AI-native risk adjustment

Autonomous AI agents
that do the coding work.

Sixteen specialised agents read the chart, verify every code, find the evidence, score the risk, prepare the audit and watch approved charts for what must come off — while your coders and reviewers make the decisions.

16 autonomous agents13 products4 code-set years, chosen automatically0 codes finalised without a person
Products

Grouped the way your teams own them.

Four groups, thirteen products, one platform. Every product is run by named agents that do the work autonomously and hand the decision to a person.

Capture

Risk Adjustment

Capture every condition the documentation supports — at the point of care or in retrospective review — with AI doing the reading and a coder making the call.

S7 CoderAI-assisted HCC coding workspaceS7 RecaptureMedication- and lab-driven condition captureS7 RAFLive CMS-HCC risk scoring and what-ifS7 AssistCoding assistant that shows its work
Before submission

Coding Integrity

Every code is checked against the rules, the evidence and the chart's own measurements before it can leave.

S7 VerifyReal-time validation and the submit gateS7 MEATDocumentation evidence, cited per pillarS7 ContradictCodes the chart's own numbers disprove
After submission

Audit & Compliance

Second-level review, post-submission withdrawals and RADV readiness — with a ledger you can hand to an auditor.

S7 AuditSecond-level review with the evidence attachedS7 RetractPost-submission withdrawals and RADV readinessS7 RulesYour coding policies, applied by the agents
Under everything

Operations & Platform

Chart custody and assignment, reporting, and the clinical reference every agent works from.

S7 IntakeChart custody, provider verification, assignmentS7 InsightsAnalytics, scorecards, deadlines and access reportingS7 KnowledgeThe clinical reference every agent works from
The agents

Sixteen agents. Two read and answer. Fourteen verify, check, score and watch.

In risk adjustment the defensible answer beats the fluent one, so most of our agents exist to check the two that use AI. Six of the sixteen, below; every product page names its own.

Chart Reading Agent
AI · reads the note

Reads the clinical note the way a senior coder would and proposes complete, guideline-level coding — including the status codes the medication list supports — while leaving out anything uncertain, incidental, or assumed. It never sees patient identifiers.

Readsthe de-identified clinical note, with medications and results as supporting context
Producesproposed codes, each tied to the exact sentence that supports it
Neversees identifiable information, or finalises a code on its own
AIde-identifiedcites the sentence
Verification Agent
Autonomous · has the last word

Checks every code the AI proposes against the official reference before a coder ever sees it. A code that doesn't exist is discarded; the description, billable status, HCC category and risk weight are corrected to the official values.

Readswhat the AI proposed
Producesverified codes, with any corrections noted
Neverlets the AI's own version of a code through unverified
autonomousofficial reference
Validation Agent
Autonomous · runs on every change

Re-checks the whole code set every time it changes: the code exists for that year, it is billable, it doesn't conflict with another code on the chart, it fits the patient's age and sex, it is sequenced correctly, and it satisfies your organisation's own coding policies. It decides what blocks and what warns, and it controls the Submit button.

Readsthe codes, the patient, the payer and the date of service
Produceswhat must be fixed, what to watch, and one-click corrections
Neverlets a chart be submitted while it cannot check it
autonomousowns Submit
Contradiction Agent
Autonomous · numbers versus codes

Looks for coded diagnoses the chart's own measurements disprove — a BMI that doesn't support a morbid-obesity code, a kidney-function result that doesn't match the coded stage — and points to the exact reading in the note. It is deliberately conservative: it flags only when every reading disagrees, and it respects the clinical exceptions.

Readsresults and measurements written in the note
Producesthe contradiction, where it was found, and the correct replacement code
Neverflags on a single stray reading
autonomousbefore and after approval
Documentation Evidence Agent
Autonomous · MEAT

For every risk-adjusting diagnosis, finds the evidence that it was Monitored, Evaluated, Assessed and Treated — the actual sentence in the note, the result, or the medication — and cites it. The audit package writes itself as the coder works.

Readsthe clinical note, results and medications
Producesper-pillar evidence with citations
Neverdecides for you how much evidence is enough — that policy is yours
autonomouscites the sentence
Retraction Agent
Autonomous · after approval

Keeps watching approved charts. Whenever new evidence arrives or a coding policy changes, it re-checks them and queues the codes that should come off, ranked by what is at stake, with the same evidence that would have caught them the first time. Every decision — keep, query, or retract — goes into a permanent ledger.

Readsevery approved chart, whenever evidence or policy changes
Producesthe codes to withdraw, ranked by risk, with the evidence and a decision record
Neverremoves a finding from the record — decisions are kept, not deleted
autonomousreviewer decides
Why S7

Built to be defensible.

No accuracy claim appears anywhere on this site, on purpose. What we will say is what the agents always do.

Every codetied to the sentence, result or medication that supports it
Every proposalverified against the official reference before a coder sees it
Every changere-checked, with Submit controlled by the result
Every decisionrecorded with who, when and why
0years of ICD-10-CM, the right one chosen automatically
0CMS-HCC categories scored and itemised
Always watchingapproved charts re-checked whenever evidence or policy changes
0codes finalised without a person
Guardrails

What the agents are built never to do.

see patient identifiers

The AI reads de-identified charts

Identifiers are removed before any AI reads a note. Codes, doses and results remain.

finalise a code

A coder approves, a reviewer approves again

Agents propose, verify and flag. People decide, and both decisions are recorded.

overrule a check

The checks have the final say

When an AI answer and a validation check disagree, the check wins and the answer is corrected.

invent a code

Everything is verified against the official reference

A code the AI proposes that doesn't exist is discarded; descriptions and categories are corrected.

cross an organisation

Your data is yours alone

Each organisation's data is fenced from every other, enforced at every layer and checked continuously.

work in the dark

Everything is recorded

Sign-ins, chart activity, policy changes and document access, each on its own permanent record.

Questions

Straight answers.

Is this just a chatbot on top of a coding tool?

No. Sixteen autonomous agents do specific jobs — reading, verifying, checking evidence, scoring, reviewing, watching approved charts — and hand work to each other and to your people. Two of them are AI language models; the other fourteen are rule-driven and check the models' work.

Are these thirteen separate products?

They are thirteen capabilities of one platform, grouped the way your teams own them. Everything runs in the same application and works from the same clinical reference.

What accuracy do you claim?

None that we cannot defend. We measure capture and over-coding per pilot on your own charts, under BAA, against your auditors' dispositions — and every code carries its evidence so you can check it yourself.

How is patient information protected?

Identifiers are removed before any AI reads a chart. Originals are sealed and never deleted. Each organisation's data is fenced from every other, and every access is recorded.

Do you submit to CMS?

No. Submission runs through your existing channel. S7 Retract tells you what must be withdrawn afterwards, with the evidence and a decision ledger.

Can we use our own coding policies?

Yes. S7 Rules turns your policies into checks every agent applies, with two-person approval before a policy takes effect.

Book a demo

Watch the agents work one of your charts, end to end.

Thirty minutes, one de-identified encounter, from intake to the retraction ledger, under BAA. You keep the evidence trail.

S7 Intelligence · Chennai · Coimbatore · Fremont, CA

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Demo request sent Thanks — a member of the S7 team will reply within one business day.