Live Proof

Healthcare Glossary

AI Diligence Console

Most VCs are software investors first, healthcare investors second. This glossary is the shortest possible mental model of the operating network for the healthcare workforce, every term used in this room, defined.

Credentialing: The process by which a facility verifies a clinician's identity, licenses, education, sanctions history, and work history before letting them practice. Initial credentialing is typically 60-120 days; recredentialing happens every 24-36 months.
Privileging: Separate from credentialing. A facility's medical staff committee decides what specific procedures or services a verified clinician is allowed to perform at that facility, based on training, case logs, and outcomes. A clinician can be credentialed without being privileged for a given procedure.
Primary Source Verification (PSV): Verification of a credential by querying the authoritative issuer directly, a state Board of Nursing, the FSMB, ABMS, etc. PSV is what Joint Commission / CMS surveyor surveyors look for. Secondary-source verification (vendor aggregators returning unsourced answers) does not satisfy the standard.
Truth ladder (legacy term): Legacy name for Rōvn's evidence labeling. Current canon uses explicit evidence classes: source-verified, issuer-attested, facility-attested, worker-provided, extracted but unconfirmed, pending, conflicting, expired, unavailable, and human-review-required. Labels never silently upgrade. See 04.4 AI Doctrine.
Passport: The worker-controlled record of professional evidence, consent, and work history. Travels with the worker across employers, free to the worker forever. Evidence can travel; every organization makes its own decision.
Work Activation: The atomic transaction: approved to start, with proof. The evidence-backed, policy-specific, named-human-approved state that allows one person to perform one defined scope of work for one organization in one context, bound to a signed receipt. Never a worker score, never permanent, never automatically valid at another organization.
Resolution Case: One deduplicated owner of missing, expiring, ambiguous, or disputed work. One underlying issue creates one worker-facing ask, with tenant-isolated impact edges to every affected facility, file, payer, privilege, and future assignment.
READ and HIRE: READ is the governed API through which authorized systems consume evidence state, readiness, Work Relationships, Work Activations, consent, and receipts. HIRE is the opportunity surface: postings, applicant capture, and applications that reuse the worker's consented evidence.
Operator: The complete facility product: demand, intake, hiring workflow, credentialing, privileging, payer readiness, onboarding, monitoring, Resolution Cases, human decision queues, and audit proof, activated in stages. Readiness is its first module and the paid entry point. Humans make every regulated decision.
NPDB: National Practitioner Data Bank. Federal repository of malpractice payments, adverse licensure actions, clinical privilege actions, and professional society actions. Queried via QRXS. Mandatory before initial appointment and biennially for renewal at most accredited facilities.
Nursys: NCSBN-operated national nurse-license database. Rōvn's verification core includes a Nursys e-Notify (v3.1.5) adapter for active license lookup and 50-state + DC monitoring; production activation is staged (see 09 Diligence Notice for LIVE vs PARTIAL status).
OIG LEIE: HHS Office of Inspector General, List of Excluded Individuals/Entities. Federal sanctions list. Anyone on it cannot receive payment from any federal healthcare program. Sweep is monthly minimum.
SAM.gov: System for Award Management. Federal entity registration and exclusions list. The Rōvn entity is validated with an assigned UEI.
FSMB / PDC API: Federation of State Medical Boards. The PDC API is the commercial physician primary-data rail (MED API is board-only). Provides licensure, public board orders, and discipline records.
ABMS: American Board of Medical Specialties. Confirms physician board certification. On Rōvn's adapter roadmap, Q3 2026.
Verifiable: Commercial coverage-acceleration vendor that federates state board lookups. Used by Rōvn as a supplemental rail, not source-of-truth. Receipts must include source authority evidence (name+timestamp, URL, or artifact) before any cell flips to VERIFIED.
OPPE / FPPE: Joint Commission requirements for ongoing physician evaluation. OPPE = Ongoing Professional Practice Evaluation (continuous). FPPE = Focused Professional Practice Evaluation (triggered, e.g. new privilege). Both are workflow targets on the Rōvn roadmap.
CVO: Credentials Verification Organization. NCQA certifies CVOs across 11 verification elements. Rōvn's NCQA CVO trajectory is in progress, not certified. See 06.8.
NCQA ongoing monitoring (eff. July 1, 2025): Since July 2025, applicable NCQA standards require ongoing monitoring between recredentialing cycles. Rōvn operates continuously; the binding standard and interval must be validated for each customer and element. The quarterly, manual, batch approach now fails survey. The lead regulatory why-now driver, see 10.4.
designed for HIPAA-governed workflows · BAA path subject to counsel and execution: The procurement-safe phrasing Rōvn uses. There is no HIPAA certification issued by any authority. "Aligned" means built to satisfy HIPAA Privacy and Security Rules; "BAA path subject to counsel and execution" means Rōvn will execute a Business Associate Agreement with the customer.
IAL2: Identity Assurance Level 2, per NIST SP 800-63A. Remote identity proofing with document + biometric checks. Rōvn uses Persona for IAL2-equivalent verification (currently sandbox-configured pending production key).
CAH / ASC / LTC: Critical Access Hospital (rural) · Ambulatory Surgical Center · Long-Term Care. Care settings that appear inside Rōvn's ICP set, which is national and organization-first: ASCs and surgery centers, multi-site provider groups, standalone facilities, RCM and billing companies, staffing agencies as pilot buyers, and strategic partnerships, prioritizing high reuse-per-clinician and delegation-capable entities. The first cluster is a multi-site organization, not a geography.
CMS recoupment: When CMS retroactively claws back Medicare/Medicaid payments for services that turn out to have been ineligible, including services rendered by an unprivileged or improperly credentialed provider. Billing for an improperly-credentialed provider remains exposed to False Claims Act liability under Medicare's 60-Day Rule. A driver of the regulatory tailwind in 10.4.
SAFE: Simple Agreement for Future Equity. Y Combinator-originated instrument, the standard vehicle for early-stage rounds. Rōvn is raising a $5M seed round, opening November 2026 into YC Demo Day on December 3, sized to fund the team through the 18-to-24-month NCQA-CVO certification clock. Terms are shared on request once counsel confirms the offering exemption.

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