ClinicalSwipe is the verifier layer for healthcare AI loops. AI generates the output; an NPI-verified physician reviews it in their specialty and signs. Companies get a signed, legally defensible record with a 7-year audit trail. Physicians earn $12–$400 per review — no shifts, no minimums.
Google's June 2026 SDLC whitepaper (The New SDLC) named the shift: with AI, generation is nearly free — the bottleneck moves to what humans specify and validate. ClinicalSwipe is the validation side, productized for medicine.
The buyer's side shows the same gap: in a 2026 NEJM AI survey of 30 health-system leaders, 57% said their systems lack standardized validation frameworks and fewer than a third run formal compliance or audit processes for AI — one reason only 3% have agentic tools in live workflows (the rest sit in pilots). Scribes and prior-auth automation were adopted as features; the validation layer is what turns features into solutions.
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. See rates by specialty →
A routine ambient scribe review pays $12–$40. A complex prior authorization or care plan pays $100–$400. Most reviews take 3–8 minutes. A flat platform fee per completed review, disclosed before you accept — and we handle all billing, collections, and payments. Weekly direct deposit. Estimate your take-home →
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. Coverage details →
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.
"AI imaging tools do work. Radiologists using AI-assisted detection catch subtle findings faster and have lower chances of missing cancers. But I saw doctors treat those outputs as final answers instead of second opinions, and that's where lives are endangered."
— Dr. Jason Schroder, co-founder and Medical Director, Craft Body Scan
Hippocratic AI raised $404M at a $3.5B valuation building patient-facing voice agents — and to make them safe, it built the verifier inside: layers of supervising models plus thousands of licensed nurses testing every release to a "safer-than-human" bar, 115M+ patient interactions with no reported safety incident. That is the architecture, validated at scale. The catch: only the best-funded company in the category can build a clinician-verification apparatus in-house. ClinicalSwipe is that layer as shared infrastructure — for every healthcare-AI team that will never raise $404M to build its own.
Source: Hippocratic AI Series C, Avenir Growth — Fierce Healthcare, Nov 2025 →In its CY2027 outpatient rule (CMS-1850-P, July 2026), CMS proposed retiring “SaaS” for Software as a Medical Service — a named Medicare payment category (Status Indicator O1) that pays clinical algorithms directly. Medicare is now buying clinical AI. And the clinical AI that gets paid — and survives an audit — is the kind a licensed physician stands behind. The regulator just funded the exact market ClinicalSwipe serves: the signature that turns a model’s output into a reimbursable, defensible clinical act.
Source: CMS-1850-P, CY2027 OPPS/ASC Proposed Rule (Software as a Medical Service · Status Indicator O1) — comments due Aug 31, 2026 →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.
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. Scan your copy →
AI-generated codes are rejected by payers without physician review. Each denied claim is an attestation gap. Menlo Ventures 2025. The audit programs →
Growing at 38–40% CAGR. North America holds 54% of global market share. Grand View Research 2025. SolvingHealth →
Economist Dan Davies has a name for what happens without that signature — the “accountability sink”: a decision produced at machine speed that no one can be held to. The World Economic Forum’s 2026 AI at Work reaches the same conclusion — in regulated fields like healthcare, accountability, not capability, is the binding constraint on adoption. ClinicalSwipe is where the output gets a name on it.
Sources: Menlo Ventures 2025 State of AI in Healthcare · Grand View Research AI in Healthcare 2025 · Statista Healthcare AI Market 2025 · World Economic Forum, AI at Work (2026)
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: $62 to you · $88 gross · 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 · auditableSigned, legally defensible, timestamped under an NPI, sealed, seven-year audit trail — every claim on this page is one artifact, and this is what returns to the submitting company. Specimen: fictional case, physician masked.
Reviews 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 estimated gross earnings. Your take-home is the case rate minus a flat per-review platform fee, disclosed before you accept.
Illustrative only. Earnings shown gross, before the flat per-review platform fee disclosed on each case. 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. Verify your NPI →
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 audit programs →
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. A flat platform fee per completed review, disclosed before you accept — no subscription, no upfront fee. See full pricing →
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 gross, before the flat per-review platform fee — 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 scenarios below deliberately use conservative per-review values near the low end of each specialty's range — run your own midpoint numbers in the estimator above.
| Scenario | Reviews/week | Time/week | Monthly earnings (gross) |
|---|---|---|---|
| Between patients — IM/FM | 6/day × 3 days | ~1.5 hrs | ~$2,300 |
| Evening shift — Orthopedic Surgery | 8/day × 4 days | ~5.5 hrs | ~$10,300 |
| Weekend only — Cardiology | 12/day × 2 days | ~4 hrs | ~$8,300 |
Illustrative. Scenarios use conservative per-review values below each specialty's midpoint, shown gross before the flat per-review platform fee, which is disclosed before you accept each case. 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 — a flat platform fee per completed review, shown before you accept. Nothing until 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 a full 7-year audit trail — the physician-signed record that stands up to payer audits and supports billing.
If your AI touches a coverage decision, a physician is now the law. California’s SB 1120 (effective Jan 2025) and CMS require a licensed physician — not an algorithm — to decide medical necessity on any denial, delay, or modification of care. ClinicalSwipe is that physician, on every determination, via API.
Prior authorizations. Coverage & medical-necessity determinations. Care plans. Diagnostic suggestions. LMNs. If your AI generates it, a physician must stand behind 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.
ClinicalSwipe is not waiting for demand — it is the verifier layer our own products are built on. Each one generates AI-drafted clinical outputs; every one of them ships only with a physician's signature from this rail. External AI companies plug into the same queue via API.
SurgeonValue's agents draft prior authorizations and surface missed codes for orthopedic practices. Before anything reaches a payer, a specialty-matched physician reviews and signs it here.
Prior auth · $80–$400 reviewsmedfrail.com's $99 attestation is drafted against the federal medical-frailty criteria, then reviewed and signed by a licensed physician on this rail — 24-hour turnaround, audit-ready PDF.
Frailty attestation · consumerco-op.care's family assessments become AI-drafted LMNs that unlock HSA/FSA spending on care. Each letter ships only after a licensed physician reviews and signs it through this queue.
LMN · HSA/FSA unlockPhysician profiles, agent endpoints, and the shared network layer connecting every product above. The harness is what makes one physician's signature portable across the whole stack.
Network layer · powers the railVolume 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. A flat platform fee per completed review — no subscription, no minimum commitment, no upfront cost. Disclosed before you accept every case.
NPI verification against the CMS NPPES registry takes under 30 seconds. Full onboarding under 48 hours. No credentialing committee. No 90-day panel process.
Building healthcare AI? Get the audit layer → or request the API docs
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.