Telehealth Intelligence/Provider Performance & Protection
Solution

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.

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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 is invisible.

Mechanism

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.

How it works
Every visit scored
Each recorded provider interaction is processed against your clinical guidelines — not a sample. Coverage is 100%.
Source-linked scores
Every score traces to the specific transcript line that generated it — not a black-box output.
Network-level and individual views
Aggregate to see network consistency patterns, or drill to individual provider performance over time.
Business Impact

Where it moves the business

Clinical
  • 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.
Commercial
  • Clinical governance story for employer and broker conversations — objective network quality evidence, not self-reported.
Risk & Compliance
  • 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 capability

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 — guideline adherence, documentation completeness, risk language — at the visit level. Together they give VPs of Clinical Quality and CMOs a complete quality picture.

Visit-Level Quality Assurance
CASE STUDY • FIRST STOP HEALTH

First Stop Health

Transitioned from manual, statistically insignificant sampling to a governance model that analyzes every provider interaction — across a national network.

NETWORK SIZE1,000+ Providers [FSH-1]
ANNUAL ENCOUNTERS250K+ Visits [FSH-2]
AUDIT COVERAGE<5% → 100% [FSH-3]
ANNUALIZED SAVINGS$2.0M [FSH-4]
CLINICAL ALIGNMENT99% [FSH-5]

“We aren't projecting these numbers. This is in production today, powering our clinical governance at scale.”

REFERENCE DATA [FSH-1:5] • Q1 2026 AUDIT
[FSH-1] 1,000+ providers in the First Stop Health clinical network.
[FSH-2] 250,000+ recorded visits analyzed annually.
[FSH-3] Audit coverage expanded from <5% manual sampling to 100% automated review.
[FSH-4] Annualized reduction in QA operational costs and risk mitigation.
[FSH-5] Performance alignment measured against blind double-read by clinical directors.

Validated across 1,000+ providers in the First Stop Health network — 99% expert-aligned accuracy across 250,000+ annual visits.

Deterministic Scoring
Scored against your own clinical guidelines, visit by visit.
99% Expert Alignment
Validated against expert clinical reviewers across 250,000+ visits.
Source-Linked Audit Trail
Every score traces to a specific line in the transcript — defensible in any audit.

Not an EMR query. Not a generic LLM. Every output is traceable.

Who it serves
Next Steps

Not a demo.
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.

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CogniSwitch / Provider Performance & Protection
© 2026