{
  "schema": "https://solvinghealth.com/schemas/agent-manifest-v1",
  "name": "SurgeonValue",
  "url": "https://surgeonvalue.com",
  "updated": "2026-09-30",
  "start_here": "https://surgeonvalue.com/llms.txt",
  "summary": "The surgeon's signature layer. AI drafts the codes, the prior-auth letter and the PT record from a pasted, de-identified note; a deterministic rules engine checks every line; the orthopedic surgeon signs or strikes each one under her own NPI and the record keeps the delta. Nothing is billed, filed or sent without the surgeon's signature.",
  "publisher": { "name": "SolvingHealth", "url": "https://solvinghealth.com" },
  "audience": ["orthopedic-surgeon", "practice-manager", "biller", "physical-therapist", "hospital", "payer", "healthcare-ai-company"],
  "jobs_to_be_done": [
    "See what my own note already supports, with the sentence behind each code, without a demo call, a login or an integration project",
    "Draft a prior-auth letter from the operative note in my voice, that I sign",
    "Let my PT or OT bill for herself under the 8-minute rule and the NCCI gate, with a draft she signs",
    "Know whether TEAM, ASM or CJR-X applies to me, from CMS's own files",
    "Keep a validated outcome record with my signature on it"
  ],
  "actions": [
    { "id": "wonder_bill", "label": "Paste one de-identified note; every drafted code with its sentence and an NCCI check; the surgeon signs or strikes", "url": "https://surgeonvalue.com/wonder-bill", "auth": "none", "uploads_data": true, "phi_allowed": false, "safe_to_hand_to_user": true },
    { "id": "wonder_bill_demo", "label": "One-tap Wonder Bill demo on a synthetic note", "url": "https://surgeonvalue.com/wonder-bill?demo=1&run=1", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "prior_auth", "label": "Draft a prior-authorization letter from an operative note for the surgeon to sign", "url": "https://surgeonvalue.com/prior-auth", "auth": "none", "uploads_data": true, "phi_allowed": false, "safe_to_hand_to_user": true },
    { "id": "pt_record", "label": "PT/OT: register with an NPI, log a visit, get a draft billing summary (8-minute rule, NCCI gate); never submits a claim", "url": "https://surgeonvalue.com/pt", "auth": "email+password", "uploads_data": true, "phi_allowed": false, "safe_to_hand_to_user": true },
    { "id": "pt_recovery_receive", "label": "A PT with a patient's recovery summary (numbers only, carried from jointcoach.com by the patient's tap) lands on the visit log with RTM device days filled in and management minutes left to her; asked first, kept in the browser tab only", "url": "https://surgeonvalue.com/pt/bill", "auth": "email+password", "uploads_data": false, "phi_allowed": false, "safe_to_hand_to_user": true },
    { "id": "attested_proms", "label": "A validated outcome measure scored in the browser, sealed with a SHA-256 receipt the surgeon signs", "url": "https://surgeonvalue.com/prom/attested", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "ehr_attested_loop", "label": "Read a signed note (FHIR DocumentReference), run the coding engine, write a receipt back; sandbox, synthetic note, no PHI", "url": "https://surgeonvalue.com/ehr", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "citation_check", "label": "Paste an AI-written summary; every DOI is looked up at CrossRef from the browser; nothing stored", "url": "https://surgeonvalue.com/docsf#check", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "asm_check", "label": "ASM (measured from Jan 2027): check a clinician's NPI against CMS's preliminary list", "url": "https://surgeonvalue.com/asm", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "team_check", "label": "TEAM (live Jan 2026): check a hospital against CMS's participant file", "url": "https://surgeonvalue.com/team", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "cjr_x", "label": "CJR-X (final; mandatory from Jan 2028): what the 90-day joint episodes mean and a preparation checklist", "url": "https://surgeonvalue.com/cjr-x", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "ncci_check", "label": "The CMS NCCI edit engine that grades every proposed code", "url": "https://surgeonvalue.com/ncci", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "rtm_rail", "label": "The RTM rules and the signature rail under a patient-facing care agent", "url": "https://surgeonvalue.com/rtm", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "pocket", "label": "Tap-to-refer web app for the exam room", "url": "https://surgeonvalue.com/pocket", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "directory", "label": "Surgeon directory", "url": "https://surgeonvalue.com/directory", "auth": "none", "uploads_data": false, "safe_to_hand_to_user": true },
    { "id": "subscribe", "label": "Request access for a practice (no checkout; nothing is for sale)", "url": "https://surgeonvalue.com/subscribe", "auth": "none", "uploads_data": true, "safe_to_hand_to_user": true }
  ],
  "not_offered": [
    "Billing, filing or sending anything in the surgeon's name: the surgeon signs and bills under her own NPI",
    "A production EHR integration: the loop runs against a FHIR sandbox with a synthetic note",
    "RTM enrollment or billing across a panel, registry abstraction (AJRR), panel intelligence, inbox triage, episode-cost modelling: designed, not built",
    "Any price, plan or checkout: nothing is for sale",
    "A per-patient RTM figure: RTM pays per code, each on its own conditions",
    "Anchoring a receipt on hashcare.com: not connected",
    "Handling PHI: no BAA is executed; pasted notes must be de-identified"
  ],
  "facts": {
    "coding_gate": "the model proposes, the CMS NCCI edit engine grades; the model never grades its own work",
    "who_bills": "the surgeon signs and bills under her own NPI; SurgeonValue never furnishes care, never bills Medicare, never decides",
    "receipt": "every signed output is sealed into a SHA-256 receipt with no PHI, and the receipt keeps what was drafted and what was struck",
    "rtm_billing": "Paid per code, each on its own conditions, so there is no honest blended per-patient figure. Inside the 90-day global the operating surgeon cannot bill RTM on her own post-op patient; a practitioner not paid under the global can, such as the practice's employed PT under the PT's NPI. Rules: https://surgeonvalue.com/rtm · per-code table: https://jointcoach.com/pilot",
    "patient_side_data": "JointClass, JointCoach and SurgeonValue link as pages, not as a data feed: JointCoach session data stays on the patient's phone; the patient brings a summary to the visit",
    "cms_rails": { "TEAM": "live Jan 2026", "ACCESS": "live Jul 2026 (chronic MSK track)", "ASM": "measured from Jan 1 2027; ±9% Part B from payment year 2029", "CJR-X": "final Jul 31 2026; mandatory from Jan 2028; 90-day hip/knee/ankle episodes" },
    "ehr_integration": "a FHIR read/write loop runs against a sandbox with a synthetic note; no production EHR is integrated",
    "mcp": "tools prefixed surgeonvalue__ on the SolvingHealth network server; ask it for tools/list. Endpoint: https://solvinghealth-mcp-489007249571.us-central1.run.app/mcp"
  },
  "attestation_model": "AI drafts; the CMS NCCI engine and payer-rule checks grade it deterministically; the surgeon reviews and signs under her own NPI. Physician-attested, never autonomous. Nothing is billed, filed or sent without the surgeon's signature.",
  "handoffs": {
    "patient_education": "https://jointclass.com",
    "patient_recovery_tracking_rtm": "https://jointcoach.com",
    "which_joint_which_pattern": "https://arthritisrisk.com",
    "hip_pain_before_the_first_visit": "https://hippain.help",
    "where_recovery_is_today_after_surgery": "https://surgicaltrack.com",
    "the_surgeon_visit": "https://surgeryprocess.com",
    "physician_attestation_of_others_work": "https://clinicalswipe.com",
    "verify_a_receipt": "https://hashcare.com/verify",
    "hospital_episode_instrument": "https://www.mskvalue.com",
    "hospital_or_group_in_scope": "https://www.mskvalue.com/mandate-check",
    "agent_runtime": "https://harnesshealth.ai",
    "company": "https://solvinghealth.com"
  },
  "pollen": {
    "schema": "estate-pollen/1",
    "sends": [],
    "sends_reason": "SurgeonValue holds no patient record and sends nothing; a signed receipt is verified at https://hashcare.com/verify by its hash, not carried as data",
    "accepts": ["recovery_summary"],
    "receiver": "https://surgeonvalue.com/pt/bill",
    "receiver_note": "the page sits behind the PT sign-in; a payload accepted before sign-in waits in the browser tab's session storage and fills in when she logs a visit; a downloaded .json file can be loaded on the same page",
    "contract": "recovery_summary is sent by jointcoach.com from https://jointcoach.com/progress with these fields: joint, side, episode (post_op/non_op), day, days_with_data, sessions, minutes, rom_best, rom_latest, pain_avg, checkin (koos_jr/hoos_jr), checkin_score, checkin_change. Numbers and fixed labels only, by tap only, in the URL fragment, never to a server of ours. Here it prefills the RTM device-days field only (the patient's own camera-tracked days, to be checked against the billing period) and shows the rest as read-only context. A value out of range drops the whole payload. Management time is never prefilled."
  },
  "receives_from": {
    "jointcoach.com": "sends recovery_summary (numbers only, by the patient's tap) to https://surgeonvalue.com/pt/bill; also links a surgeon to https://surgeonvalue.com from its home",
    "jointclass.com": "links the surgeon side to https://surgeonvalue.com; sends no data"
  },
  "llms_txt": "https://surgeonvalue.com/llms.txt",
  "talk": "https://surgeonvalue.com/docsf"
}