shteg.ai is the company that operates the clearinghouse — registered under HIPAA with a Type-2 organizational NPI — and keeps one record from the exam to the payment.
Built to give physicians and medical institutions a direct path to financial freedom on one sovereign ledger.
Capability registered as capability, never as traction.
Five intermediaries sit between a coded exam and a dollar in the account — each renting a slice, none accountable for the whole. shteg.ai collapses them into one system on one hash-chained ledger.
Anyone can write a feature list; the differentiator is the rules we refuse to bend. Fail closed everywhere; propose, never dispose; the gate is fixed; the register stays honest.
Fail closed, everywhere.
Propose, never dispose.
The gate is fixed; vendors are swappable.
Honest status registers.
The system was built by one operator directing a fleet of AI coding agents, disciplined enough that whole backends are rebuilt in days. No invented team roster, no fabricated headcount — the proof is the tested code itself.
An architecture where a whole backend is a worktree, not a quarter. The bio page you can check is the commit history.
ShtegMed is the product a clinician uses. shteg.ai is the company and the clearinghouse of record. The payment infrastructure is the infrastructure beneath both.
The ophthalmology-first EMR — the product a clinician actually uses.
The company and the clearinghouse of record — a real Type-2 organizational NPI.
Ledger, gate, executors — the plumbing beneath both, swappable at the edges, fixed at the core.
We are looking for client zero — the first practice to run a real encounter through the loop under BAAs and live connectivity. Until then the honest position is: real architecture, real clearinghouse identity, real doctrine, zero live dollars.
Be the first practice to run a real encounter through the loop under BAAs and live connectivity. Real architecture, real clearinghouse identity, zero live dollars until the day you and a signed agreement change that.
Deterministic architecture, governed by explicit compliance gates.
Every clinical and financial surface is built on a hash-chained WORM double-entry ledger, a six-condition settlement gate, and an integer-cent 835 reconciliation waterfall under a registered HIPAA clearinghouse and Type-2 organizational NPI. Integrations without active counterparty credentials or executed BAAs fail closed by contract.