SHIFT 01
From reacting to preventing
TodayThe team finds out when the patient calls, when the family calls, or when the hospital does.
With Care360The team is told this morning, with the patients closest to trouble already at the top of the list.
Care360 AI-native care platform
Prevention is better
than cure.
The AI-native system of action for care delivery — and the revenue behind it.
That belief runs everything we build. Care360 turns the information your teams already collect into a clear direction for the day — what to do, how to do it and where to do the work — so problems are caught early, care is recorded as it happens, and the revenue that follows it is captured.
Act earlier. Work from one list. Get paid for the care you deliver.
From first signal to paid claim
Illustrative
- Signal
- Early warning
- Priority
- Action
- Documented
- Paid
Catch it earlier Act on it faster Prove what you did Get paid for it
Care programs supported: RPM CCM APCM AWV TCM Population health Revenue cycle
What we believe
Prevention is better than cure.
The operating principle of Vital Wave Technologies LLC Stated once here, and answerable for on every screen of the product that follows.
It is the oldest idea in medicine and still the one healthcare software serves worst. The earliest moment to act on a problem is the cheapest, the safest and the kindest — for the patient, for the team that carries the workload, and for the organisation that carries the cost.
Most systems are built to record what already happened. Care360 is built to shorten the distance between a signal and a decision — to put the patients who are drifting in front of the right person while there is still an easy answer, and to make acting on them the simplest thing that team does all day.
That is the whole company in one line. Everything else on this page is how we deliver it.
SHIFT 02
From data to direction
TodayMore dashboards, more alerts, more tabs — and still a judgement call about where to begin.
With Care360One ranked list, with the reason it is ranked that way and the next step already drafted.
SHIFT 03
From effort to evidence
TodayCare is delivered, then reconstructed afterwards for the note, the quality report and the claim.
With Care360The work is captured as it happens and carries its own evidence through to the claim.
Our premise is simple: the earlier a problem surfaces, the smaller every cost behind it becomes — clinical, operational and financial. A platform is worth buying when it moves that moment forward.
Market timing
Payment is moving toward continuous care.
Capacity is not moving with it.
Four forces are converging on the same operating problem at the same time. Together they decide which organisations can manage a population between visits over the next decade — and which keep paying for the consequences of finding out late.
01Reimbursement
Federal payment is following technology-enabled chronic care.
The CMS Innovation Center's ACCESS Model — Advancing Chronic Care with Effective, Scalable Solutions — began on 1 July 2026 and runs through 2036, testing Outcome-Aligned Payments for technology-supported management of high-prevalence chronic conditions in Medicare.
Continuous, remote, technology-enabled care is no longer a pilot category. It now has a decade-long federal payment experiment behind it — and organisations that cannot evidence the care they deliver between visits cannot participate in that economics.
Source: CMS Innovation Center, ACCESS Model — cms.gov. Cited as market context. Vital Wave Technologies claims no participation in, or endorsement by, any CMS model.
02Risk
More of the dollar depends on what you can measure and prove.
As value-based arrangements expand, revenue shifts away from volume and toward documented quality, accurately captured risk and avoided utilisation. Every one of those depends on managing the panel between appointments and being able to show the evidence afterwards.
That is an operating-model problem before it is a software problem. The organisations that win on value-based contracts are the ones whose daily workflow produces the evidence as a by-product.
03Capacity
The constraint is human hours, not more information.
Most organisations already surface far more signal than their teams can act on. Another dashboard widens that gap; it does not close it. The only thing that closes it is work that arrives already prepared, prioritised and safe to approve.
This is why Care360 is built as an operating layer rather than a reporting layer — and why its unit of output is a completed action, not a chart.
04Scrutiny
Healthcare AI has entered its “prove it” phase.
Boards, CFOs and clinical governance committees no longer approve AI on a demonstration. They expect a named value driver, a measured baseline, an accountable owner and a review cadence before anything reaches production — and a governance story that survives a security review.
We built for that room. The value ledger and the proof-of-value path below are how we expect to be judged, in your environment, on your data.
How your team actually uses it
What to do. How to do it. Where to work.
Software that only displays information leaves the hardest part — deciding what to do about it — to the busiest person in the building. Care360 is built the other way round. It opens the day with a decision already made, hands over the work already prepared, and keeps it all in the place the work is done.
What to do
Your panel, ordered by who needs you first.
Nobody starts the morning guessing. Every monitored patient is scored against published clinical criteria before the team arrives, and the list is ordered by that score — not by who happened to call.
- Patients whose readings are moving in the wrong direction
- Visits and check-ins that are due, overdue, or never booked
- Care gaps, uncaptured risk and quality measures that are still open
How to do it
The work arrives already prepared.
The platform does the assembling — the reading of the chart, the drafting, the paperwork — and then stops. A person reviews it, changes what they want, and approves.
- A clinical summary written from the patient's own record
- Outreach messages, care plans and visit prep drafted and waiting
- Nothing reaches a patient or a chart until someone approves it
Where to work
One place, not seven tabs.
Monitoring, the chart, care plans, messaging, quality, risk and billing sit on the same record, so the context follows the patient instead of being rebuilt in each system.
- Each role sees its own worklist, scoped to its own patients
- What the nurse records is what the biller bills — no re-keying
- Available on a phone or tablet for work that happens away from a desk
08:30 — today's direction
Ranked for you Illustrative interface
01
DEMO-4471Early-warning score rose overnight
Call the patient, then escalate to the on-call clinician
Monitoring
02
DEMO-2290Annual wellness visit due, never booked
Approve the drafted scheduling outreach
Care gaps
03
DEMO-1185Care time captured this month, claim not yet built
Review the drafted claim and submit
Billing
Same list, three different jobs — a clinical escalation, an open care gap and unbilled work
— each with the next step attached and the place to do it named.
What it changes for your organisation
Four things that get better — and the mechanism behind each one.
We do not lead with other people's numbers. Each of these is a working mechanism you can open, inspect and test against your own patients before you commit to anything.
Problems surface while they are still small
Deterioration that would otherwise wait for the next appointment is on the screen the morning it starts — in front of the person who can act on it.
How it works
Every monitored patient is scored overnight against published early-warning criteria, and the panel is ranked by that score with the exact readings behind it on the row.
Your team's hours go further
The hours your team already has go to patients instead of to assembling information — the reading, drafting and paperwork around each patient is done before they open the record.
How it works
Summaries, outreach messages and care plans arrive drafted from the patient's own record. The platform proposes; a person reviews, edits and approves before anything is sent or saved.
The care you deliver is the care you bill
Care that was genuinely delivered no longer has to be reconstructed weeks later to be billed, and the money that comes back is matched to the claim that earned it rather than by hand.
How it works
Qualifying time and activity accumulate into a monthly ledger, become a standards-based claim, are checked before submission, and the remittance posts back against the claim that earned it.
You can always answer “why?”
When a clinician, an auditor, a payer or a board member asks why something was flagged, sent or billed, the answer is on the screen rather than in someone's memory.
How it works
Every score shows its readings, every proposal shows what triggered it, every claim traces to the ledger, and every approval records who approved it and when.
What we do not claim. You will not find customer logos, testimonials or outcome percentages on this page, because we will not publish a number we have not measured with you. Care360 supports clinical decisions — it does not diagnose, prescribe or decide — and no certification is claimed anywhere on this site that we have not named explicitly. When you run a pilot, the numbers you get will be your own.
Where Care360 sits
Most healthcare software records the work.
Care360 does the work — and proves it.
Clinical software has arrived in three generations. Each one is necessary, and each one hands the hardest part back to the team. Care360 is built for the generation that does not.
Generation oneSystem of record
Captures what happened. Indispensable, and deliberately passive — it answers “what did we do?” after the fact, and leaves the decision, the drafting and the follow-through to whoever opens it next.
Generation twoSystem of insight
Describes what happened. Registries, dashboards and quality reports that answer “what is going on?” — then return the list to a team that already had more to do than hours to do it in. Insight without capacity is a backlog with better graphics.
Generation three · Care360System of action
Decides what should happen next, prepares it, routes it to the person who can approve it, executes it on approval, and closes the loop through documentation, quality and the claim. It answers the only two questions leadership actually asks: what should we do now, and did it work?
AI-native, not AI-attached
The difference is architectural, and it shows up in procurement.
Almost every platform in this market now says “AI”. The question that separates them is structural: does the intelligence live inside the record, the permissions and the audit trail — or beside them, in a tool that can only suggest? The columns below describe architectural categories, not named products.
Dimension
AI attached to a workflow
Care360 — AI-native system of action
Where the intelligence runs
In a separate tool, on a copy of the data, under its own rules
On the same record, the same access control and the same audit trail as the clinical work itself
What it can act on
The text it is handed, with the context a person remembered to paste
The live clinical and financial record — vitals, problems, medications, risk, activity and claims
What it produces
A suggestion to read, judge and re-key somewhere else
A prepared action — drafted, attributed and routed to the person who can approve it
Who decides
Undefined, or reviewed after the fact when something goes wrong
A named human checkpoint before anything reaches a patient, a chart or a payer
Where the numbers come from
A model asked to produce a score, with a confidence figure and no working
A deterministic clinical core — published models, identical inputs give identical scores, every reading shown
What survives an audit
The output, and a screenshot of it
The inputs, the trigger, the draft, the approver and the timestamp — the whole chain
Cost of the next workflow
Another integration, another vendor, another security review
Configuration on a record that already exists — which is why the second programme costs a fraction of the first
Read the last row twice. When new capability is configuration rather than integration, every programme you add makes the next one cheaper — for us to deliver and for you to adopt.
Deterministic clinical core
Grounded generative assistance
Agentic workflows, human-approved
One record, one audit trail
Why good care still falls through
Care rarely fails in one place.
It fails between them.
A reading is taken in one system, the note is written in another, the follow-up lives in someone's head and the billing is reconstructed weeks later. Nothing is broken — and the patient still slips. Care360 removes the hand-offs: the reading, the score it produces, the care gap it opens, the outreach it triggers and the claim it eventually earns all sit on one record, so work moves forward instead of being re-entered.
Stage 01 · Monitor
The monitoring hub the care team lives in
A real-time, role-scoped view of every monitored patient — identity and enrolled program, latest vitals, open alerts and inline quick actions, with RPM day-in-program and a live time-log timer.
- Heart rate, blood pressure, glucose, SpO₂, temperature, respiratory rate, weight and steps — each colour-coded normal / marginal / critical
- Critical and marginal alert rollup, one click to alert history and the review workflow
- Message, audio call, live chat and one-click AI Clinical Summary, inline on the row
- Every RPM reading timestamped and counted toward the CPT thresholds billing later qualifies
Stage 02 · Understand
Readable assistance, auditable numbers
The chart opens on a decision-support view assembled from the real record: a grounded AI clinical summary alongside deterministic risk that shows its own inputs.
- AI Clinical Summary — plain-language synthesis of latest vitals, active problems, medications and risk
- NEWS2 deterioration with a per-parameter breakdown, plus a transparent readmission composite
- CMS-HCC risk stratification — RAF band, chronic-condition burden, dual-eligibility, HCC conditions
- MIPS / HEDIS / UDS quality measures computed over real data with numerator, denominator and target
Stage 03 · Act
A prioritised worklist, already drafted
The sickest and highest-value patients rise to the top with the action drafted and the signal that drove it attached. Automation prepares the work; a person releases it.
- Care plans, tasks, appointments, reminders and secure messaging in the same record
- Outreach drafting and population campaigns from real cohorts
- Agentic proposals land in a checkpoint queue, highest priority first
- On approval, the action routes only through an existing, already-authorised Care360 path
Stage 04 · Bill
The monitoring you do is the billing you collect
As care is delivered, Care360 qualifies billable CPT/HCPCS codes into a monthly ledger. The claims workspace reads those real rows — patients, codes, charges and service dates all come from actual activity.
- Structurally valid ANSI X12 837P (005010X222A1) professional claims
- Printable CMS-1500 and a readable 837P PDF with the raw EDI appended for submission
- Deterministic clean-claim scrubbing returns a readiness verdict, a 0–100 score and the specific fix
- In-app billing provider setup and a multi-payer registry carried onto every claim
Stage 05 · Reconcile
Every claim tracked to payment — or to an appeal
Care360 closes the loop. Remittances post against the originating claim, statuses update themselves, and denials become a worked queue rather than a backlog.
- Real ANSI X12 835 (005010X221A1) parsing — payer, check/EFT, per-claim paid, patient responsibility and adjustment reason codes
- Automatic matching and posting, with scheduled ingestion from an inbox folder or clearinghouse endpoint
- Lifecycle status per claim: Submitted → Paid / Partial / Denied, with billed, allowed and paid amounts
- Denials classified by real CARC/RARC code into a work category, appealability call and next action
The platform
Everything the care team needs, in one place.
From the patient at risk to the claim that gets paid.
Patient Engagement
The live monitoring hub: real-time vitals, colour-coded alerts, the RPM timer, inline quick actions, one-click AI summaries and a predictive risk chip that opens a full deterioration and readmission analysis.
Predictive Deterioration
Validated NEWS2 early-warning scoring and a transparent readmission composite, ranked across the cohort and precomputed for full-panel speed.
AI Copilot
Chart-scoped assistance: clinical summaries, an ambient scribe that drafts notes, care-plan generation and chart Q&A answered from the real record.
Revenue Cycle
Qualified activity becomes standards-based claims: 837P and CMS-1500 generation, deterministic clean-claim scrubbing, payment tracking, 835/ERA posting and CARC/RARC-classified denials with an appeal worklist.
Patient Chart
One tabbed chart: Health Overview, patient profile, assessments, vitals, problem list, medications, labs, notes, care plan, reports, tasks, documents, reminders and appointments.
Population Health & Risk
CMS-HCC risk stratification into Low / Moderate / High / Very-High bands, a rising-risk cohort, and actionable care gaps — with validated CMS-HCC coefficient weights.
Agentic Care Automation
A closed-loop assistant that detects real care gaps and drafts the next action for a person to approve: Detect → Propose → Review → Act.
Interoperability
A FHIR R4 façade over Care360 data, a generic FHIR + SMART-on-FHIR client with EHR-agnostic adapters, EHR write-back and pluggable clearinghouse submission.
Quality Measures
MIPS / HEDIS / UDS measures computed from real data — controlling high blood pressure, depression screening, AWV completion and documented blood pressure — with performance forecasting toward year-end.
Patient Self-Service
Digital self-enrollment and e-consent into a staff review queue, self-scheduling requests routed to the team, and AI-assisted prioritisation so staff work the highest-value requests first.
Administration
Organisation-level configuration without server access — and every page and action gated by the user’s resolved privileges.
AI-native by architecture
Less time on paperwork. No guesswork in the numbers.
Your team loses hours to reading, summarising and writing things down. Generative AI takes that work on, grounded in the patient's own record. It does not take on the numbers: scores and risk come from a deterministic clinical core that produces the same answer every time and shows its working. Three layers, deliberately separated — so nothing your organisation has to defend later rests on a guess.
Assists
Generative AI
Grounded in the patient’s real vitals, problems and medications. It drafts and explains — it never writes the record.
- Clinical summaries chart + list
- Ambient documentation drafts
- Care-plan suggestions proposed
- Chart Q&A sourced
- Outreach drafts reviewed
- Population insights cached
Human
AI proposes. Clinical intelligence explains. A clinician decides.
Every AI feature has a deterministic fallback if the model is unavailable or returns nothing usable.
Determines
Deterministic intelligence
Published, reproducible clinical and billing logic. No language model guesses a risk number or qualifies a code.
- NEWS2 deterioration RCP 2017
- Readmission composite weighted
- CMS-HCC risk RAF
- Quality calculations MIPS/HEDIS/UDS
- Claim qualification ledger
- Claim scrubbing edits
The distinction matters in review. A reproducible, explainable score is defensible in a chart audit or a payer review in a way an opaque AI risk score is not — and it clears clinical-governance and model-risk review far more easily.
Responsible AI
AI your compliance team can sign off.
The seven questions a security officer, a compliance lead and a clinical governance committee will ask — each answered by something the platform does, not by a paragraph in a policy document. They are grouped the way modern AI risk practice is organised — govern, map, measure and manage — so the review can use the vocabulary it already has.
01
Grounded
The model is given the patient’s real vitals, problems and medications as context — it does not answer from generic knowledge.
02
Fail-safe
Every AI feature has a deterministic fallback. If the model is unavailable or returns nothing usable, the feature shows structured, real-data output instead.
03
Human-controlled
AI does not autonomously write clinical records or send messages. It proposes and explains; a person releases the action.
04
PHI-aware
Direct identifiers — email, phone, SSN, MBI, dates — can be scrubbed from any prompt before it reaches an external model, and restored in the reply.
05
BAA-aware routing
AI egress can be gated so PHI is only processed by a vendor with a signed Business Associate Agreement; otherwise the feature falls back to deterministic output.
06
Auditable
Metadata-only logging of AI calls — provider, model and byte counts — evidence of what left the platform, without becoming a PHI store.
07
Tested
An evaluation harness of golden-case tests proves the safety-critical pieces — PHI redaction and NEWS2 determinism — behave, run in CI before release.
Prevention in practice
See a patient sliding before it becomes an admission.
Deterioration is rarely sudden — it is usually visible for days in numbers nobody had time to read. Care360 reads them every night and puts the patients who are drifting at the top of the list, using published clinical models rather than an opinion, with the exact readings shown beside the score so the team can trust it and act.
NEWS2 — deterioration
RCP 2017 Illustrative interface
Respiratory rate
22 /min
+2
SpO₂
95 %
+1
Temperature
37.1 °C
0
Systolic BP
108 mmHg
+1
Heart rate
96 /min
+1
0
NEWS2 total
Aggregate of the five parameters listed — each shown with its own contribution.
0–4
Low
—
5–6
Medium · urgent review
This score
7+
High · emergency assessment
—
Honest by design. Vitals are validated against physiologic bounds before scoring — implausible values are dropped, never scored. NEWS2 is withheld when fewer than three parameters are on file, rather than reporting a misleading partial score. The two parameters Care360 does not capture — supplemental oxygen and consciousness — are assumed normal and labelled as such. A single red parameter is flagged even at a low total.
Readmission risk
Composite ConceptualA transparent weighted index over real signals. Each component is shown with its own contribution, so the number can be explained rather than trusted.
Recent TCM discharge+22
Chronic problem burden+16
Vital instability · from NEWS2+14
HCC RAF band+6
Composite index · conceptual example
58 / 100
Delivered three ways: a cohort view that ranks the panel by NEWS2 then readmission, a per-patient drawer showing every vital with its value, date and points, and the same score on the chart and the engagement list. Precomputed nightly for instant full-panel results.
No real patient data appears anywhere on this website. Values shown are synthetic and illustrate the model structure only.
The whole panel, not just today's list
Find the risk before it becomes a cost.
The patients who will cost the most next year are usually identifiable this year. Care360 sorts the whole panel by risk, surfaces the gaps that drive both quality scores and reimbursement, and then does the part most tools skip: it turns the top of that list into assigned, trackable work.
Low
—
Moderate
—
High
—
Very high
—
- Rising risk
- Care gap
- Outreach
- Action
Nodes represent an illustrative synthetic cohort stratified into risk bands. No real patient data is used or displayed.
- HCC risk stratificationReads the algorithmic HCC risk pipeline (RAF scores) and stratifies the panel into Low / Moderate / High / Very-High bands.
- Rising-risk cohortThe highest-risk patients surfaced for proactive care management before deterioration.
- Care gaps & AWVAWV due or never done, high-risk without management, and not-yet-scored patients — each an actionable list.
- Quality measures & forecastingMIPS / HEDIS / UDS computed over real data, with performance projected to year-end and measures at risk of missing target flagged.
- HCC suspectingSurfaces likely-but-uncoded conditions and quantifies RAF uplift using the official CMS-HCC coefficient set — real weights, never invented.
- NLP quality captureFinds quality-numerator evidence already present in clinical notes.
- Population briefing & campaignsBounded, real-cohort AI runs — rising-risk prediction, population briefing, ask-the-population and outreach campaigns — cached for review.
Work that prepares itself
The work proposes itself. Your team approves it.
The routine follow-ups that fall through the cracks are not hard — they are just endless. Care360 finds them, drafts the next step, and puts it in a queue for a person to approve or dismiss. It proposes; your team decides. Nothing reaches a patient or a chart on its own.
-
01
Detect
A scan reads real data and finds gaps — a patient trending toward deterioration with an escalating early-warning score, or an Annual Wellness Visit overdue or never done.
-
02
Propose
Each gap becomes a concrete action that carries the real signal behind it — the score, its direction, or the missing visit — so the reviewer sees the evidence, not a verdict.
-
03
Review mandatory
Proposals land in a checkpoint queue, highest priority first. A person approves or dismisses. Every decision records who and when.
-
04
Act
On approval, the action routes to an existing, already-authorised Care360 path — the outreach composer or a scheduling task. Nothing new is invented at execution time.
Workflows in this release: deterioration outreach, driven by the predictive engine, and AWV scheduling, driven by the AWV worklist. The catalog is extensible.
Checkpoint queue
Illustrative interfaceAwaiting human review
2 pending
Deterioration outreach
High priority
Same-week check-in and vitals review
Driver NEWS2 6, escalating DEMO‑0142
“Drafted outreach: recent readings show an escalating early-warning score. Requesting a same-week check-in with a repeat vitals review.”
Routes to the outreach composer
AWV scheduling
Medium priority
Schedule Annual Wellness Visit
Driver AWV never completed DEMO‑0288
“Drafted task: no Annual Wellness Visit on file. Proposing an AWV scheduling task for the assigned care manager.”
Routes to a scheduling task
Queue cleared. In the platform, the next scan re-populates this list from real clinical data.
Audit trail
- Awaiting a decision — nothing has been routed.
Revenue cycle
Get paid for the care you already deliver.
Care360 turns the billing your team has already earned into real, standards-based claims — and scrubs each one before it leaves the building. Patients, codes, charges and service dates all come from actual activity.
- 01 Care delivered RPM / CCM / AWV
- 02 Qualified ledger CPT / HCPCS
- 03 Claim scrubbing deterministic edits
- 04 837P / CMS-1500 005010X222A1
- 05 Submitted clearinghouse
- 06 835 / ERA 005010X221A1
- 07 Paid / Partial / Denied CARC / RARC
- 08 Appeals worklist
Clean-claim scrubbing
Illustrative interfaceBefore submission, deterministic edits catch what payers reject for — and return a readiness verdict, a 0–100 score and the specific fix for each issue. You correct rejections up front instead of chasing denials later.
62 / 100
Missing NPI / Tax IDBilling provider identifiers absent from the claim
Billing provider setup
Missing member IDSubscriber identifier not present for the selected payer
Patient insurance
Malformed CPT / ICDCode does not match the expected format
Correct code
Diagnosis presentAt least one diagnosis pointer on every service line
Pass
Charges non-zeroNo zero-charge service lines
Pass
Configuration needs no server access: set organisation NPI, Tax ID, name and address in-app, and maintain a multi-payer registry — Medicare by default, with Medicaid and commercial plans added by electronic payer ID and claim-filing type. The 837P and CMS-1500 carry that payer’s details.
ERA posting, lifecycle & denials
Illustrative interface
CLM‑DEMO‑0088 · posted from 835
billed / allowed / paid
Paid
CLM‑DEMO‑0089 · posted from 835
patient responsibility applied
Partial
CLM‑DEMO‑0090 · denial classified
CARC 197
Denied
CLM‑DEMO‑0091 · routed
RARC N…
Appealable
- A real 835 parser reads the ANSI X12 835 (005010X221A1) your payer or clearinghouse returns — payer, check/EFT, and per-claim paid, patient-responsibility and adjustment reason codes
- Automatic posting matches each remittance line to your claim, posts the payment and updates the status
- A scheduled job watches an inbox folder or clearinghouse endpoint and posts remittances hands-free, archiving each file
- Every denial is classified by its real CARC/RARC code into a work category, with an appealability call and a concrete next action
- Prior-authorisation tracking prevents auth-related denials (CARC 197/198) up front
Closed loop: qualified ledger → scrubbed 837P → submitted → 835 posted → paid or denied → denial to appeals. One system, fully auditable. Claim identifiers and codes shown here are synthetic examples.
Fits the business you already run
Works with the systems you have. No rip and replace.
Nobody replaces their EHR to try something new. Care360 is built to sit alongside what you already run and exchange data with it through recognised healthcare standards — and every assumption it makes about your data is declared in one place and checked against your live system, so an integration is something you can audit rather than something you have to trust.
- FHIR R4 façadeExposes Care360 data — patients, conditions, vitals and observations — as FHIR R4 resources.
- EHR-agnostic adaptersA generic FHIR + SMART-on-FHIR client plus vendor adapters, to connect to any conformant EHR or aggregator.
- EHR write-backPushes vitals, care plan and notes back to the EHR as FHIR.
- ClearinghousePluggable claim submission and 835/ERA retrieval.
- Integration healthEvery schema assumption declared in one place and confirmed against the live database.
Referenced connectivity technologies. The platform overview describes adapters and connectivity involving the following services. They are listed here as supported integration technologies only.
athenahealth
Redox
Health Gorilla
Availity
Change / Optum
Claim.MD
No partner logos are displayed, and no partnership, endorsement or certification is implied.
Away from the desk
The same direction, on a phone.
Care360 capabilities that translate naturally to a mobile context — the readings, the alerts, the tasks, the plain-language summary and the self-service requests that a person needs to see between visits.
Patient engagement
Vital readings
Alerts
Care tasks
AI summaries
Patient self-service
Appointment requests
Care-plan information
Scope note. This section is a visual presentation of platform capabilities on a mobile
layout. The Care360 Platform Overview does not specify a mobile application feature set, so no
mobile-specific functionality, native application, or app-store availability is claimed here.
Screens shown are illustrative compositions with synthetic values.
What each role gets
Built for everyone who touches the work.
Choose a role to see what changes for them on Monday morning.
Providers & care teams
Prioritised, pre-drafted worklists.
A passive monitoring list becomes a prioritised worklist. The patients who need attention first surface first — with the action already drafted and the evidence attached.
- See what matters, first. Real-time vitals and alerts ranked by validated clinical risk instead of arriving as a feed.
- The warning, before the crisis. Early-warning scores (NEWS2), escalating trends and AI clinical summaries on the row the nurse already works.
- Less searching, more caring. The evidence layer shows the specific readings behind every flag, so the team acts with context.
Practices & ACOs
The levers behind value-based performance.
Support AWV completion, earlier deterioration outreach, HCC risk capture and clean claims — in one platform, from one data spine.
- Fewer missed AWVs. Care-gap lists for visits due or never done, with an agentic scheduling proposal behind them.
- Captured HCC risk. Suspecting surfaces likely-but-uncoded conditions and quantifies RAF uplift with the official coefficient set.
- Cleaner claims. Deterministic scrubbing before submission, with the specific fix for each issue.
Payers
Results that hold up in review.
Deterministic, auditable risk and readmission models, plus clean, structured claims and denials — results that survive utilisation review.
- Reproducible models. Published clinical logic — the same inputs always produce the same score.
- Structured submission. ANSI X12 837P claims generated from a real qualified ledger, not a re-typed summary.
- Structured denials. CARC/RARC classification with an appealability call and a next action per denial.
Health systems & compliance
Easier to procure, deploy and defend.
Interoperability, governed AI and a closed-loop revenue cycle that plugs into existing clearinghouses and EHRs.
- Interoperable. FHIR R4 and SMART-on-FHIR with EHR-agnostic adapters and write-back.
- Governable AI. Fail-closed access control, PHI redaction at the AI boundary, BAA-aware routing and metadata-only egress logging.
- Auditable end to end. Every score shows its readings; every claim traces to the real ledger.
About Vital Wave Technologies
A company built around a single idea: act earlier.
Vital Wave Technologies LLC builds healthcare software for the moment before the crisis — the window where a phone call still works, a visit still helps and a cost is still avoidable. Care360 is how we deliver that: one platform that watches the signals, decides what deserves attention, prepares the work, and follows it through to the payment. We hold ourselves to the same standard we ask of the software — we say only what we can show.
VALUE 01
Prevention first
Every design decision is judged by one question: does this help someone act sooner? Features that only describe a problem more beautifully do not earn their place.
VALUE 02
Evidence over opinion
Where a published clinical standard exists, we use it and name it. Numbers that carry weight are calculated the same way every time, not estimated by a model that cannot explain itself.
VALUE 03
Human judgment stays human
The platform prepares work and a person decides. We do not build software that takes a clinical action on its own, and we do not ask clinicians to trust something they cannot inspect.
VALUE 04
No black boxes
Every score shows the readings behind it, every proposal shows what triggered it, and every approval records who made it. If you cannot see why, we have not finished building it.
VALUE 05
Fit the business you already run
Healthcare organisations cannot stop to re-platform. We work with the systems, clearinghouses and payers you already have, and we make our assumptions about your data explicit.
VALUE 06
Say only what we can show
No invented statistics, no borrowed logos, no certification we have not earned. It is a slower way to market a healthcare platform, and the only one that survives a procurement review.
What those values look like inside the product
01
Real data
Every score, claim and recommendation traces to real patient data. Nothing is fabricated, and nothing is estimated where it can be computed.
02
Explainable
Predictive scores show the signals behind them — every vital, its value, its date and its contribution.
03
Human-governed AI
AI assists; clinicians remain in control. The agent proposes, a person approves, and the platform records who and when.
04
Closed loop
Clinical activity connects to claims, payments and denials — from the first device reading to the reimbursed claim.
Real clinical data
Deterministic intelligence
AI assistance
Human oversight
Connected revenue cycle
Care360 does not ask healthcare organisations to choose between AI and clinical rigour. AI assists. A clinician decides. Every number is defensible.
Trust
Answers ready before procurement asks.
Procurement, security review and clinical governance are where healthcare software usually stalls. These controls are properties of the platform itself, so the answers are the same whether they are given in a sales meeting or an audit.
Fail-closed RBAC
Access control denies by default. A user without the required feature privilege cannot reach a page or endpoint, with graceful handling of expired sessions.
PHI redaction at the AI boundary
Direct identifiers can be scrubbed from any prompt before it reaches an external model, and restored in the reply — defence in depth for the AI layer.
BAA-enforced AI routing
AI egress can be gated so PHI is only processed by a vendor with a signed Business Associate Agreement; otherwise the feature falls back to deterministic output.
Metadata-only AI egress logging
AI calls can be logged with provider, model and byte counts — evidence of what left the platform, without the log becoming a PHI store.
Evaluation harness
Golden-case tests prove the safety-critical pieces — PHI redaction and NEWS2 determinism — behave, and run in CI before release.
Deterministic clinical model behaviour
The same inputs always produce the same score, and implausible vitals are dropped rather than scored.
What this page does not claim. No regulatory certification or approval is asserted here. Vital Wave Technologies does not represent on this website that Care360 is HIPAA certified, SOC 2 certified, HITRUST certified, ISO certified or FDA approved. Any certification or attestation status will be published only when formally obtained and supplied by the company.
Clinical disclaimer. Care360 is a clinical support and care-management platform. AI-generated content and predictive outputs are intended to assist qualified healthcare professionals and do not replace professional clinical judgment, diagnosis, or treatment decisions.
For the people who sign
We don't bring you our numbers.
We instrument yours.
Every healthcare platform arrives with a case study. Ours arrives with a ledger, a baseline taken from your own data before anything changes, and a decision gate with criteria you set. If the numbers do not move, you will see it first — and you will see it in your own reporting.
The value ledger
Value driver
What Care360 instruments, using your data
Reviewed
Earlier intervention
Time from the first abnormal reading to a documented clinical action, and the share of escalations raised before an unplanned encounter.
MonthlyCare-gap closure
Open gaps closed within the period by type — annual wellness visits, transitional-care follow-up, chronic check-ins — against the gaps that existed at baseline.
MonthlyRisk capture integrity
Conditions documented against conditions suspected, each with the evidence chain that supports it, so capture is defensible rather than simply higher.
QuarterlyRevenue integrity
Clean-claim rate before submission, days to payment, denial rate by reason code, and the share of denials recovered rather than written off.
MonthlyTeam capacity
Documented minutes per managed patient per month, and the proportion of work that reaches the clinician already prepared rather than assembled by hand.
MonthlyAI governance
Proposed actions approved, edited or dismissed — the honest adoption signal. A low edit rate earns autonomy; a high one tells us what to fix.
MonthlyEvery figure in this ledger is computed from your data and belongs to you. None of it appears on this website as ours — which is exactly why there are no percentages anywhere on this page.
The proof of value
Week 0
Baseline, before anything changes
We compute the ledger above from your existing data, so the comparison is against your own history rather than an industry benchmark.
Weeks 1–4
One programme, one panel, one team
A single reimbursable programme goes live on a defined panel with a named clinical owner — small enough to run properly, real enough to count.
Weeks 5–8
Expand by configuration
A second programme is added on the same record and the same worklist — the step that tests whether expansion is really configuration rather than a new project.
Week 9
Decision gate — your criteria, your data
Success criteria are agreed in writing at week zero. At the gate you hold a defensible yes or no, in numbers your finance and clinical leaders produced themselves.
Time-boxed, success-gated, and designed to be presented to a board without a vendor in the room.
Get started
Start preventing, not reacting.
Bring one programme, one panel or one practice. We will walk through the same working platform your team would use on day one — the morning list, the drafted work and the claim it turns into — and you can judge it against your own patients.
Or reach us directly — info@thevitalwave.com +1 516 888 9861