ShtegMed is an ophthalmology-first EMR whose signed exam fields are the origin of every claim, remittance, and payout on the ledger — the exam-room end of the rail.
shteg.ai is the company and the clearinghouse; ShtegMed is where the loop begins.
Clinical layer verified-green in tested code at HEAD; live PHI waits on client-zero BAAs.
Structured, signable exam fields laid out the way ophthalmology actually documents — once signed, tamper-evident and the anchor the rest of the rail reconciles against, all the way down to the dollar. The encounter is not a form to fill; it is the origin of record.
An exam cockpit shaped like an eye exam: devices populate, humans dispose, and decision support advises without acting — the person signing the exam is the one who decides.
Prior auth runs the real CRD→DTR→PAS chain, MIPS scores straight from the encounter, and e-Rx orders with human authorization on send. Each threads back to a signed exam — which is how the rail proves where a dollar was earned.
An MPI golden record reconciles a patient to a single identity across the loop, so the chart, the claim, and the payout all speak about the same person. Interoperability runs on real standards — because a record that cannot leave the building is not really the patient’s.
ShtegMed is layer three of one system — its encounters feed the gate and the rails that carry them to settled money.
No real dollar has moved. No real PHI has flowed.
What is real: the architecture — hash-chained ledger, settlement gate, and reconciliation waterfall, tested in code at HEAD — the Type-2 organizational NPI and registered HIPAA clearinghouse identity, and the doctrine. We register capability as capability, never as traction.