For Insurers

Clinical governance infrastructure for health insurers

Turn member health data into defensible insight. Governance that satisfies regulators, data quality you can underwrite against, and visibility into care pathways before costs lock in.

What we address
Claims visibility
See pathway signals before hospital admission
Device data governance
Make wearable data clinically defensible
Network fragmentation
Connected member journeys across providers
Regulatory evidence
Audit trails that satisfy scrutiny

The data exists. The governance doesn't.

Reactive risk visibility

You see the claim after the hospital admission. The cost is already locked in. Earlier signals existed — you just couldn't access them safely.

Ungoverned device data

Members wear Fitbits, Oura rings, CGMs. The data could transform risk stratification — but it's clinically unvalidated and indefensible to regulators.

Network fragmentation

Digital GP, private consultant, high street lab, physio. Four providers, four records, zero continuity. You can't see the pathway until the claim arrives.

Governance exposure

When regulators ask how you're using clinical data for decisions, can you show consent, provenance, and validation? Can you demonstrate the evidence trail?

Governed by the Seven Flows

Insurance use of clinical data requires the same governance invariants as clinical care — identity, consent, provenance, responsibility. Our infrastructure implements these flows specifically for insurer contexts: member matching across networks, dynamic consent for data use, and audit trails that satisfy both clinical and financial regulators.

Learn about the Seven Flows

01 Identity
Member matching across provider networks
02 Consent
Dynamic consent for underwriting and claims
03 Provenance
Data lineage from device to decision
04 Clinical Intent
Context for pre-authorisation decisions
05 Alert & Responsibility
Accountability when thresholds breach
06 Service Routing
Directing to network providers with context
07 Outcome
Claims-aligned effectiveness measurement

Make wearable data clinically defensible

Your members generate health data from consumer devices — Apple Watch, Fitbit, Oura, Garmin, CGMs, blood pressure monitors. This data could transform risk stratification and early intervention. But consumer devices aren't medical devices. Data quality varies. Clinical validity is questionable.

SteadyTrace is the validation layer that makes consumer health data usable for insurance purposes — with governance that satisfies regulators.

Universal device ingestion

Apple Health, Google Fit, Garmin, Fitbit, Withings, CGMs, and medical-grade RPM devices through a single integration.

Clinical validation layer

Physiological plausibility checks, sampling integrity verification, device fingerprinting. Data quality scored before use.

Protocol-driven collection

Clinician-defined collection protocols and thresholds. Not just raw data — contextualised signals with clinical oversight.

Regulatory evidence packages

ALCOA+ aligned data integrity. Full provenance chain. Evidence packages structured for regulatory scrutiny.

Use Case

Cardiac rehabilitation monitoring

A member recovering from cardiac surgery uses their existing Apple Watch. SteadyTrace validates heart rate and HRV data against clinical thresholds, flags anomalies for clinician review, and generates evidence packages documenting the member's recovery trajectory.

Outcome
Defensible data for risk assessment with full audit trail from device to decision

Patient state meets pathway logic

Your members move between digital GPs, specialists, diagnostics providers, and home monitoring — often crossing into NHS care and back. Two infrastructure components work together to make this visible and governed.

FHIR Cube maintains longitudinal patient state — a provenance-preserving record of the member's clinical journey across providers, with explicit consent and time-bound access.

Protocol Factory codifies clinical pathways — what steps should happen, in what order, with what triggers. These protocols execute against patient state to identify gaps, flag deviations, and surface intervention opportunities.

Pre-authorisation intelligence

Query patient state before approving treatment. See what's already been done, what's been tried, what's indicated.

Protocol-driven gap detection

Pathways codified in Protocol Factory run against FHIR Cube state. Missing steps and deviations surface automatically.

Duplicate reduction

Visibility into diagnostics across providers. Protocol logic flags unnecessary repeat investigations.

What governed data delivers

Earlier intervention

Visibility into deterioration before hospital admission

Risk stratification

Validated clinical signals, not just claims proxies

Claims visibility

Pathway context before costs are locked in

Regulatory confidence

Evidence that satisfies FCA, ICO, and clinical scrutiny

Works with your existing systems

Built on UK Core FHIR R4 — the NHS interoperability standard. Standard APIs, no proprietary lock-in, portable data.

  • Connect to existing claims and member administration systems
  • Integrate with provider networks via standard FHIR endpoints
  • Bridge to NHS services when members cross into NHS care
  • Work alongside your existing technology partners
UK Core FHIR R4 SNOMED CT ALCOA+ aligned UK GDPR FCA-aware ICO compliant

Explore what's possible

We're working with forward-thinking insurers to prove the value of governed clinical infrastructure. Start with a 30-minute discovery call.

Book a discovery call