Interactive Ecosystem Demo

Tova Healthcare Intelligence Platform

The only end-to-end pipeline that captures clinical encounters, molecular testing, and therapeutic device data — structures it with AI that gets smarter with every claim — and seals every record to a quantum-secure ledger with zero transaction fees.
Patients say "Hey, Tova" and talk to their health record. Providers see claims intelligence that learns what every insurer actually enforces. Payers get molecular risk stratification no competitor can match. Below, see exactly what each stakeholder experiences as data flows from the exam room to the population analytics dashboard.
Physicians
Dental
Wellness
TPAs
Databricks
Insurers
Salesforce
Clinical Trials
EMR Vendors
Patients
$170K–$220K
New revenue / practice / year
75%
Denial overturn rate
4–6 weeks
Trial recruitment vs. 6–12 mo.
$0.00
Per-record sealing fees
End-to-End Pipeline
From Clinical Conversation to Population Analytics
Every step creates structured, verified data. Every record is quantum-secure from the moment of capture. Clinical encounters, molecular testing, therapeutic devices, and sensor data — unified in one pipeline.
01

Capture

Ambient AI records encounter on-premises

→
02

Enrich

Molecular testing + therapeutic device data ingested

→
03

Structure

NKE extracts entities, builds knowledge graph

→
04

Normalize

DataBraid unifies across specialties + data types

→
05

Learn

NKE builds claims intelligence from denial patterns

→
06

Seal

Quantum-secure seal + AidTrace fraud screen — zero transaction fees

→
07

Deliver

FHIR → Databricks + Salesforce Health Cloud

→
08

Monetize

Analytics, sharing, trials, insurance underwriting

What Comes Out — The Documentation & Communication Pipeline
A

SOAP Note

Structured clinical documentation, auto-generated for provider review and sign-off

→
B

Patient Summary

Plain-language explanation of what happened and what's next — in your preferred language

→
C

"Hey, Tova"

Bidirectional voice agent — patient asks questions about their visit, medications, coverage, or health

Doctor speaks naturally → system creates clinical notes + patient-friendly summary → patient says "Hey, Tova" and has a conversation about their care.
The intelligence compounds. Every claim outcome across every specialty teaches the system what each payer actually enforces — not what their published policy says. More encounters → smarter claims assembly → fewer denials → more data → smarter still. This is the moat.
Why This Matters
Today's Reality vs. The Tova Vision
Today
With Tova
Clinical notes dictated after the visit — error-prone, delayed
→
Captured live. Structured in real time with entity-level extraction.
No claims intelligence — denials happen, then you react
→
System learns what each payer enforces. Prevents denials before submission.
Molecular + device data siloed in vendor portals
→
Integrated into the clinical record, the knowledge graph, and the claim.
Each provider is an island — no cross-specialty visibility
→
Knowledge graph connects medical, dental, molecular, and device data.
Database records anyone could modify
→
Quantum-secure seal. Tamper-proof. Zero per-record fees.
Patient portal with PDFs nobody reads
→
"Hey, Tova" — conversational voice agent across all providers.
Stakeholder Views
What Each Partner Sees
Click each tab to see the experience from that stakeholder's perspective.
Physician
Dental
Wellness
TPA
Databricks
Insurer
Salesforce
Clinical Trials
EMR Vendor
Patient
Physician View — Dr. Sarah Chen, Internal Medicine / Lifestyle Medicine

Ambient Capture + Molecular Intelligence + Claims Intelligence

Tova records the encounter on-premises. NKE structures clinical entities and correlates them with molecular testing results and therapeutic device data in real time. The knowledge graph connects clinical, molecular, and device data across visits.

tova-clinical / ambient-session / patient: M. Rodriguez
Live Transcript
DR CHEN
How's your blood pressure been since we adjusted the lisinopril to 20mg? And I see your molecular testing results came back — let's review those.
PATIENT
Better, but I've been having ankle swelling the past two weeks. Also, my dentist mentioned gum inflammation. And I've been using the light therapy patches for my back — they seem to help.
DR CHEN
Good — the CareWear data shows solid adherence. Your molecular panel shows elevated TMA — that's a cardiovascular marker worth watching alongside the HTN. And butyrate production is low, which correlates with the gut inflammation. Let me refer you to Dr. Park for the periodontal evaluation.
NKE Entity Extraction
Medication
Lisinopril 20mg
Prior: 10mg → Current: 20mg
Symptom
Bilateral Ankle Edema
Duration: 2 weeks · ACE-I correlation flagged
Molecular Testing
TMA Elevated · Butyrate Low
Cardiovascular risk ↑ · Gut inflammation active
Device — CareWear
18 sessions / 78% adherence
Pain: 7→4 · Functional improvement documented
Cross-Specialty
Periodontal + HTN + Microbiome
Three-way correlation: gum inflammation + ACE-I + gut dysbiosis
Revenue Alert
RPM + CCM Billable
CareWear sessions qualify for 99457 · CCM for 99490
Generated SOAP Note (for Dr. Chen's review before signing)
S: Patient reports improvement in BP since lisinopril increase to 20mg. New bilateral ankle edema ×2 weeks. Dentist noted gum inflammation. Using CareWear PBM patches for lower back pain with subjective improvement.
O: Molecular Testing Intelligence: TMA elevated (cardiovascular risk marker), butyrate low (gut inflammation). CareWear: 18 sessions completed, 78% adherence, pain scale 7→4. Bilateral ankle edema present on exam.
A: 1. HTN on ACE-I with new peripheral edema (R60.0) — evaluate ACE-I contribution vs. other etiology. 2. Elevated TMA: cardiovascular-microbiome risk pattern. 3. Periodontal-HTN-microbiome correlation flagged (cross-specialty).
P: Ankle X-ray if edema persists >2 weeks. Periodontal referral to Dr. Park. AI-guided nutrition protocol for TMA/butyrate optimization. Continue CareWear PBM. Recheck BP + edema in 4 weeks.
Auto-generated from the conversation transcript. Dr. Chen reviews every finding individually before signing — she can accept, modify, or reject each entity. Once signed, the note is sealed to the immutable ledger.
tova-nke / claims-intelligence / provider: Dr. Chen / insurer: UHC
Claims Intelligence — This Encounter
⚡ RPM Denial Risk — CareWear
UHC: 58% denial rate without session data
NKE learned: UHC requires device-level dosage logs + functional improvement scores. Auto-attaching CareWear session data (18 sessions, pain 7→4, 78% adherence).
⚡ CCM Revenue — Uncaptured
Patient qualifies for 99490 ($42–54/month)
NKE: chronic HTN + metabolic syndrome + active device monitoring = CCM criteria met. This practice has 340 patients meeting threshold; currently billing 0.
🧠
How NKE learns — and auto-assembles. NKE maintains a living matrix of insurer × procedure × required documentation. Every claim outcome — approval, denial, appeal, overturn — teaches the system what each payer actually requires (not what their published policy says, but what their adjudicators enforce). When Dr. Chen orders an MRI or bills RPM, NKE already knows: UHC for 99457 requires device-level dosage logs + functional improvement scores. Aetna for lumbar MRI requires failed conservative therapy documentation + 6-week timeline. BCBS for 96156 requires a structured behavior change plan. The required evidence is auto-pulled from the encounter transcript, the device data, the molecular results, and the knowledge graph — and attached to the claim before it leaves the building. The physician never sees a denial that could have been prevented by documentation the system already had.
🛡️
Sealed. Quantum-secure. Tamper-proof. This encounter is now sealed to Knish.IO's immutable ledger — quantum-secure, with an unbreakable chain of custody linking every provider action. Dr. Chen's identity is cryptographically verified for every attestation she makes. Your practice's data is isolated from every other organization on the platform — it never mixes. No per-record sealing costs.

Why this matters:
• Malpractice defense: If you're ever challenged in a malpractice suit, this seal proves exactly what was documented, when, and by whom — it can't be altered after the fact. Not by you, not by anyone.
• Denial defense: If an insurer wrongfully denies a claim, the sealed evidence packet proves clinical necessity was documented at the time of service — not reconstructed after the denial.
• Regulatory audits: If a HIPAA, CMS, or state licensing board audit occurs, the complete chain of custody is cryptographically verifiable — every provider action traced, every entity reviewed and attested.
🔒
On-premises capture. Patient audio never left the building. Molecular testing data imported via API. CareWear session data synced from device cloud. All entities extracted locally and sealed to an immutable quantum-secure ledger. Every provider action traceable. No per-record sealing costs.
💰
Revenue captured. RPM billing for CareWear sessions: $580–720/year per patient. CCM billing now flagged for 340 qualifying patients: $170K–220K/year in new revenue. Edema (R60.0) coded. MRI denial prevented by flagging UHC's documentation threshold. Molecular correlations documented for medical necessity. Claims intelligence gets smarter with every encounter.
Dental Practice View — Louisville Dental Group (4 clinics, 12 providers)

Ambient Capture + Oral Microbiome + Claims Intelligence

Tova captures the dental encounter on-premises with entity-level extraction. Oral microbiome data from molecular testing platforms enriches the clinical picture. The claims intelligence engine surfaces dental-specific denial patterns and auto-attaches evidence.

tova-clinical / dental-session / patient: J. Hammond / provider: Dr. Talis
Live Transcript — Dental
DR TALIS
The X-ray confirms significant bone loss around the lower right molar. Pocket depth of 7mm. I'm recommending scaling and root planing for the full quadrant. Your oral microbiome panel also shows elevated Porphyromonas gingivalis activity — that's driving the inflammation.
PATIENT
My insurance fought us on this last time. Three months to get approved.
DR TALIS
This time we're capturing the clinical rationale at the point of care — pocket measurements, bone loss on imaging, bleeding on probing, and the microbiome data. That evidence goes straight into the record and the claim.
NKE Entity Extraction — Dental
Diagnosis
Chronic Periodontitis — Localized
ADA: D4341 · ICD-10: K05.31 · Quadrant: Lower Right
Molecular — Oral Microbiome
P. gingivalis: High Activity
Inflammatory pathway active · Correlates with periodontal-cardiovascular risk
Cross-Specialty Flag
HTN + ACE-I + Oral Microbiome
Patient on Lisinopril 20mg (Dr. Chen) · Periodontal-cardiovascular-microbiome link flagged
⚡ Claims Intelligence
D4341 + Delta Dental: 75% initially denied
NKE learned: denials overturned when pocket >6mm + radiograph included with initial submission. Auto-attaching both + oral microbiome pathogen data as supplemental evidence.
🔗
Cross-practice data sharing — controlled by the patient. Dr. Chen's practice shared Maria's HTN + microbiome correlation with Dr. Talis's practice through patient authorization. Each practice's data is isolated by default — sharing only happens when explicitly authorized. Dr. Talis sees the relevant correlation, not the full internal medicine encounter. HIPAA Minimum Necessary enforced at the infrastructure level.
🔒
Cross-specialty + molecular correlation sealed. NKE flagged the periodontal-cardiovascular-microbiome triangle to Dr. Chen (PCP). The oral microbiome data adds objective pathogen-level evidence to the clinical findings — strengthening both the treatment rationale and the insurance claim. Every entity sealed to a quantum-secure ledger. No per-record costs.
💰
Three-month delay eliminated. NKE's pattern: Delta Dental denied D4341 12 times in the past year — 9 overturned (75%) when pocket depth >6mm + radiographic evidence included at submission. Oral microbiome pathogen data is now attached as supplemental clinical evidence — a new evidence category that strengthens the case beyond traditional documentation alone.
Wellness / Lifestyle Practitioner — Dr. Reyes, Integrative Medicine + RPM Program

Molecular Intelligence + Device Monitoring + Billable Wellness

The wellness practitioner operates in hybrid mode: integrative care recommendations based on molecular testing and therapeutic device outcomes, combined with billable remote patient monitoring and chronic care management. Tova unifies both workflows and connects them to the broader clinical picture.

tova-wellness / patient-dashboard / M. Rodriguez / Dr. Reyes
Patient Wellness Profile — Multi-Modality View
Molecular Intelligence — Full Body
Gut Health: 42/100 · Biological Age: +4 years
TMA: Elevated (cardiovascular risk) · Butyrate: Low · Inflammatory Activity: High · Oral: P. gingivalis elevated
Personalized Protocol: → Omega-3, fermented foods, prebiotic fiber · ↓ Red meat, choline-rich foods · Custom supplement: butyrate support + anti-inflammatory blend
Therapeutic Device — CareWear PBM
18 sessions / 6 weeks / 78% adherence
Pain score: 7 → 4 · Functional mobility: 72 → 78 · Protocol: lumbar, 30 min, pulsed red+blue
RPM Qualified: >20 min/month device-monitored therapy · Auto-documented for 99457 billing
Sensor / Wearable Data
BP: 138/86 avg (improving) · Steps: 6,200/day
Sleep: 6.1 hrs avg · HRV: 34ms (below optimal) · Resting HR: 72
NKE Cross-Modality Correlations
Pattern: Gut-Cardiovascular Axis
TMA ↑ + HTN + Low HRV = compound risk
NKE: elevated TMA (gut microbiome) correlates with hypertension and reduced heart rate variability. Lifestyle intervention pathway: microbiome-targeted nutrition + BP management + stress reduction.
Pattern: Inflammation Loop
Gut dysbiosis + Oral pathogens + Joint pain
NKE: systemic inflammation connecting gut microbiome imbalance, oral P. gingivalis, and musculoskeletal symptoms. CareWear treating downstream; nutrition targeting upstream.
Billable Service Codes — This Patient
Active Billing
99457 RPMActive ✔
99490 CCMActive ✔
96156 Health BehaviorActive ✔
MNT Nutrition TherapyEligible — not yet billed
⚙️
Automated compliance safeguards. If CareWear device-monitored time falls below 20 minutes/month, the system automatically flags it before the RPM 99457 claim goes out — and alerts the practice manager. Compliance rules are enforced at the infrastructure level, not just software — they can't be accidentally bypassed or silently modified. This patient: 30+ min/month ✔ — rule passed.
🧬
The integrative insight. No single data source tells this story. The molecular testing shows gut-driven cardiovascular risk. The therapeutic device shows pain responding to photobiomodulation. The wearable shows suboptimal HRV and sleep. NKE connects them: systemic inflammation is the common thread — gut microbiome driving cardiovascular markers, oral pathogens adding inflammatory load, musculoskeletal pain as a downstream symptom. The treatment plan addresses root cause (nutrition protocol) and symptoms (device therapy) simultaneously, with full documentation for every billable code.
💰
Billable wellness. This single patient generates $1,800–2,400/year in RPM + CCM + Health Behavior Assessment revenue — all from services the practice is already delivering but not billing. Across a 300-provider network with 15% patient qualification rate, that's the $36M–$54M annual opportunity. NKE identifies qualifying patients automatically and ensures documentation meets payer requirements before submission.
TPA Administrator — HealthCues Consortium

Isolated Compliance + Wellness Programs + Claims Intelligence

Each employer group's data is isolated in its own secure environment — walled off from every other group at the infrastructure level. Module 1 handles benefits compliance (Section 125, payroll integration, audit defense). The wellness program overlay shows ROI from molecular testing and therapeutic device programs. Claims intelligence gives TPAs cross-specialty visibility no other platform provides.

Covered Lives
52,340
Employer Groups
187
Wellness Enrolled
12,800
Claims Savings
$635K/yr
tova-module1 / compliance + wellness / consortium: HealthCues
Employer GroupLives§125WellnessMolecular TestingDevice RxData Isolation
Meridian Manufacturing4,200CompliantActiveMolecular Testing — 680 enrolledCareWear — 140🔒 Isolated ✔
Lakefront Schools Dist.8,100CompliantActiveMolecular Testing — 1,200 enrolledPending🔒 Isolated ✔
Summit Health Partners1,8503 FlagsPilotEvaluatingCareWear — 45🔒 Isolated ✔
CoreTech Solutions3,400CompliantActiveMolecular Testing — 520 enrolledCareWear — 88🔒 Isolated ✔
🏗️
Secure environment lifecycle. Each employer group's data is isolated in its own secure environment on the Knish.IO ledger. When a plan year ends, the environment locks — no new transactions accepted, but historical data is preserved and remains accessible for IRS/DOL audit compliance. HealthCues manages lifecycle across 187 isolated environments. Data never mixes between employer groups.
🧬
Wellness program ROI. Employer groups offering molecular testing and therapeutic device programs (CareWear) as covered benefits are seeing: 23% reduction in ER visits for chronic pain (CareWear cohort), 18% improvement in metabolic health scores, and 12% lower pharmacy spend in the enrolled population. Tova tracks these outcomes at the individual level and aggregates them for the TPA's employer reporting.
📊
TPA value unlock. Cross-specialty denial pattern visibility across the entire consortium — medical, dental, PT, wellness, RPM — is a capability no TPA platform offers today. Estimated $635K/year in preventable denials identified and actively being reduced. No per-transaction costs — every compliance event across 52,340 covered lives sealed without usage fees. Every employer group added to the wellness program compounds the data value.
🛡️
Audit-grade compliance proof. If the IRS or DOL audits your employer groups' Section 125 compliance, every wellness expense, every eligibility determination, every compliance event is sealed with cryptographic proof — not just database records that could theoretically be modified. When an employer asks "can we prove our wellness program qualifies?", the answer is a cryptographically verifiable chain of evidence, not a spreadsheet. In the post-CCA 202323006 enforcement landscape, this is the difference between a routine audit and a costly investigation.
Databricks Lakehouse — Healthcare Intelligence

Unified Multi-Modality Intelligence + Consumption Economics

Tova data flows into Delta Lake as structured, FHIR-compliant datasets with Knish.IO cryptographic provenance. For the first time: clinical encounters, molecular testing, therapeutic device outcomes, dental, PT, claims intelligence, and compliance data — all verified, all queryable, all monetizable.

Data Sources
8
Patient Records
142K
Molecular Profiles
28K
Device Sessions
94K
Cross-Modality Links
41,200
Delta Shares Active
18
databricks / unity-catalog / tova_healthcare_intelligence
-- Cross-modality query: clinical + molecular + device + dental + provenance
SELECT p.patient_id,
  m.encounter_date, m.diagnoses, m.medications,
  v.gut_health_score, v.biological_age, v.tma_level,
  c.device_type, c.sessions_completed, c.pain_delta,
  d.periodontal_status, d.oral_pathogen_activity,
  k.pqc_signature_valid, a.fraud_score
FROM tova.medical_encounters m
JOIN tova.molecular_profiles v ON m.patient_id = v.patient_id
JOIN tova.device_sessions c ON m.patient_id = c.patient_id
JOIN tova.dental_records d ON m.patient_id = d.patient_id
JOIN knishio.audit_trail k ON m.encounter_id = k.record_id
JOIN aidtrace.fraud_monitor a ON m.encounter_id = a.record_id
WHERE v.tma_level > 0.7
  AND m.diagnoses LIKE '%hypertension%'
  AND d.oral_pathogen_activity > 0.6
  AND k.pqc_signature_valid = TRUE

-- Result: 847 patients with HTN + elevated TMA + active oral pathogens
-- Cross-modality correlation no single data source could produce
-- All records PQC-verified, fraud-screened, Delta Sharing ready
Unity Catalog — Tova Data Products
DatasetRecordsFreshnessProvenanceDelta Shares
Medical Encounters142,000Real-timeQuantum-secure · Zero fees8
Molecular Profiles28,000Per-testKnish.IO ✔6
Device Sessions (CareWear, U: The Mind + others)94,000Real-timeKnish.IO ✔4
Dental Records38,200Real-timeKnish.IO ✔4
PT Sessions22,100Real-timeKnish.IO ✔3
Claims Intel Patterns6,200DailyKnish.IO ✔8
TPA Compliance Events1.2MDailyKnish.IO ✔6
Sensor / Wearable Data89,400StreamingKnish.IO ✔2
🔗
Cross-modality intelligence unlocked. 847 patients show HTN + elevated TMA (gut-derived cardiovascular marker) + active oral pathogens — a three-way correlation across clinical, molecular, and dental data sources. This pattern is invisible inside any single EMR. It's queryable here because Tova's DataBraid normalized all three modalities into a common schema. Sealed records remain fully searchable and queryable — not locked in a black box. Population health teams, insurers, and clinical trial recruiters can all query this — every query drives DBU consumption.
Practices
More onboarded
→
Modalities
Molecular + devices
→
Patterns
Claims intel compounds
→
Subscribers
Delta Sharing grows
→
Revenue
↑ DBU consumption
📊 Consumption Economics — Why This Drives Databricks Revenue
Tova generates structured, multi-modality data that doesn't exist in any other Databricks pipeline. Every practice onboarded, every specialty connected, every payer subscribing to Delta Sharing — drives incremental DBU consumption.
Data / Provider / Year
~18 GB
Data / 10K Lives
~240 GB
Downstream Queries
12x
Claims Intel Growth
Compounds
🧠
The compounding layer. Unlike static data sources, Tova's claims intelligence engine learns over time — across every specialty and every modality. Every denial pattern, every overturn, every cross-modality correlation (clinical × molecular × device × dental) adds queryable intelligence to the lakehouse. Query volume doesn't flatten — it compounds. At 50,000 covered lives, the dataset is interesting. At 500,000, it's market-moving. At population scale, it's the claims intelligence layer every payer wants access to — and they're running those queries on Databricks compute.
Insurer / Payer View — via Databricks Delta Sharing + Clean Rooms

Molecular Risk Stratification + Quantum-Verified Provenance

The insurer accesses multi-modality intelligence through Databricks — clinical, molecular, device outcomes, claims patterns — all quantum-secure with verified provider identity chains. For the first time, actuarial models can incorporate biological age, microbiome risk scores, and therapeutic device outcomes alongside traditional claims data.

Population
52K
Molecular Profiles
12,800
Premium Savings
$2.8M
Device Therapy Cohort
3,400
databricks / clean-room / insurer-tova-analytics
Data LayerSignalProvenanceActuarial Impact
Clinical EncountersHTN + periodontal correlation in 847 membersKnish.IO ✔Risk Model
Molecular Testing12,800 members with gut + oral microbiome profilesKnish.IO ✔Bio Age Pricing
Therapeutic Devices3,400 members with dosage-tracked therapy outcomesKnish.IO ✔Outcomes Evidence
Claims IntelligenceDenial patterns across 6 insurers, 50+ proceduresKnish.IO ✔Process Optimization
Wearable Sensors8,200 members sharing continuous BP, activityKnish.IO ✔Premium Adjust
🛡️
Quantum-secure provenance. Every record — clinical encounter, molecular test result, device session log — carries a quantum-secure signature: cryptographic proof of data integrity verifiable for 20+ years. Provider identity is traceable through an unbreakable chain of custody. Already compliant with federal post-quantum security mandates.

What this means for payers:
• Claims fraud detection: Sealed records can't be altered after submission — documentation fraud becomes mathematically detectable, not just an SIU opinion.
• Faster dispute resolution: When a provider appeals a denial, both parties reference the same sealed, unalterable record. No "he said, she said."
• Wrongful denial liability: The insurer can verify that documentation was complete at time of service — before denying. If documentation was sealed and sufficient, the denial is harder to defend in court.
🔐
Per-organization data isolation. Each healthcare organization's data is isolated in its own secure environment on the Knish.IO ledger. The insurer accesses cross-organization analytics through Databricks Delta Sharing without ever touching individual practice data directly. Access controls enforce who sees what, who can modify, and how long data is retained — at the infrastructure level, below the application. Even if the application has a bug, unauthorized access is blocked.
🧬
Molecular risk stratification. Traditional actuarial models use claims codes and demographics. With Tova's molecular data layer, the insurer can stratify by biological age (not chronological), inflammatory biomarker activity, microbiome health scores, and therapeutic response. A member with improving molecular scores and high device therapy adherence is a fundamentally different risk profile than one with the same ICD-10 codes and no lifestyle data. Pricing that difference = actuarial advantage no competitor has.
🔍
Claims-to-conversation reconciliation. NKE identified $340K in undercoded encounters across 4,200 visits — diagnoses discussed in the exam room but never translated to billing codes. For the insurer, this means claims data has been systematically understating severity — risk models built on claims alone were underpricing. Corrected data improves actuarial accuracy for both parties. Molecular data tells you what claims can't. Conversation data tells you what claims got wrong. Together, they're the most accurate risk picture in the market.
Salesforce Ecosystem — Health Cloud + Data Cloud + Einstein AI

The Engagement and Intelligence Layer

Salesforce is Databricks' largest strategic investor. Tova data flowing through Salesforce into Databricks creates a three-way ecosystem play: Salesforce manages the patient and provider relationships, Databricks powers the analytics, and Tova provides the upstream clinical and molecular intelligence that makes both valuable.

salesforce / health-cloud / tova-integration-suite
Health Cloud — Care Coordination
Multi-Site Provider Network CRM
Unified patient journeys across medical, dental, wellness, molecular testing, and device therapy. Provider network management for 300+ groups. Referral tracking (e.g., Dr. Chen → Dr. Park periodontal) — every referral cryptographically linked to both providers' verified identities. Care gap identification across modalities.
Data Cloud — Unified Profiles
Every Modality in One Patient Record
Merge Tova clinical data + molecular results + CareWear device logs + wearable sensors + claims history + engagement data into a single unified profile. Clinical data sealed to the ledger remains fully searchable and queryable — not locked in a black box. Semantic search enables Einstein AI to find clinically similar patients across the entire network. Real-time segment updates as new data flows in.
Einstein AI — Predictive Intelligence
Clinical + Molecular + Behavioral Predictions
Risk predictions trained on Tova's multi-modality dataset. Care gap identification: "Maria's molecular test inflammatory score is rising + CareWear adherence dropped → trigger wellness outreach." Automated next-best-action recommendations for care teams.
Marketing Cloud — Patient Engagement
Wellness Programs + Enrollment + Retention
Molecular testing campaign enrollment. CareWear therapy program onboarding. Personalized wellness content delivery. Re-engagement for lapsed molecular testing patients. Clinical trial recruitment outreach (HIPAA-compliant, provider-mediated).
🔗
The three-way flywheel. Tova captures and structures the data → Salesforce manages the relationships and engagement → Databricks powers the analytics and sharing. More providers on Tova = richer data in Databricks = smarter Einstein AI predictions = better patient engagement via Marketing Cloud = more patients enrolled = more data. Salesforce's strategic investment in Databricks makes this an aligned ecosystem play at every level — from the field sales team to the board room.
🤝
Co-sell motion. For Salesforce healthcare account executives, Tova is the upstream data source that makes Health Cloud + Einstein AI dramatically more valuable. For Databricks healthcare reps, Tova + Salesforce is a complete stack they can take into every health system, payer, and physician network. For Tova, both relationships provide enterprise credibility and distribution. Every deal one partner closes creates demand for the other two.
Clinical Trials Specialist — Trial Recruitment + Data Integrity

Multi-Modality Candidate Matching + HIPAA-Compliant Outreach

Tova's cross-modality dataset enables clinical trial recruitment with precision no other platform can match. Molecular profiles, clinical history, therapeutic device outcomes, and real-time health data — all queryable, all de-identified for matching, all with quantum-secure provenance for regulatory integrity.

tova-trials / candidate-matching / study: CVD-MICRO-2026
Example Trial 1 — Cardiovascular Prevention (Pharma Sponsor)
Trial Criteria
Age45–65
ConditionMetabolic syndrome + HTN
MolecularElevated TMA · Low butyrate
ExclusionNo prior statin use
Target N500 participants
Match Results (De-Identified)
Candidates found1,247
With molecular profile892
Provider sites34 practices
Est. enrollment rate40–55%
Est. recruitment time4–6 weeks
tova-trials / candidate-matching / study: ORAL-DX-2026
Example Trial 2 — Oral Cancer Detection Validation (Molecular Diagnostics)
Trial Criteria
PopulationAdults 40+ with oral samples
Required dataOral microbiome RNA profile
Risk factorsTobacco history, HPV+
Target N2,000 participants
Match Results
Candidates found4,380
With oral RNA data3,100
Dental provider sites18 practices
Est. recruitment time3–5 weeks
Trial Criteria
→
Databricks Query (de-identified)
→
Candidate Match
→
Provider Outreach (Salesforce)
→
Quantum-Secure Seal
⚡
Recruitment timelines collapse. Traditional clinical trial recruitment: 6–12 months, $15K–$30K per enrolled participant, 80% of trials miss enrollment deadlines. With Tova: multi-modality candidate matching (clinical + molecular + device data) runs in minutes against the de-identified lakehouse. Outreach happens through the patient's own provider via Salesforce Health Cloud — HIPAA-compliant, trust-preserving, and fast. No per-transaction fees means sponsors can seal every data point across 500+ participants without cost barriers — critical for trials generating thousands of sealed artifacts. The network earns per-enrollment fees. A new revenue stream that scales with the dataset.
🛡️
Regulatory-grade provenance. FDA trial data integrity requirements are strict. Quantum-secure signatures provide an unbreakable chain of custody from the moment data is captured through trial completion and regulatory submission. Every provider who touches the data is cryptographically verified. No re-signing, no migration, no question about whether records were altered. This is particularly valuable for molecular diagnostic validation studies where the test data itself must be provably unmodified — and equally compelling for device studies (e.g., neurostimulation efficacy trials for partners like U: The Mind) where session-level dosage and outcomes data must maintain chain of custody from capture through FDA submission.
EMR Vendor View — Modular Infrastructure

Embed Tova Components — Join the Data Network

Smaller EMR vendors embed Tova's modular components rather than building from scratch. Their customers' data joins the healthcare intelligence ecosystem — and they gain access to molecular testing integrations, device tracking, and claims intelligence they could never build alone.

Six Embeddable Modules
Module A — Ambient
Clinical Intelligence
On-premises capture, NKE entity extraction, knowledge graphs. White-label ready.
Module A+ — Claims
Claims Intelligence
Denial learning, auto-evidence, revenue leakage detection across every specialty.
Module B — Molecular
Testing Integration
Molecular testing platforms. API ingestion, clinical record integration.
Module C — Devices
Therapeutic Device Hub
Integrated partners include CareWear (photobiomodulation), U: The Mind (neurostimulation) + additional FDA-registered devices. Session tracking, RPM documentation, outcomes evidence.
Module D — Provenance
Quantum-Secure + Fraud
Quantum-secure signatures with unbreakable provider identity chains. Per-organization data isolation. Automated compliance enforcement. Gas-free — no per-transaction sealing costs. + AidTrace fraud detection and payment tracking.
Module E — Interop
DataBraid + FHIR
FHIR resources sealed to the ledger remain fully queryable. Cross-system connectivity, normalization, Databricks lakehouse delivery.
emr-vendor-portal / tova-integration / module-config
ComponentIntegrationPricingStatusDatabricks
Ambient + NKE (Module A)REST API + on-prem agentPer-seat wholesaleAvailableData → Lakehouse
Claims Intelligence (Module A+)NKE claims moduleRevenue shareAvailableAnalytics ready
Molecular Testing (Module B)API adapters per platformPer-module subAvailableData → Lakehouse
Device Hub (Module C)Device cloud sync APIPer-device subAvailableData → Lakehouse
PQC Provenance (Module D)Knish.IO Ledger APIGas-free SaaS subscriptionAvailableProvenance layer
Interop + FHIR (Module E)FHIR R4/R5 + DataBraidPer-module subAvailableSolution Accel.
🔑
The ecosystem accelerator. Every EMR vendor that embeds Tova modules connects their platform to the entire healthcare intelligence ecosystem — Databricks analytics, Salesforce engagement, molecular testing, therapeutic devices, and claims intelligence. Their customers gain capabilities a standalone EMR can't offer. The vendor earns recurring revenue. And every practice connected adds to the network's data value. More EMR vendors embedding = more data flowing = more consumption = more value for every participant.
Patient View — Maria Rodriguez

My Health. Every Dimension. My Choice.

Maria sees what no patient has ever seen: medical, dental, PT, molecular biology, therapeutic device outcomes, and benefits — all in one place. Cross-modality correlations explained in plain language. Real-time claims status. Granular data sharing controls. She becomes the most powerful distribution channel in the ecosystem.

🩺 My Health
💰 My Money & Data
tova-patient / my-health / maria.rodriguez
My Health Summary
Dr. Chen — Internal Medicine
Feb 14
Hypertension follow-up + molecular review
Lisinopril 20mg · Ankle swelling noted · Molecular testing results reviewed · Referred to Dr. Park
Molecular Testing — Full Body Intelligence
Feb 10
Gut Health: 42/100 · Biological Age: 59 (actual: 55)
TMA elevated (heart risk marker) · Butyrate low · Personalized nutrition plan active · Retest recommended in 4 months
CareWear — Light Therapy
Ongoing
18 sessions completed · Pain: 7 → 4 ✔
Lower back · 78% adherence · Next session: tomorrow · Your doctor can see this data
Dr. Okonkwo — Dental
Feb 8
Periodontal evaluation + oral microbiome
Gum inflammation — connected to BP medication and gut health · Deep cleaning scheduled
🔗
Cross-provider insight: Your molecular test shows elevated TMA, a gut-derived marker linked to heart health — which connects to your blood pressure and the gum inflammation your dentist found. Dr. Chen, Dr. Okonkwo, and your wellness team can all see the full picture. Your nutrition plan targets the gut imbalance driving all three.
🎙️ "Hey, Tova"
Your voice health assistant — ask anything about your care
Maria: "Hey Tova, what did Dr. Chen say about my ankle swelling?"
Tova: "Dr. Chen noted bilateral ankle edema that started two weeks ago. She wants to evaluate whether your blood pressure medication could be contributing. If the swelling persists beyond two more weeks, she'll order an X-ray. Your next check-up is in four weeks."
Maria: "Is my CareWear therapy covered by insurance?"
Tova: "Yes — your UHC plan covers CareWear RPM under code 99457. Your copay is $0 for this service. You've completed 18 sessions so far."
Maria: "Read me my visit summary."
Tova: [reads the cross-provider insight summary aloud in Maria's preferred language]
Tova answers from your doctor's approved clinical notes — it never makes up medical advice. Say "Talk to a person" anytime to reach your care team. Works in 13+ languages.
My Benefits & Savings
Today's Visit — Cost Estimate
Office visit (99214)Copay: $35
CareWear RPM (99457)Covered ✔
CCM (99490)Covered ✔
Ankle X-ray (if ordered)Est. copay: $20
Your estimated total today$35–$55
Based on your UHC plan + NKE's real-time eligibility check. Updated as services are added during the visit.
💡 Why you can trust this estimate. Before your visit started, Tova checked your insurance eligibility in real time — your deductible status ($1,200 of $2,000 met), copay amounts, and exactly what's covered under your UHC plan. As Dr. Chen adds services during your visit, the estimate updates instantly. If a procedure needs prior authorization, that evidence is assembled and submitted automatically — no surprise denials weeks later. Under the No Surprises Act, you have the right to a Good Faith Estimate. Tova goes further: your estimate is backed by claims intelligence that already knows what UHC actually pays for each service — not just what the fee schedule says.
Claims Status
Deep cleaning — pre-approved ✔
Evidence submitted upfront. No delay. Previous 3-month wait eliminated.
Prescription Savings
CostPlus: Save $34/mo on Lisinopril
Current: $52/mo · CostPlus: $18/mo · Annual savings: $408
Annual Savings Summary
Prescription savings (CostPlus)$408/yr
Premium reduction (data sharing)$180/yr
Avoided surprise bills (pre-authorized)$0 surprises
Your total annual savings$588+ / year
Every cost verified against your actual insurance benefits before services are delivered. No surprise bills. No guessing.
My Data Sharing
Sharing Controls
Molecular testing dataSharing ✔
CareWear therapy sessionsSharing ✔
Blood pressure (smartwatch)Sharing ✔
Sleep dataNot sharing
Clinical trial participationOpen to contact ✔
Sharing with: BlueCross employer plan · Knish.IO ✔ · $15/mo premium reduction
You control who sees what. Sharing permissions are enforced at the infrastructure level — not just app settings. Even if the app has a bug, unauthorized access is blocked.
📱
The distribution engine. Maria sees medical + dental + molecular + therapeutic devices connected in one view — with real-time claims status and plain-language explanations. When she visits a new provider: "My other doctors share a connected health record with my molecular data — can you join?" The patient is the sales force. Every new provider onboarded = more data in the ecosystem.
🛡️
The trust foundation. Every byte started here — in Maria's conversation, her molecular test, her CareWear sessions, her wearable. Knish.IO seals every record with quantum-secure signatures at the moment of creation. Every consent decision is cryptographically recorded. No per-record costs.

What this means for you:
• Your medical records can't be altered after the fact — what your doctor documented is what stays.
• Your consent decisions are provable — nobody can claim you agreed to something you didn't.
• If you ever need to prove what happened during a visit — for insurance, for disability, for any legal reason — the sealed record is your evidence.
🗣️
Say "Hey, Tova" — your AI health assistant. Like Siri for healthcare. Ask about your visit, your medications, your insurance coverage, or any health question. Tova answers from your doctors' approved clinical notes across all your providers — it never makes up advice. Ask "What did Dr. Chen say about my ankle?" and hear the answer spoken back. Ask "Is my CareWear covered?" and get an instant answer from your insurance data. Need a human? Say "Talk to a person" and you're connected to your care team. Works in 13+ languages. Your doctor reviews all clinical data before Tova can access it — every answer is grounded in provider-approved records.

One Platform. Every Modality. Every Stakeholder.

Clinical encounters · Molecular testing · Therapeutic devices · Dental · PT · Sensors · Claims intelligence · Benefits compliance — unified, verified, and monetizable. From the point of care to the population analytics dashboard.

🛡️ Quantum-secure · Per-organization isolation · Automated compliance · Zero transaction fees — powered by Knish.IO
WishKnish Corporation / SayTova LLC — Alisa Gus, CEO & Co-Founder
Confidential — For Discussion Purposes Only