The only stop-loss intelligence that explains itself.
Competitors compress clinical nuance into a single risk score. We provide the explainability that lets underwriters price for different trajectories.
Traditional ML Risk Scores
- ?Why are they high risk?
- ?What will it actually cost?
- ?Should you laser? At what level?
- ?What is the tail exposure?
Langentia Clinical Intelligence
58-year-old female with metastatic breast cancer, HER2+, currently on first-line HP-based therapy. Recent brain MRI suggests CNS progression. Likely transition to Enhertu (~$200K/year) with possible stereotactic radiosurgery.
Expected Cost (P50)
$395,000
Tail Exposure (P95)
$847,000
Tail driver: Enhertu-induced lung toxicity (ILD) requiring ICU, or leptomeningeal spread.
Consider lasering at $350K specific. Therapy continuation supports corridor sizing; renewal positioning may warrant rate adjustment.
The Explainability Gap
While they're guessing, you're binding.
See why. Act now. Protect the book. Defend your price.
$350K versus $500K isn't a guess when you see the trajectory.
Multiple Myeloma: Right-Size the Laser
$180K vs $600K+ trajectory
Risk scores flag the myeloma patient. They cannot distinguish transplant-eligible ($450K first year, then maintenance) from transplant-ineligible ($200K/year ongoing). That distinction is a $250K laser decision. It's the difference between winning and overpricing the quote.
High-Risk Pregnancy: The Intervention Window
$40K term vs $1-4M+ NICU
Prior preterm birth. Short cervix. Every model flags the risk. But trajectory visibility shows the intervention window: cerclage, progesterone, MFM referral. Evidence-based interventions can reduce preterm birth risk by 25-35%, turning a $350K laser into a care coordination opportunity.
Oncology Progression: Defend Your Price
$150K vs $800K+ same diagnosis
Two members with diffuse large B-cell lymphoma (DLBCL). Same ICD code. One is first-line R-CHOP ($150K). One is third-line, CAR-T eligible ($800K+). When the broker asks “why this rate?”, you need the clinical trajectory, not just a number. Clinical reasoning is the defense.
How It Works
From census to defensible decision
Whether new business, renewal, or laser analysis - every projection traces back to clinical reasoning.
Upload
Secure upload of de-identified claims data. CSV or Excel formats.
30 sec
Analyze
AI identifies high-cost claimants, therapy trajectories, and cost drivers.
2-3 min
Review
Clinical narratives with expected and high-end cost projections for every flagged member.
<5 min
Export
Defensible documentation with laser recommendations and rate justification.
Instant
What You Get
Built for healthcare security
Every projection includes expected and high-end cost estimates with the clinical evidence and reasoning you need to defend it. When brokers ask “why this price?”, you have the answer.
See the difference
15-minute demo with your own sample data