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    Less documenting.
    More care.

    Capture the visit, generate clinician-reviewed notes, and surface revenue-risk signals while teams keep their existing care workflow.

    Join WaitlistHow it works
    Visit captureIntelligent summariesHuman reviewRevenue-risk signals

    The Problem

    Every visit creates value.
    Most systems lose it.

    Turn clinical encounters into reviewable documentation, cleaner handoffs, and earlier revenue-risk signals without asking teams to relearn care.

    Step 01

    The visit happens

    Patient context, medication history, and clinical decisions are created in the room.

    Step 02

    The signal scatters

    Notes, codes, risk signals, and follow-up work land in separate places.

    Step 03

    Review arrives late

    Operators see documentation gaps after the encounter is no longer fresh.

    The numbers speak for themselves

    ~17%

    Average claim-denial rate across US ACA marketplace plans (KFF 2023). LATAM hospital systems report the same pattern more severely — Brazilian private hospitals reported 15.93% glosa inicial in 2025 (Anahp).

    Source: KFF 2023 / Anahp 2025

    ~1.4 hrs

    After-hours EHR documentation per primary-care physician each workday — the so-called "pajama time" that compounds equally across US and LATAM clinicians, without any payor-automation buffer in LATAM.

    Source: Arndt et al., Annals of Family Medicine 2017

    49.2%

    Physician office-day time spent on the EHR and desk work versus direct patient care — a global pattern LATAM clinicians inherit while operating with leaner administrative infrastructure.

    Source: Sinsky et al., Annals of Internal Medicine 2016

    The workflow

    Drafted by AI.
    Owned by the clinician.

    Cortex is Holi Labs' clinical workflow product. It works alongside the consultation to organize encounter inputs into a reviewable note, visible support signals, and a controlled handoff for licensed clinician review and sign-off.

    Incoming context

    Patient history
    Live conversation
    Vitals and labs
    Medication context
    Open risks and gaps

    Cortex protocol

    01Capture the encounterCortex listens beside the visit and keeps patient context, conversation, and source signals together.
    02Prepare for reviewIt drafts the note and surfaces support signals so the clinician can check, edit, and correct the record.
    03Sign before handoffNothing moves downstream until a licensed user accepts, signs, and releases the documentation.

    Review-ready output

    Signed clinical note

    Reviewed, edited, signed, and ready for controlled handoff.

    Defensible by design

    Built for the room where decisions get questioned.

    Every Cortex output is sourced, signed, and logged. Built for the governance committees, compliance officers, and regulators who hold the final say.

    Source-grounded

    Every suggestion is anchored to a guideline, study, or chart entry. The source appears with it, every time.

    PHI-aware by structure

    Patient data stays inside the boundary you have approved. LGPD and HIPAA controls are part of the foundation, enforced at every layer.

    Audit-chained

    Every capture, edit, and signature is permanently recorded. When LGPD, ANVISA, or your governance committee asks for the trail, it is ready.

    The doctrine

    Cortex Listens.
    Doctors Decide.
    Always.

    AI medical assistant

    Captures the visit, drafts the note, surfaces risk and billing signals in-context. The clinician edits, signs, and keeps final authority over the record.

    Medical-grade summaries

    Structured for insurance submission, source-cited, every paragraph traceable to the visit. Nothing proceeds without a clinician's stamp of approval.

    Multiple clinical languages

    Designed for Portuguese, Spanish, and English workflows so teams can support cross-border care without losing clinical nuance.

    Configured by specialty

    Governance reviews turn configurable prompts into defensible clinical decisions. TUSS, ICD-10, CBHPM, CUPS, DIAN, and ASCVD primary prevention (AHA/ACC) are live. Yours is next.

    Cortex intelligence

    A note clinicians trust.
    A signal teams act on.

    Cortex gives clinicians a calmer path from conversation to signed documentation: the note is organized, key signals are visible, and the handoff stays under human control, from intake through follow-up.

    A note clinicians can trust

    Cortex turns the encounter into structured documentation designed for fast review, not blind acceptance.

    Visible in product

    SOAP sections. Source context. Clinician sign-off.

    Signals surfaced while context is fresh

    Focused review signals appear close to the visit, when clinicians can still confirm, correct, or dismiss them.

    Visible in product

    Risk checks. Medication reconciliation. Supplement screen.

    Cleaner operational handoff

    Documentation and code-support gaps are made visible before the record leaves the clinical workflow.

    Visible in product

    TUSS. ICD-10. CBHPM. Review state.

    Dispatches

    Health data, in your inbox.
    Every other day.

    Short briefings on what is at stake with clinical data, the breaches happening across LATAM, and the patterns we see in real workflows. Plus product announcements. Subscribe to receive them, or browse the archive below.

    SubscribeBrowse archive
    Editorial visualization of branching neural pathways converging into a single deterministic rule path, in deep navy and cyan tones.Architecture

    Why Cortex stays deterministic at the moment of clinical decision

    LLMs at the bookends of an encounter, JSON-Logic at the moment of decision, and why ANVISA Class I requires it.

    4 min readRead
    Editorial visualization of multiple data ribbons converging into a single unified flow, in deep forest green and bright green tones.Billing

    One API, four code sets — building the LATAM billing multiplexer

    TUSS, CBHPM, CUPS, CIE-10, RIPS, DIAN. One free-text diagnosis compiles to six codes, and back.

    5 min readRead
    Editorial visualization of a document with redacted blocks and partial blur, in deep violet and bright purple tones.Privacy

    De-identifying clinical text in LATAM under LGPD

    HIPAA's Safe Harbor does not cover CPF, CNS, or Brazilian quasi-identifiers. What we built instead.

    5 min readRead
    Editorial visualization of a stylized signature stroke over an abstract document, in deep burnt amber and orange tones.Governance

    Doctor-in-the-loop — why every Cortex agent waits for sign-off

    Agents propose. Doctors decide. Nothing fires until Conclude-Session, and the audit chain proves it.

    5 min readRead

    Ready to see how Cortex fits your team?

    Get startedLearn more

    For administrators

    30%

    of LATAM claims are rejected or reduced due to documentation gaps

    Stop losing revenue you already earned.

    Every rejected claim is revenue your hospital earned but never collected. Holi Labs cross-references every encounter against ICD-10, TUSS, and CBHPM codes in real time, flagging documentation gaps seconds after they occur, not weeks later when the denial letter arrives.

    • ICD-10 validation in real time
    • TUSS billing code verification
    • CBHPM procedure cross-reference
    • Ambient CDI for documentation integrity
    • Denial pattern intelligence

    For physicians

    90 seconds to review. Not 15 minutes to type.

    The Co-Pilot listens to every patient conversation and generates structured SOAP notes as the consultation unfolds. Subjective, Objective, Assessment, Plan. All populated in real time. Your doctors review and sign. That's it.

    • Real-time anamnesis generation
    • Structured clinical findings extraction
    • Automated billing code sync
    • Template-free documentation
    • Continuous learning from physician corrections

    < 90s

    median review time per encounter

    Confidence scorecard

    Confidence is measured. Not asserted.

    Every Cortex agent reports a confidence score grounded in cited sources. Clinicians dismiss, edit, or accept. Each interaction is logged so the score is recalibrated against clinician-validated outcomes, encounter by encounter. Agents get more precise about the boundary of their knowledge.

    01

    Source grounding

    Share of agent suggestions traceable to a guideline, study, or chart entry. Suggestions surface only when source-grounded.

    02

    Calibration over time

    Stated confidence vs observed accept rate, tracked per agent and per concern. Drift is alerted, not hidden.

    03

    Edit fingerprint

    Type and depth of clinician edits before sign-off, the strongest signal of model quality.

    04

    Veto rate

    How often clinicians override or dismiss a suggestion, with the recorded reason why.

    Cortex collects agent-level telemetry: citations, accept and edit patterns, calibration deltas. Tokenized identifiers per LGPD record-of-processing requirements. Aggregates only, never PHI.

    Try Cortex with your team.

    Join the waitlist for early access to Cortex.

    No PHI collected on this form. Pilot participation subject to eligibility and review.