ClinicalSwipe is the verifier layer for healthcare AI loops. AI generates outputs. NPI-verified physicians review in their specialty, earn $12–$400 per review, and return a signed, legally defensible record. No shifts, no minimums.
Anthropic's Boris Cherny — the engineer who built Claude Code — published the framework in The New Stack on June 10: "I write loops; the loops do the work," with sub-agents for independent verification and the named risk of comprehension debt when unattended loops make decisions without human eyes. Anthropic's $350M economic-policy paper landed June 11. Axios C-Suite (Jim VandeHei), June 15: "Smart judgment is arguably the most important talent right now."
ClinicalSwipe is the operational answer to that vocabulary in healthcare. Every AI-generated clinical output runs through a licensed, NPI-verified physician who signs under their own name. The judgment is the moat. The signed record is the artifact that ships. The 7-year audit trail is the protection. No clinical loop reaches a patient without a human who actually read it.
Sources: Boris Cherny via Janakiram MSV, The New Stack, June 10 2026 · Anthropic Economic Policy Framework, June 11 2026 · Axios C-Suite (Jim VandeHei), June 15 2026.
We verify your license and specialty against the CMS NPPES registry before you receive a single case. You see clinical outputs in your scope — not random tasks. An orthopedic surgeon reviews prior auths, not pediatric discharge instructions.
A routine ambient scribe review pays $12–$40. A complex prior authorization or care plan pays $100–$400. Most reviews take 3–8 minutes. We take 30% and handle all billing, collections, and payments. Weekly direct deposit.
Review between patients, on evenings, or weekends. Every review is covered by malpractice insurance through The Doctors Company. You are attesting documents — not treating patients. Scope of work is defined clearly in the reviewer agreement before you start.
Ambient scribes alone generated $600 million in 2025 — the fastest-growing category in healthcare AI. Coding and billing automation added $450 million. Every one of those outputs has the same problem: an AI generated it, but a physician must stand behind it. Regulatory risk, payer audits, and malpractice exposure all turn on that signature. ClinicalSwipe is the marketplace that matches the output to the physician.
2.4× year-over-year growth. Every output requires physician attestation to be billable. Menlo Ventures 2025 State of AI in Healthcare.
AI-generated codes are rejected by payers without physician review. Each denied claim is an attestation gap. Menlo Ventures 2025.
Growing at 38–40% CAGR. North America holds 54% of global market share. Grand View Research 2025.
Sources: Menlo Ventures 2025 State of AI in Healthcare · Grand View Research AI in Healthcare 2025 · Statista Healthcare AI Market 2025
Each review is an AI-generated clinical output — a care assessment, prior authorization draft, diagnostic suggestion, or care plan. Your job is to evaluate it for clinical accuracy in your specialty, then approve, revise, or reject it with a brief rationale.
Your attestation creates a legally defensible record and improves the underlying AI model. Every review is timestamped and signed under your NPI. Under the standard of care emerging in 2025–2026, an unsigned AI output is not a clinical output — it is a liability.
One case, start to finish — the same example shown in the card above:
Submitted by an AI company through the API and routed to you because it matches your specialty.
Case · Home Care Eligibility · Internal MedicineEvaluate it for clinical accuracy as you would any clinical document, and add a brief rationale (2–3 sentences). Most reviews take 3–8 minutes.
This review: $48 · est. 4 minYour decision becomes a legally defensible record, returned to the submitting company with a 7-year audit trail. Weekly direct deposit.
Signed · sealed · auditableReviews pay $12–$400 depending on document type and specialty — routine ambient scribe reviews at the low end, complex prior authorizations and care plans at the high end.
Same swipe, same NPI. What changes is who pays and which rules apply — and that determines whether an attestation is clean or a compliance problem. So every document in your queue is labeled with its economy before you decide.
A patient or a platform pays directly — no Medicare dollar is touched, so the Anti-Kickback Statute doesn’t apply. A letter of medical necessity unlocks HSA/FSA spending under IRS §213(d). No enrollment, no waiting: this is the fastest path to your first paid review.
See a real LMN review →Chronic care, remote monitoring, advanced primary care management. These bill under your NPI through the physician group — the platform charges a flat per-review fee, never a share of collections, the only Anti-Kickback-clean structure. Recurring every month a patient stays enrolled.
See rates by specialty →Rubber-stamp telehealth approves almost everything — which is exactly what fails an IRS, payer, or board audit. Here, every decision is timestamped under your NPI, and a rejection can’t be filed without a documented clinical reason. A real review — including a real “no” — is the record that holds up.
How the audit trail works →Rates reflect current marketplace demand. Higher-demand specialties command higher per-review rates. Time estimates are per review, excluding brief rationale.
| Specialty | Per review | Typical time | Common tasks |
|---|---|---|---|
| Internal Medicine / Family Medicine | $25–$150 | 3–6 min | Care assessments, chronic disease management plans, home care eligibility |
| Orthopedic Surgery | $60–$300 | 4–8 min | Prior authorizations, post-op care plans, RTM clinical interpretations, surgical appropriateness reviews |
| Cardiology | $80–$350 | 5–10 min | Cardiac risk stratification, medication management reviews, diagnostic suggestions |
| Endocrinology | $50–$250 | 4–8 min | Diabetes management plans, CGM/insulin protocol reviews, metabolic care assessments |
| Psychiatry / Behavioral Health | $60–$280 | 5–10 min | Prior authorizations for medications, care plan reviews, diagnostic suggestion validation |
| Geriatrics / Palliative Care | $80–$300 | 6–12 min | Skilled nursing eligibility, home care plans, letters of medical necessity, advance directive reviews |
| Radiology | $40–$200 | 3–7 min | AI-generated impression validation, report accuracy review, clinical correlation checks |
| Emergency Medicine / Urgent Care | $30–$180 | 3–6 min | Triage assessments, discharge instruction reviews, acute care diagnostic validations |
Ranges reflect current marketplace rates. Actual earnings depend on case volume and reviewer quality score. All specialties considered — the table reflects highest-demand categories at launch.
Two things every physician wants before they apply: what could I make, and what does the work actually feel like? Both, right here. No signup.
Pick your specialty and how many reviews you would do on a typical day. We use the midpoint of the current published rate for that specialty, and show your take-home after the 30% platform fee.
Illustrative only. Actual earnings depend on case availability in your specialty, your reviewer quality score, and how many cases you choose to accept. Rates reflect current marketplace demand and can change. This is not a guarantee of income.
This is the real review surface. You read the AI output, check the flag, write a one-line rationale, and decide. 3–8 minutes each in practice.
Enter your 10-digit NPI. We verify your license, specialty, and board certification through NPPES. Most approvals complete within 48 hours.
Companies using AI to generate clinical content submit it through our API or MCP connector. Cases are routed to physicians in the matching specialty.
The review interface shows you the AI output and relevant patient context. You evaluate it as you would any clinical document, add a brief rationale (2–3 sentences), and submit your decision.
Payment is deposited to your account. Your attestation is timestamped, signed, and returned to the submitting company with a 7-year audit trail. We take 30% — no subscription, no upfront fee.
ClinicalSwipe accepts board-certified and board-eligible physicians across all specialties. US license required. Reviews are matched to your specialty — you will not receive cases outside your clinical scope.
A prior authorization review takes 8–12 minutes in practice. At the midpoint rate for orthopedic surgery ($180), that is $900–$1,350 per hour — for work you are already qualified to do, without a patient encounter, without an exam room, and without adding to your malpractice exposure for clinical decisions. The math below assumes a hospitalist or internist at the midpoint of our Internal Medicine/Family Medicine rate.
| Scenario | Reviews/week | Time/week | Monthly take-home (70%) |
|---|---|---|---|
| Between patients — IM/FM | 6/day × 3 days | ~1.5 hrs | ~$1,600 |
| Evening shift — Orthopedic Surgery | 8/day × 4 days | ~5.5 hrs | ~$7,200 |
| Weekend only — Cardiology | 12/day × 2 days | ~4 hrs | ~$5,800 |
Illustrative. Uses specialty midpoint rates and 70% take-home after 30% platform fee. Actual earnings depend on case volume in your specialty, your quality score, and review acceptance rate. Not a guarantee of income.
Apply with your NPI. Get matched to cases in your specialty. Review on your schedule. Earn $12–$400 per review. Free to join — we only take 30% when you earn.
Apply to review →Submit AI-generated clinical outputs via REST API or MCP connector. ClinicalSwipe routes each output to a matched, NPI-verified physician. You get back a signed attestation with full audit trail — 7-year retention, payer-defensible, ready for billing.
Ambient scribes. Prior auths. LMNs. Care plans. Diagnostic suggestions. If your AI generates it, a physician must sign it.
Scan your clinical copy free →Leave your work email. We’ll send the REST API spec, MCP connector config, and attestation schema. No sales call required.
Volume shown is illustrative of projected review mix based on ClinicalSwipe's pipeline and healthcare AI adoption patterns — not live queue data. Actual demand will be confirmed at onboarding.
Free to join. We take 30% of each review fee — no subscription, no minimum commitment, no upfront cost. You keep 70%.
NPI verification against the CMS NPPES registry takes under 30 seconds. Full onboarding under 48 hours. No credentialing committee. No 90-day panel process.
ClinicalSwipe facilitates physician review of AI-generated clinical outputs. It does not provide medical advice or clinical decision support. All attestations are the responsibility of the reviewing physician. ClinicalSwipe is not a healthcare provider and does not bill Medicare or Medicaid directly.