{
  "$id": "https://startups.as/rails.health",
  "$type": "Name",
  "source": {
    "kind": "api.sb",
    "ns": "startups.as",
    "at": "2026-10-26T12:20:35.242Z",
    "note": ""
  },
  "name": {
    "$id": "https://api.sb/startups.as/names/rails.health",
    "version": 1962,
    "domain": "rails.health",
    "label": "Rails.Health",
    "tier": "namespace",
    "buyer": "Deliverable Mint: \"rails\"",
    "set": "S20 [task].health semantic-TLD work rails",
    "abstraction": "V-health",
    "role": "projection",
    "status": "namespace seed",
    "registrar": "dynadot",
    "stage": "off",
    "provenance": {
      "tier": {
        "basis": "Inferred",
        "source": "portfolio-lens-a.tsv (tier)",
        "confidence": "med",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "role": {
        "basis": "Inferred",
        "source": "portfolio-lens-b.tsv (role)",
        "confidence": "low",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "status": {
        "basis": "Inferred",
        "source": "lens A tier namespace",
        "confidence": "med",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "abstraction": {
        "basis": "Inferred",
        "source": "portfolio-lens-b.tsv (abstraction)",
        "confidence": "low",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "set": {
        "basis": "Inferred",
        "source": "portfolio-lens-a.tsv (set_or_journey)",
        "confidence": "med",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "buyer": {
        "basis": "Inferred",
        "source": "portfolio-lens-b.tsv (icp_or_position)",
        "confidence": "low",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "display": {
        "basis": "Inferred",
        "source": "seed rule from the casing rules in docs/plans/2026-10-24-portfolio-stack-visualization.md; compound labels are open",
        "confidence": "low",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      },
      "registrar": {
        "basis": "Inferred",
        "source": "holdings ledger (domains repo, read-only)",
        "confidence": "high",
        "by": "agent:startups-as-seed",
        "at": "2026-10-25"
      }
    },
    "tensions": [
      {
        "field": "tier",
        "a": "namespace",
        "b": "projection",
        "scale": "namespace vs brand",
        "note": "lens A reads namespace (namespace); lens B reads projection (brand)"
      }
    ]
  },
  "stack": {
    "kind": "generated",
    "title": "Generated around Rails.Health",
    "levels": [
      {
        "label": "centre",
        "nodes": [
          {
            "domain": "rails.health",
            "side": "spine",
            "door": false
          }
        ],
        "more": 0
      },
      {
        "label": "brands",
        "nodes": [
          {
            "domain": "gigs.doctor",
            "side": "spine",
            "door": false
          }
        ],
        "more": 0
      },
      {
        "label": "brands",
        "nodes": [
          {
            "domain": "gigs.expert",
            "side": "spine",
            "door": false
          }
        ],
        "more": 0
      },
      {
        "label": "the abstractions",
        "nodes": [
          {
            "domain": "workflows.management",
            "side": "left",
            "door": false
          },
          {
            "domain": "startupbuilder.dev",
            "side": "right",
            "door": false
          }
        ],
        "more": 0
      },
      {
        "label": "the foundation · Do.Industries",
        "nodes": [
          {
            "domain": "workflows.do",
            "side": "left",
            "door": false
          },
          {
            "domain": "startups.studio",
            "side": "right",
            "door": false
          },
          {
            "domain": "startups.management",
            "side": "door",
            "door": true
          }
        ],
        "more": 0
      },
      {
        "label": "the foundation · Do.Industries",
        "nodes": [
          {
            "domain": "saas.studio",
            "side": "door",
            "door": true
          },
          {
            "domain": "saas.dev",
            "side": "left",
            "door": false
          },
          {
            "domain": "monthend.finance",
            "side": "left",
            "door": false
          },
          {
            "domain": "objects.do",
            "side": "spine",
            "door": false
          },
          {
            "domain": "services.do",
            "side": "right",
            "door": false
          },
          {
            "domain": "workers.do",
            "side": "right",
            "door": false
          }
        ],
        "more": 0
      }
    ],
    "edges": [
      {
        "a": "rails.health",
        "b": "gigs.doctor",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "gigs.doctor",
        "b": "gigs.expert",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "gigs.expert",
        "b": "workflows.management",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "gigs.expert",
        "b": "startupbuilder.dev",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "workflows.management",
        "b": "workflows.do",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startupbuilder.dev",
        "b": "startups.studio",
        "kind": "line",
        "backed": true,
        "verb": "made-by",
        "basis": "Inferred"
      },
      {
        "a": "startups.studio",
        "b": "saas.dev",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startups.studio",
        "b": "monthend.finance",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startups.studio",
        "b": "objects.do",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startups.studio",
        "b": "services.do",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startups.studio",
        "b": "workers.do",
        "kind": "line",
        "backed": true,
        "verb": "runs-on",
        "basis": "Inferred"
      },
      {
        "a": "startups.management",
        "b": "startups.studio",
        "kind": "door",
        "backed": true,
        "verb": "door-of"
      },
      {
        "a": "saas.studio",
        "b": "saas.dev",
        "kind": "door",
        "backed": true,
        "verb": "door-of"
      }
    ],
    "text": "                                                                        Rails.Health                                                                             centre\n                                                                              │\n                                                                         Gigs.Doctor                                                                             brands\n                                                                              │\n                                                                         Gigs.Expert                                                                             brands\n                                                                ╱                           ╲\n                                        Workflows.Management                                     StartupBuilder.Dev                                              the abstractions\n                                                  │                                                       │\n                                            Workflows.do                                           Startups.Studio ───────── Startups.Management                 the foundation · Do.Industries\n                                                                       ╱             ╱      ╱      ╱             ╲\n   SaaS.Studio ──────────────── SaaS.Dev                MonthEnd.Finance Objects.do    Services.do                 Workers.do                                    the foundation · Do.Industries"
  },
  "relationships": [
    {
      "$id": "https://api.sb/startups.as/relationships/listedBy--rails.health--api.qa",
      "version": 4060,
      "from": "rails.health",
      "to": "api.qa",
      "verb": "listed-by",
      "why": "sb def rails.health: checked by functions/qa [medium] — Every Startup's published faces are checked by api.qa.",
      "sources": [
        "docs/plans/research/2026-10-24-builder-brands/logo-graph.tsv"
      ],
      "confidence": "low",
      "basis": "Inferred",
      "truth": "buildable",
      "predicate": "logo row on a catalog venue (listed by)",
      "retracted": false,
      "by": "agent:startups-as-seed",
      "at": "2026-10-25"
    },
    {
      "$id": "https://api.sb/startups.as/relationships/runsOn--rails.health--gigs.expert",
      "version": 4059,
      "from": "rails.health",
      "to": "gigs.expert",
      "verb": "runs-on",
      "why": "sb def rails.health: built on functions/licensed-review [low]; gigs.expert is its preferred provider [medium]",
      "sources": [
        "docs/plans/research/2026-10-24-builder-brands/logo-graph.tsv"
      ],
      "confidence": "low",
      "basis": "Inferred",
      "truth": "buildable",
      "predicate": "logo row: \"Powering\" / \"Built on\" (customer runs on supplier)",
      "retracted": false,
      "by": "agent:startups-as-seed",
      "at": "2026-10-25"
    },
    {
      "$id": "https://api.sb/startups.as/relationships/runsOn--rails.health--headless.ly",
      "version": 4058,
      "from": "rails.health",
      "to": "headless.ly",
      "verb": "runs-on",
      "why": "sb def rails.health: built on functions/billing [low]; headless.ly is its preferred provider [low]",
      "sources": [
        "docs/plans/research/2026-10-24-builder-brands/logo-graph.tsv"
      ],
      "confidence": "low",
      "basis": "Inferred",
      "truth": "buildable",
      "predicate": "logo row: \"Powering\" / \"Built on\" (customer runs on supplier)",
      "retracted": false,
      "by": "agent:startups-as-seed",
      "at": "2026-10-25"
    },
    {
      "$id": "https://api.sb/startups.as/relationships/runsOn--rails.health--gigs.doctor",
      "version": 3825,
      "from": "rails.health",
      "to": "gigs.doctor",
      "verb": "runs-on",
      "why": "sb def gigs.doctor: supplies rails.health [low] — The fan-out's `exposes` says clinician sign-off is used by rails.health (non-clinical healthcare admin as an API, batch b030), which routes",
      "sources": [
        "docs/plans/research/2026-10-24-builder-brands/logo-graph.tsv"
      ],
      "confidence": "low",
      "basis": "Inferred",
      "truth": "buildable",
      "predicate": "logo row: \"Powering\" / \"Built on\" (customer runs on supplier)",
      "retracted": false,
      "by": "agent:startups-as-seed",
      "at": "2026-10-25"
    }
  ],
  "neighbours": {
    "sameAbstraction": [
      "gigs.care",
      "gigs.clinic",
      "gigs.dentist",
      "gigs.doctor",
      "gigs.health",
      "gigs.healthcare",
      "gigs.hospital",
      "genes.org.ai",
      "health.org.ai",
      "hl7.org.ai",
      "med.org.ai",
      "molecules.org.ai",
      "safety.org.ai",
      "species.org.ai",
      "aides.care",
      "appointments.care",
      "bench.clinic",
      "chartnotes.co",
      "copays.claims",
      "denials.services",
      "denied.click",
      "discharge.click",
      "edi834.dev",
      "emrcheck.dev",
      "hospicecap.dev",
      "intake.clinic",
      "openenrollment.click",
      "optometry.claims",
      "perdiem.health",
      "pharmtechs.work",
      "precerts.co",
      "priorauth.click",
      "priorauths.co",
      "recalls.clinic",
      "records.clinic",
      "rxverify.dev",
      "scribing.services",
      "shifts.care",
      "shifts.health",
      "shingle.clinic",
      "snfcb.dev",
      "soapnotes.co",
      "superbill.click",
      "superbills.co",
      "workups.tools"
    ],
    "listedBy": [
      "api.qa"
    ],
    "logoRowsIn": [
      {
        "row": "gigs.expert",
        "truth": "buildable"
      },
      {
        "row": "headless.ly",
        "truth": "buildable"
      },
      {
        "row": "gigs.doctor",
        "truth": "buildable"
      }
    ],
    "logoRow": [],
    "slices": []
  },
  "card": {
    "$context": "https://api.sb/?array",
    "$id": "https://api.sb/rails.health?array",
    "$type": "Startup",
    "id": "startup_railshealth",
    "name": "rails.health",
    "pitch": "A clinic's front office and billing staff re-key the same eligibility checks, prior-auth packets, claims and records requests into payer portals and fax lines, and no payer or EHR answers an agent that tries to do the same work.",
    "icp": "Clinics, digital-health builders and the agents they run, for the admin work around a visit",
    "status": "Designed",
    "ventures": [
      {
        "$id": "https://api.sb/startups?venture=healthcare-admin&array",
        "name": "Healthcare admin"
      }
    ],
    "families": [
      {
        "$id": "https://api.sb/startups?family=health&array",
        "name": "health (suffix .health)"
      }
    ],
    "abstractions": [
      "App",
      "Agent",
      "Service"
    ],
    "motions": [
      "b2d",
      "b2b"
    ],
    "coordinates": {
      "icp": "Clinics, digital-health builders and the agents they run, for the admin work around a visit",
      "industries": {
        "Offices of Physicians": "https://api.sb/Industries/Healthcare/Ambulatory/Physicians?array"
      },
      "occupations": {
        "43-6013 · does": "https://api.sb/Occupations/43-6013?array",
        "43-3021 · does": "https://api.sb/Occupations/43-3021?array"
      },
      "processes": {
        "9.2.2": "https://api.sb/Processes/9.2.2?array",
        "9.2.3": "https://api.sb/Processes/9.2.3?array"
      },
      "offers": {
        "rails.health for agents and developers (keyed, metered) · b2d · $0.3 per payer transaction (eligibility, prior-auth or claim) · metered API": "https://api.sb/by-motion/b2d?array",
        "rails.health for practices (the admin work done, clinical steps routed) · b2b · $12 per completed prior authorization or claim · services-as-software": "https://api.sb/by-motion/b2b?array",
        "The health administration rail for the Studio's health Startups · b2b · $0.2 per payer transaction (eligibility, prior-auth or claim) · metered API": "https://api.sb/by-motion/b2b?array"
      },
      "products": {
        "Healthcare admin API (eligibility, prior auth, claims and status, records requests, superbills, estimates; REST and MCP) · App": "https://api.sb/by-abstraction/software?array",
        "The admin agents (intake, coding and billing, follow-up) that run the open work end to end · Agent": "https://api.sb/by-abstraction/agent?array",
        "Front-office and billing work done as a service, with clinical steps routed to a licensed clinician · Service": "https://api.sb/by-abstraction/service?array"
      },
      "oneLiner": "A managed front office and billing service for physician practices: admin agents on one rail work eligibility, prior auth and claims, so staff stop re-keying into payer portals and fax lines.",
      "category": "Healthcare revenue-cycle and front-office administration (services-as-software)",
      "beats": {
        "Staff re-key eligibility, prior auth and claims into each payer portal and fax line: How practices get by today. The AMA survey reports prior authorization delays access to care (95%) and is often or always denied (32%). Differentiation Lens placement: 10/12.": "https://api.sb/by-alternative/manual?array",
        "Availity (multi-payer portal): The multi-payer portal and network staff key into (its site claims 3 million+ connected providers). It still needs staff to do the keying. Differentiation Lens placement: 70/62, against 64/74 for the managed front office.": "https://api.sb/by-alternative/incumbent?array",
        "Stedi (healthcare clearinghouse API): Builders wire their own eligibility and claims on it at $0.08 to $0.30 per transaction. It has no prior auth, and someone still has to build and run the workflow. Differentiation Lens placement: 34/38.": "https://api.sb/by-alternative/build?array",
        "Infinitus (healthcare AI agents): AI agents that work benefit-verification and prior-auth calls, sold mostly to pharma and health plans rather than practices. Differentiation Lens placement: 42/48.": "https://api.sb/by-alternative/professional?array"
      },
      "unplaced": {
        "industries": "not placed yet: ideate.icp places it from the Startup’s sources",
        "occupations": "not placed yet: ideate.icp places it from the Startup’s sources",
        "processes": "not placed yet: ideate.icp places it from the Startup’s sources",
        "supplies": "not yet: build.product names the Verbs it serves",
        "drawsOn": "not yet: build.product names what it draws on",
        "beats": "not yet: the choice (ideate.hypothesis) names each rival by its URL"
      }
    },
    "platform": false,
    "domains": [
      {
        "$id": "https://api.sb/domains/rails.health?array",
        "name": "rails.health"
      }
    ],
    "usesPlatform": "https://api.sb/?array"
  },
  "links": {
    "page": "https://startups.as/rails.health",
    "apiSb": "https://api.sb/startups.as/names/rails.health",
    "startupCard": "https://api.sb/rails.health"
  }
}