[Clinical operations and revenue cycle for specialty clinics]

Knows where every patient is,and what’s blocking them.

Calvin runs the operational work between a referral arriving and a claim being paid. Each piece of work gets an owner, a clock, a blocker and the evidence behind it, and a person releases anything that reaches a payer.

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Patient paths · Tue 22 Sep · 3 patients
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[01] The problem

Denials start with paperwork done before the visit.

In a 2026 survey of more than 400 revenue-cycle leaders, four in five traced denials to at least one front-end workflow.

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Inovalon, 2026. Kodiak Solutions put 2025 net revenue lost to final denials and bad debt up 25%. Identity alone drives 35% of denied claims.

IV lounge: four recliners by a window, two occupied and two empty

CHAIR 3 · TUE 14:40Visit unwound: auth expired

Infusion suite · Chair 3

[02] What we found

Twelve weeks inside one specialty group found revenue leaking through three workflows.

Measured against their own referral log, claims and remittance data rather than a benchmark. These are the gaps we are building Calvin to close with our design partners.

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[03] How Calvin works

Connect. Model. Act. Earn.

Operational state · live3 sites

Work item · WI-0231Blocked

PT-1187 · Rheumatology · Site 01 Authorization expires before the last three booked infusions

Visit 1Visit 5Visit 10

OwnerPrior auth team

ClockExpires in 9 days

EvidenceEHR, payer portal

Action · AC-0118{{ apStatus }}

Submit the authorization renewal for PT-1187

01Assemble the evidence from the chart and the last approval.
02Submit the renewal on the payer portal.
03Track it to a decision and update the three booked visits.

Workflows · Site 01Autonomy

Autonomy is earned Assist only, then act with approval, then act alone. A workflow is promoted when measured accuracy clears a bar.

[04] Along the patient path

Every referral, tracked.Every blocker, found.Every payer action, released by a person.

Site 01 · Patient path{{ planPct }}

Floor plan of a clinic: DEXA room, IV lounge, consult rooms, reception and waiting area

[05] The product

One queue for the work that needs a person

Every work item carries an owner, a clock, a blocker and the evidence behind it. Your staff and Calvin read the same record.

Exception queue

All stagesReferralCoverageAuthClaim

Open work items

StageWork itemClockStatus

Needs a person · 2

AC-0121 · Prior auth Submit the renewal for PT-1187 before its three booked infusions

ApproveReview

AC-0122 · Denials Appeal a demographics denial with the corrected registration

ApproveReview

[06] Role by role

What changes for the people doing the work

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Calvin takes the chase.Your team keeps the judgement.

Clinic corridor with a teal door at the far end

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[07] Design partners

We are looking for a small number of US clinics to work with this year.

Best fit: US specialty clinics and MSOs with three or more sites, real referral or prior-authorization volume, and an operational leader accountable for the workflow.

[08] Who we are

Calvin is spun out of Leapfrogger Labs.

Founded early 2025 as a bridge between frontier AI and regulated industries. We make what works in frontier labs run inside organizations with auditors, legacy systems and compliance officers.

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[09] Questions

Common questions

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