Members, nurses, adjusters, care teams, and insurers move faster when intake, emergency safeguards, rule routing, and handoff all stay in one traceable system.
Explore the platformScans for clear red flags before any AI request. A match hard-stops the session and points the member to 911.
Explore →Asks the next useful question, keeps the member moving, and turns messy symptom language into structured features.
Explore →Maps extracted features to ER, urgent care, primary care, telehealth, or home care through versioned clinical floors.
Explore →Shows care options against plan context so members are routed to the safest and most usable next step.
Explore →Adjusters see the full routing trace — feature vector, rule match, and care level — before any authorization is issued.
| Case | Member | Reference | Next Step | Exposure |
|---|---|---|---|---|
|
Chest pressure — onset 3h
Emergency
|
R. Patel UnitedHealth |
Triage #P8821 | Awaiting ER triage handoff | High-acuity risk |
|
Persistent fever 103°F, 48h
Urgent Care
|
S. Torres Aetna |
Triage #P8820 | 2 in-network UCs within 3 mi | Moderate |
|
Shortness of breath on exertion
Telehealth
|
D. Brown Cigna |
Triage #P8819 | Telehealth slot queued — 20 min | Moderate |
|
Ankle sprain, no imaging yet
Home Care
|
K. Lee BCBS |
Triage #P8818 | Home care + 48h follow-up | Low |
Carevo is designed around sourced rules, explicit opt-in sharing, and a clean boundary between AI assistance and human accountability.
Carevo does not ask for names, member IDs, addresses, or medical record numbers to run the intake flow.
Conversation sharing appears only after the assessment, stays unchecked by default, and returns a deletion code.
Shared logs are confidential review records with deletion handling and minimum-access expectations.
Carevo helps insurers guide members to ER, urgent care, primary care, telehealth, or home care with emergency-first safeguards, deterministic routing, and a full audit trail for every recommendation.
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