Agentic health assessment · for federal health systems

Less time on the record. More time on the warrior.

Nuravenn prepares each periodic health assessment end to end. It sources the records, reconciles the discrepancies, scores the instruments, and tracks the pipeline, so clinicians arrive ready to decide, members finish their part in minutes, and leadership sees readiness in real time.

Projected impact
10–20 minprovider time returned per assessment
~30%cleared in a single review
400k+ hrsreturned to care each year, at scale
The problem

Administrative drag pulls clinicians off patient care.

A single periodic health assessment is spread across a half-dozen disconnected systems, with no shared view and no one tracking it. Sourcing, entering, and reconciling that data by hand lands on the people the hospital can least afford to pull off patient care.

4–6

Systems, no interoperability

Disconnected platforms force manual entry and copy-paste. Referrals fall through the cracks.

15–20

Minute window, no context

The clinician meets the record for the first time at the encounter, with little time for a meaningful assessment.

0

Notifications, no visibility

Nothing tracks status across the window. The member cannot see what is left, so the assessment stalls and teams reconcile readiness by hand.

6

Readiness elements, by hand

Each element is checked against a separate system. Gaps surface at the encounter and trigger another visit.

The result is hundreds of thousands of clinician hours a year spent on data work a governed agent can do first.

The output

One summary, every recommendation — instead of six systems.

Physical and behavioral health arrive as a single readiness brief: the records assembled and reconciled, the instruments scored, and a recommended readiness category with the next actions drafted — ready for one provider to confirm, check off, and sign.

Readiness Brief · Parts A–C unified prepared · member ID masked
Clinical summary9 systems coalesced
AUDIT-C / PHQ-9 / PCL-5 scored & trended
IMR elements5 / 6 currentdental due
To reconcile2 items meds, immunization
Orders & referralsdrafted check off to approve
Recommend: Fully Medically Readyreadiness category · AI-drafted
Provider signs — final authority
How it works

Five stages. The agent does the data work; the clinician makes the call.

Nuravenn runs the assessment as a tracked pipeline — physical and behavioral health in one flow, Parts A, B, and C unified for a single provider. The top lane is what the platform prepares. The bottom lane is the only thing a person has to do.

01

Assessment due

Nuravenn prepares
  • Identifies members due
  • Sources records from every system, MTF or contractor
  • Builds the clinical summary
Automated
  • No action needed
  • Member notified, orders pre-staged
02

Self-assessment

Part A
Nuravenn prepares
  • Pre-populates known fields
  • Applies skip logic and validation
  • Gates for completeness
Member
  • Confirms what changed
  • Answers what applies, on any device
03

Record review

Part B
Nuravenn prepares
  • Reconciles self-report vs record
  • Flags discrepancies and new findings
  • Drafts orders and referrals
Provider
  • Validates the flags
  • Approves orders and referrals
04

Behavioral health

MHA + PHA
Nuravenn prepares
  • Asks PHQ-9, PCL-5, AUDIT-C conversationally
  • Scores and trends against prior years
  • Folds findings into the one summary
Provider
  • Reviews behavioral with physical
  • One assessment, one signature
05

Certify

Part C
Nuravenn prepares
  • Assembles the handoff
  • Drafts the recommendation
  • Posts the signed result to readiness reporting
Provider
  • Sets the readiness category
  • Signs and certifies

Projected Roughly a third of assessments arrive clean enough to clear in a single review, with no loss of consistency or quality.

For the service member

A conversation, not a stack of forms.

Most assessments that run late are not stuck on the clinic. They are waiting on one person to finish their part. Nuravenn turns that part into a guided, agentic conversation — on screen or by voice — that asks only what it doesn't already know, so members finish in minutes and readiness stays current.

It already knows your record

Part A loads from your record automatically. Nuravenn asks only what changed since last year — never re-asking what it can already see.

On your phone, by text or voice

Mobile friendly and built to federal accessibility standards, so you can answer between tasks — typed or spoken — not only on a clinic workstation.

Every exam in one checklist

Hearing, vision, dental, labs, immunizations, and the screenings that apply to you by age or interval, like an ECG after 40 or periodic HIV labs, tracked in one place with what to do next. No guessing what is left or who owes it.

One coordinated visit, not a scramble

Hearing, vision, dental, labs, and the provider assessment are sequenced and pre-staged together, so they close in a single coordinated visit instead of chasing separate appointments across providers and facilities.

Behavioral health, asked plainly

PHQ-9, PCL-5, and AUDIT-C are asked conversationally, in the same flow as the rest — no separate form, no extra login, no clinical jargon.

Reminders that actually help

Notices tell you what is due and how long it takes, instead of a generic overdue flag with no instructions.

Your PHA due in 21 days
Loaded for you9 records ready
Nuravenn asks“Still no tobacco use?”
YouCorrect · tap or say it
Left to answer3 questions · about 2 min
Almost done — just a few left.nothing else to chase down
Continue

Projected When the member's step is this easy, more assessments finish on time, and the readiness roll leadership sees stays accurate. The member experience is a readiness lever, not a nicety.

Ask Nuravenn natural language · over the federated record
Provider asks“What changed since last year?”
Nuravennnew BH trend · 2 meds · dental
Recommended actions — check to approvenothing executes without you
✓ Update profile✓ Draft referral□ File waiver
For the provider

Ask, don't dig.

The provider gets the same agentic interaction, not another dashboard. Ask the federated record a question in plain language and get a governed answer — then let Nuravenn handle the next step. Referrals, profile updates, and waivers come back as recommended actions the provider checks off. Not a chatbot: a teammate that does the data work and waits for the call.

Capabilities

One governed layer over the systems you already run.

Nuravenn overlays your existing record and readiness systems. No rip-and-replace, no new system of record. Active duty or reserve, delivered in an MTF or through a readiness contractor, it reads where the data lives and writes back through approved channels — and every value carries the system it came from, so the provider trusts where the information is from.

Source-system federation

Coalesces one clinical summary from the record, eligibility, readiness, and behavioral-health systems, and across health information exchanges, whether the assessment runs in an MTF or through a reserve readiness contractor, so the picture is built before the encounter.

MHS GENESIS · DEERS · MRRS · RHRP / contractor · JHIE · eHealth Exchange · JOMIS · +more

Reconciliation & data quality

Cross-references the self-assessment against the record, reconciles discrepancies in medications, immunizations, and family history, and resolves the duplicate and migration-era data-quality gaps that fragmented records leave behind, then drafts risk-based referrals for the provider to approve.

discrepancy reconciliation · data-quality repair · new-finding highlights

Instrument scoring & trends

Auto-scores the behavioral-health instruments, compares against prior years to surface trends, and flags escalation patterns so providers focus on the concerning cases.

AUDIT-C · PHQ-9 · PCL-5 · longitudinal

Readiness automation

Checks every readiness element against its source, pre-stages the orders to close gaps, drafts a readiness recommendation the provider confirms or overrides, and confirms each completed element posts back to the reporting system, so a finished exam actually reads as finished.

6 readiness elements · FMR / PMR / NMR · reporting write-back

Pipeline visibility

Tracks every assessment on one landing page with live status at each step, Part A through certification, so a stalled case is visible the moment it stalls instead of at the deadline.

live status · Part A · B · C · MHA · auto-notify

Conversational intake (agentic)

Interviews the member in plain language, on screen or by voice, pre-filled from the record and asking only what changed. Validated instruments are asked in conversation, not handed over as a form, so what arrives is complete and ready for review.

agentic Q&A · voice-ready · completeness gate
Governance & trust

The agent prepares. The clinician decides. Everything is on the record.

Nuravenn is built so automation never makes a clinical or readiness determination. It does the assembly and the math; the clinician holds the judgment and the signature.

Human authority

The clinician is the final authority, by design.

Nuravenn drafts the summary, the scores, and the recommended readiness category. It never assigns readiness, never signs, and never closes a case on its own. Judgment-only decisions stay with the clinician.

prepared by Nuravenn  →  signed by the clinician
Policy as code

Runs inside the governing instructions

Assessments execute against the applicable health instructions as machine-checkable rules. When policy changes, it is configured low-code, not re-engineered — once the data foundation is in place, new rules and assessments go live without a new program.

Decision lineage

Every output is traceable

Each flag, score, and recommendation carries its source data, the rule applied, and the person who signed. Audit-ready by construction, not after the fact.

Built for the environment

Designed to IL5, FedRAMP & HIPAA standards

CUI-aware data handling, role- and attribute-based access, and deployment inside your boundary. Data stays where it lives; Nuravenn overlays it.

Built to scale

One assessment, every service

The same governed layer runs the assessment across the services and defense health divisions — active component or reserve, in an MTF or through a readiness contractor — so a capability proven in one program extends enterprise-wide without a migration.

Projected outcomes

Time returned to clinicians, readiness held steady.

10–20minutes returned per assessment
400k+clinician hours back to care each year
~30%of assessments clearable in a single review
17+systems coalesced and reconciled automatically

Figures are target outcomes modeled on the current assessment workload, not guaranteed results. Actual impact depends on data availability, integration scope, and local workflow. We size them against your numbers during the briefing.

The PHA as a data asset

An annual form, or the force's most current health record.

Every PHA is a structured, source-verified snapshot of a member's health and readiness. Nuravenn treats it as a data asset, not a checkbox: less time to complete, more signal worth trusting, and a record that stays current between visits.

Source-verified, not self-recalled

Every field Nuravenn pulls from the record, Part A pre-population, immunizations, labs, profiles, is one less field that depends on memory or self-report, where PHA data quality is weakest.

Current even without a visit

Many members are not seen in a given year and still owe a PHA. Nuravenn keeps the readiness picture current from the record, and folds in pre- and post-deployment data points as they land.

Built to read across deployments

Members with multiple deployment assessments generate more back-and-forth and more records. The same federation assembles them into one readiness view instead of scattered encounters.

Decision lineage on every field

Each value carries its source, the rule applied, and who signed, so the data can be trusted for readiness rolls and population health, not just the individual encounter.

Today an annual touchpoint. Built toward continuous.

Roadmap The current requirement is an annual assessment. The same engine is designed to update the readiness picture at every encounter, moving the force toward a continuous, longitudinal health record rather than a once-a-year snapshot.

Beyond the PHA

One readiness engine, many assessments.

The periodic health assessment is the first use. The same federation, scoring, governance, and pipeline run any recurring federal health workflow, configured, not rebuilt.

Separation health assessments

Pre-separation and transition exams on the same pipeline.

Deployment readiness

Pre- and post-deployment health screening and clearance.

Occupational health

Exposure, hearing, and surveillance exams by program.

Behavioral-health surveillance

Periodic instrument screening with trend escalation and suicide-risk early warning.

Disability evaluation prep

Record assembly and discrepancy review for boards.

Recall & screening campaigns

Population outreach, tracking, and closure at scale.

Population health & surveillance

Cohort screening and outbreak signal across the force.

Medication safety checks

Interaction and reconciliation flags drawn from the same federated record.

Readiness & quality reporting

Audit-ready readiness rolls and quality measures, sourced and traceable.

A new assessment in weeks, not a new program in years.

Each workflow reuses the engine and the governance. You configure the sources, the instruments, and the policy, and the pipeline is live.

Talk through your workflows

See Nuravenn run on your assessment workload.

A 45-minute briefing: your pipeline, your systems, your numbers, and where the hours come back.