMR or wrapped around a generic LLM. Every output is traceable.
See it run on your data.
A working session.
Bring your provider rubric and any recent audit findings. We'll show you what network-level consistency looks like when every visit is scored, in 45 minutes.