AlignHealthcareAI
Your healthcare AI processes too much data.Agents on FireCuts that by 80%–93%.
Faster results. Better accuracy. A fraction of the cost.

This is one patient.

A pediatric oncology patient at a major children's hospital. Real record complexity.

Laboratory Results31,659
Documents7,049
Treatment Episodes3,524
Medications2,584
Measurements (Vitals)1,863
Encounters932
Imaging Studies604
Diagnoses / Conditions171
Pathology Diagnostics160
Tumor Procedures53
Distinct Clinicians300+
Clinical Specialties30+

~49,000 structured data points. ~7,000 clinical documents. Millions of tokens. One patient.

Now imagine your AI trying to generate a care plan, a prior authorization letter, or a treatment recommendation from this record. It can't process all of it. And it shouldn't have to. The question is: which data points matter for the task at hand?

Healthcare AI has an infrastructure problem.

Patient records weren't built for AI agents

A complex patient's record can exceed a million tokens — too large to send, too expensive per call. So most systems retrieve fragments based on keyword similarity. What comes back sounds related but misses critical relationships between labs, medications, and diagnoses.

FHIR is designed for exchange, not reasoning

FHIR resources are verbose, fragmented, and relationship-poor. Models spend their context parsing structure instead of reasoning about the patient. Trends that should be obvious are buried across hundreds of discrete observations.

When AI gets it wrong, can you figure out why?

A bad recommendation could be a model, data, or retrieval problem. Without visibility into exactly which data informed each decision, debugging is guesswork and improvement is slow.

From raw records to AI-ready in one API call.

Example: complex chronic disease patient (6+ conditions, extensive clinical history)

BEFORE

Raw FHIR Bundle

~47,000 tokens

Every resource loaded. Redundant references. Unresolved codes. No task-specific filtering.

AFTER

Agents-on-FHIR

~4,200 tokens

Clinically relevant data only. Organized for AI reasoning. Every inclusion and exclusion logged.

This patient: 91% token reduction | Range across patient complexity: 40–93%

Infrastructure, not another application.

Clinical Data Optimization
Your patient records go in raw. They come out structured for how AI reasons — references resolved, codes mapped to plain language, clinical history organized by relevance. One API call.
80–93% Cost Reduction
Less data in means lower cost per interaction. The savings scale with patient complexity — the sickest, most expensive patients see the greatest reduction. At scale, this changes the economics of your entire AI operation.
Built-in Audit Trail
Every transformation, every AI query, every output — recorded with full provenance. What data was included, what was excluded, and why. Designed for HIPAA, CMS reporting requirements, and state-level AI accountability mandates.
AI Verification & Governance
Reinvest a fraction of your cost savings into output quality. Our verification layer scores AI-generated recommendations for clinical safety, completeness, and appropriateness — producing audit-ready evidence for every decision.Learn more →

Built for organizations running AI on clinical data.

Digital Health Companies

You've already built your clinical AI. We make it dramatically cheaper to run and easier to prove it's working correctly. Integrate our data optimization layer without changing your models or workflows.

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Health Systems & Providers

You're evaluating or deploying AI for care management, prior authorization, or clinical decision support. We provide the data layer that makes those deployments cost-effective and compliant from day one.

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Government Agencies & MCOs

You need AI-assisted eligibility, enrollment, and care coordination with documentation that holds up under audit. Our infrastructure powers Navigator360, validated with AARP Foundation, NJ InCK, and CMS.

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Health Information Exchanges

You're the neutral data intermediary. Our data optimization and governance layer lets you offer AI-readiness services to your member organizations without compromising your neutrality.

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Tested in production. Trusted by the organizations that set the standards.

AARP Foundation

47% reduction in SNAP application denials — validated in a randomized controlled trial.

NJ Integrated Care for Kids

Navigator360 deployed for 140K Medicaid children across 75 partner organizations.

Bronx RHIO / NY HIEs

Co-authored SDOH data exchange requirements for six Health Information Exchanges.

CMS

Advisor to the National Directory of Healthcare Providers and Services and first company to implement the FAST standard.

Powered by AlignHealthcare.AI

AlignHealthcare.AI is the infrastructure layer behind Navigator360 by Open City Labs — our care coordination platform that handles eligibility screening, benefits enrollment, AI care plans, and billable social care services across 227+ government programs.

Learn more about Navigator360 →
See what your AI looks like with 91% less noise.
We'll run a sample of your patient data through our optimization layer, show you the before and after, and quantify your savings. No commitment required.