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For healthcare companies

AI inside clinical and revenue-cycle workflows.

Agents and AI features that work inside clinical, scheduling and revenue-cycle workflows, with the permissions, audit trails and integrations a regulated product needs.

What we solve

Where AI meets clinical and financial workflows.

01

Clinical and operational data

Connect AI features to EHR, scheduling, billing and reporting data through scoped, auditable access.

02

Actions with consequences

Approval steps, role-based permissions and full traceability around anything an agent can change.

03

Ready for security review

The evaluations, access model and records your security and compliance reviewers ask for, delivered with the software.

04

Data you can trust before AI touches it

Clinical, claims and operational data unified, permissioned and audited, so agents and reports work from one governed source.

Proof

Work we have already done.

We built the core of an EHR and revenue-cycle platform, carried it through acquisition by an a16z-backed company, and delivered the enterprise data layer behind more than 100 reports used by hospitals and healthcare organizations.

Healthcare / selected work

Technical leadership through acquisition

The problem
A regulated EHR and revenue-cycle platform connecting clinical workflows, revenue operations and patient access.
What we built
The core EHR/RCM system, with HL7 orders and labs, telehealth and a patient portal, then a Microsoft Fabric data layer after the acquisition.
What it made possible
A platform the acquiring a16z-backed company chose as its technology foundation, with 100+ reports in use by hospitals and healthcare organizations.
CTO
platform leadership through acquisition

CTO leadership, TeqEngine software development and technical diligence through acquisition.

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Continuity through a technical transition

  1. Understand the estateArchitecture, dependencies and technical risks
  2. Make the decisionDiligence findings · leadership communication
  3. Carry the platform forwardSystem and data delivery after acquisition
  4. Maintain ownershipOperational context · decisions · handoff
CTO responsibilities, from the build through the acquisition.

How we engage

Forward-deployed engineers, on terms you can plan around.

Build the feature, or the governed data foundation underneath it, with a forward-deployed team. Keep it current with Harness Watch, or start with a Harness Review of what you have.

Forward-deployed build

Initial three-month engagement

Forward-deployed engineers embed with your team and build the agent platform, AI product or the systems behind it, measured with the Harness Method from the first week. Scope, milestones and acceptance criteria are agreed before work starts.

You get: Working software, a scorecard on quality, speed, cost, control and drift, the harness your engineers keep using, release gates, runbooks, and a handoff your team runs with.

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Forward-deployed operations

Monthly retainer, with Harness Watch

After launch, we stay on to run Harness Watch: a verdict on each relevant model release, a monthly scorecard, incident response and ongoing improvements.

You get: Release verdicts, a monthly scorecard, a quarterly autonomy review, incident response, improvements and a leadership readout.

How Harness Watch works

Harness Review

Two to three weeks · fixed price

An AI agent audit across every layer: where the time and money go, a scorecard on five measures and a prioritized fix plan.

You get: Harness Map, Scorecard, model and settings comparison, control findings, fix plan, and the test runner in your repository.

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What are you building—or deciding?

Tell us what you’re building, what is getting in the way, and the outcome you need.