TruthNexus
White-Label CDS · Coming Soon

Regulatory-grade CDS in your product, your brand

Clinical decisions happen in many places that aren't Epic or Cerner — insurance carrier nurse lines, telehealth platforms, PBMs, employer wellness apps, retail clinics. Skippy Embedded CDS wraps Skippy's evidence substrate in a white-label SDK. The buyer brands it. Skippy provides the regulatory-grade grounding underneath: calibrated confidence, signed audit trails, Article 14 deployer enforcement, and per-segment compliance adapters — out of the box.

The Distribution Problem

Epic controls 38% of US hospital EHRs. Most clinical decisions don't happen there.

Epic is increasingly building its own AI products (Cosmos, Epic Payer Platform) and doesn't want third-party CDS in its clinical loop. Meanwhile, insurance carriers, telehealth platforms, PBMs, employer wellness apps, and retail clinics all have real clinical decision-making touchpoints — and none of them run Epic. Existing CDS vendors (UpToDate, ClinicalKey) sell content, not interactive decision support, to these buyers. Skippy Embedded CDS fills that gap with the same regulatory-grade substrate — deployed through an SDK, not an EHR integration.

Capabilities

What Embedded CDS provides

Embeddable SDK — React, Vue, Web Components

Drop-in UI components that render evidence-grounded responses with citations, calibrated confidence, and a provenance side panel. Customers wrap a single component; Skippy's full epistemic stack runs underneath. Bundle under 100KB gzipped.

White-label theming per tenant

Per-customer brand color palette, logo, voice (formal / clinical / friendly), and citation-display style. Theming is cosmetic — the audit-log payload and signed evidence chain are identical across every tenant.

Use-case packs by segment

Pre-built packs for each buyer: Member-App (symptom checker, medication questions, care routing), Telehealth (pre-encounter brief, in-encounter reference), PBM (prior-auth review, formulary lookup), and Retail-Clinic (protocol-aware support, scope-of-practice boundary detection).

Per-segment compliance adapters

Regulatory compliance adapters for each buyer type: carriers (NAIC + state DOI), telehealth (state telemedicine + interstate compact), PBMs (CMS pharmacy rules), employer wellness (ERISA + HIPAA-as-BA), and retail clinics (state pharmacy + NP scope). Each adapter adds required disclosures and audit extensions.

Member-facing tone calibration

Member-facing UIs use plain-language equivalents calibrated to an 8th-grade reading level. Evidence citations are preserved; the tone is adjusted for the audience. NOT_COVERED defaults to human-review routing for member-facing tenants — never a silent refusal.

Article 14 deployer enforcement

Skippy's deployer enforcement library applies out-of-the-box per buyer segment. Low-confidence or uncertain outputs route to human review rather than delivering a hedge. Every response carries a signed audit trail valid for regulatory examination and ERISA/state-DOI defensibility.

Who It's For

Non-EHR buyers with real clinical touchpoints

Health Insurance Carriers
Embed evidence-grounded decision support in nurse lines and member apps. Signed audit trail satisfies EU AI Act Article 14 and state-level AI laws for member-facing AI.
Telehealth Platforms
Calibrated guidance for time-pressured encounters. High-confidence answers in seconds; honest NOT_COVERED routing when the question is outside scope.
Pharmacy Benefits Managers
Prior-auth review grounded in FDA labels and CPIC guidelines — with a citation chain. Reduces reviewer training time; provides documented evidence basis for exception decisions.
Retail Health & Employer Wellness
Protocol-aware decision support within defined clinical scope. NOT_COVERED structural honesty prevents accidental scope-of-practice violations at retail clinics and wellness platforms.
Pricing

Priced to match how each segment buys

PMPM and per-encounter models match how carriers and telehealth platforms already price their own products — making Skippy easier to underwrite and easier to sell internally.

SegmentPricing axisExample
Insurance carriersPer-member-per-month (PMPM)PMPM at member-base scale
TelehealthPer-encounterPer-encounter at platform volume
PBMsPer-PA-reviewedPer-PA at review volume
Employer wellnessPer-active-userPMPM at workforce scale
Retail clinicsPer-clinical-encounterPer-encounter at clinic volume
Digital health startupsTiered subscriptionTiered MRR
Regulatory compliance — built in

Every Embedded CDS response carries a cryptographically signed audit trail — the same one that satisfies EU AI Act Article 14 and state AI laws for member-facing AI. NOT_COVERED outputs route to human review rather than guessing. The underlying evidence base is the same one used for FDA SaMD and CMS-0057-F prior auth compliance — not a stripped-down version. Compliance is not a feature added per customer. It is the substrate.

Interested in Skippy Embedded CDS?

Join the waitlist for early access. We're sequencing pilots: telehealth first, then PBMs and carriers.