An on-premise referral intelligence system that reads your EHR, scores patients against clinical guidelines, and tells the right person the right thing — before anyone opens a chart, before anyone writes a referral, before a wasted specialist visit.
By the time a specialist sees a referral, the wrong workup has already been ordered, the wrong priority assigned, and three weeks have passed. Velox moves the intelligence earlier — before the referral, before the visit, before the wasted appointment.
Powered by the Arcos orchestration framework, Velox reads existing chart data through FHIR R4, scores against current clinical guidelines, and surfaces the signal in plain language — for the MA, the PCP, and the specialist.
Velox reads the incoming referral packet from the EHR, scores the patient against the specialist's guideline, assigns scheduling priority, and surfaces every missing order — before the physician ever opens the chart. The MA knows who to call today.
Before the PCP writes the referral, Velox shows exactly what the specialist will need. If FIB-4 can be calculated from existing labs, it is. Orders placed today. Not after a wasted specialist visit that costs the patient six weeks and the health system a prior auth fight.
ScanIQ scans the existing chart for guideline risk signals without requiring an ICD code. It surfaces conditions the patient hasn't been evaluated for while they're still in the exam room — when something can actually be done about it.
Low-risk patient. Guideline endorses primary care management. Velox delivers a specific plan: what to prescribe, when to recheck, what labs to order, and exactly what number would change the answer to "refer now" — giving the PCP confidence to hold the case appropriately.
Each IQ module is licensed independently and bundled into Velox. The hexagon is the constant — the interior glyph and function changes per module. New specialties, new evidence, same architecture.
| Module | Function | Primary User | Status |
|---|---|---|---|
| PathwayIQ | Clinical pathway evaluation + validation against current guidelines. Scores patient, identifies gaps, explains reasoning step by step. | Specialist MA, PCP | Live in Velox |
| ScanIQ | Multi-pathway scanner for existing chart data. No ICD code required. Surfaces risk signals the PCP hasn't looked for yet. | PCP (mid-visit) | Live in Velox |
| WatchIQ | Patient navigation and watchlist. Tracks who needs follow-up, what threshold would trigger a change, and when to recheck. | Care coordinators, PCP | Live in Velox |
| AuthIQ | Prior authorization criteria matching. Maps clinical documentation to payer criteria before submission. Reduces denials upstream. | Billing, front office | Future |
| CodeIQ | Coding suggestion downstream of the clinical encounter. Informed by the pathway trace already generated during the visit. | Coders, billing | Future |
| NoteIQ | Note intelligence layer. Reads completed notes after transcription — downstream of DAX, Freed, Deepgram, or any existing scribe tool. | Physicians | Future |
| PlanIQ | IEP management for special education. Same on-premise architecture, entirely different vertical. | Special ed coordinators | Education Shell |
Velox runs on a dedicated Rocky Linux edge device installed inside your facility. The device connects to your Epic instance via FHIR R4, reads what it needs, runs the scoring logic locally, and returns the result — all without a single byte of protected health information leaving the building.
Full function with no internet required. HIPAA-safe by architecture, not by policy.
Look at the scoring trace on two de-identified patients. Tell us whether the scoring matches your clinical reasoning. That is the entire ask at alpha.
We're looking for physicians with genuine curiosity — people who've felt the problem in their own schedule, who'll interrupt the demo to say "we had a patient like that last month" and ask "can I change that threshold?"
Two de-identified patients. Your clinical judgment. Our scoring. Let's find out if they match.