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CircusScale

AI-native healthcare

AI shouldn’t be another tab.

Most healthcare AI is a chatbot parked beside the software people actually use. Ours is inside the work: in the note, in the inbox, in the coding queue, in the schedule, in the report you were about to ask an analyst for. Labeled where it acts, explainable when you question it, and off wherever you say so.

Ask anything

Two questions nobody should need a report for.

One about a patient, one about your operations. Same interface, same permissions, same audit trail.

When did this patient’s A1C first exceed 7?
Answer

14 March 2024 — A1C 7.2% (Quest, ordered by Dr. Aguilar). It had been 6.4% at the prior draw in September 2023.

Because of
  • Lab result · 14 Mar 2024
  • Progress note · 21 Mar 2024
  • Flowsheet · A1C trend

Model and version are recorded with this answer, and the whole exchange appears in your audit log.

A1C over time (%)
Sep ’23: 6.4%Mar ’24: 7.2%Sep ’24: 7.6%Mar ’25: 7.1%Sep ’25: 6.8%Sep ’23Mar ’24Sep ’24Mar ’25Sep ’256.8%

Document

The visit becomes the note.

Structured, not a transcript — with discrete data landing in the right fields, and a clinician reviewing before anything is signed.

Search patients, orders, reports, settings…⌘K
AR
Encounter · Ambient documentation
Recording11:42consent on file
Clinician

How have the mornings been since we changed the dose?

Patient

Better. The numbers are usually around 120 now, and I’m not getting the afternoon crash.

Clinician

Good. Any dizziness, swelling, anything new?

Patient

No. My feet were sore for a while but that stopped.

Draft noteunsigned · AI-drafted
Subjective
Reports improved morning glycemic control since dose adjustment, typically ~120 mg/dL. Denies dizziness, edema, or new symptoms. Prior bilateral foot soreness resolved.
Assessment
Type 2 diabetes mellitus — improved control on current regimen.
Plan
Continue current dose. A1C in 3 months. Retinal screening overdue — order placed.
Review & signEdit3 discrete data points captured

Triage

An inbox that arrives sorted.

Summarized, categorized, prioritized, and drafted. Nothing is sent on your behalf — the work is done, the decision is still yours.

Search patients, orders, reports, settings…⌘K
AR
Inbox · 4 of 61 need you
Quest · CMP panelAbnormal

Creatinine 1.6 (up from 1.2). Two prior values trending up.

Draft: repeat in 2 weeks
Refill · metformin 1000mgRoutine

Within protocol. Last A1C 6.8%, seen 6 weeks ago.

Approve 90-day
Patient · Maya KesslerQuestion

Asking whether to hold medication before Thursday’s procedure.

Draft reply
Prior auth · imagingBlocked

Payer needs conservative-therapy documentation; agent found it in the 12 Jun note.

Submit packet
57 items summarized, categorized, and routed automatically · nothing auto-sent

Eight capabilities

Where the AI actually shows up.

Document

Ambient documentation

The visit becomes a structured note — history, exam, assessment, plan, plus discrete data that lands in the right fields, not a wall of text you have to re-key.

Understand

Clinical intelligence

Relevant history, medications, trends, and care gaps surface at the moment they matter, with the reasoning and the source visible behind every suggestion.

Find

Chart search in plain language

Ask “when did this patient’s A1C first exceed 7?” and get the answer with the result that proves it — across scanned documents, notes, and structured data.

Triage

Inbox intelligence

Results, refills, and messages summarized, categorized, prioritized, and drafted — so the inbox is a review queue instead of an evening.

Code

Coding assistance

Documentation improvements and coding suggestions with the supporting text quoted, so the coder is checking work rather than hunting for it.

Communicate

Patient communication

Personalized instructions and follow-ups at the reading level and in the language the patient actually uses, reviewed before they send.

Automate

Workflow agents

Build agents that carry out the repetitive administrative work — prior auth packets, referral follow-through, recall lists — with defined stopping points.

Analyze

Conversational analytics

Ask about your own operations and get a chart back. “Which providers’ average wait time rose more than 20% this quarter?”

Responsible by construction

The part every vendor skips.

Healthcare AI is only useful if a compliance officer, a medical director, and a clinician can all say yes to it. These are the properties that make that possible — and they are architectural, not policy.

Labeled, always

Anything a model wrote is marked as such wherever it appears, including in the chart.

Reviewed by a person

AI drafts. A licensed human signs. The checkpoints are part of the workflow, not a policy PDF.

Explainable

Every suggestion shows what it was based on — the note, the result, the document, the trend line.

Auditable

Model and version are recorded with the output, and every AI action appears in the same audit log as everything else.

Permissioned

AI sees exactly what the user sees. Nothing is escalated to make a feature work.

Yours to turn off

Feature by feature, role by role, location by location. Including entirely.

A model can draft, surface, summarize, and chase. A licensed human decides.
How we build every AI feature